JAMES, ELIZABETH
NPI: 1477755643
· PAWTUCKET, RI 02860
· Counselor
· NPI assigned 06/01/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code S9485 with only 3 total codes billed. Highly concentrated billing profile.
$2.29M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,141 |
$251K |
| 2019 |
1,039 |
$229K |
| 2020 |
1,707 |
$384K |
| 2021 |
2,209 |
$496K |
| 2022 |
1,837 |
$421K |
| 2023 |
1,704 |
$355K |
| 2024 |
1,021 |
$152K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9485 |
Crisis intervention mental health services, per diem |
9,286 |
8,131 |
$2.09M |
| 90791 |
Psychiatric diagnostic evaluation |
1,340 |
1,235 |
$192K |
| H2011 |
Crisis intervention service, per 15 minutes |
32 |
28 |
$787.50 |