Saunders, Alexandria

Saunders, Alexandria was paid $711K by Medicaid between Jan 2018 and Feb 2023, across 1 billing code. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.

33Billing provider infoSAUNDERS, ALEXANDRIA
LIVINGSTON, MT 59047

33aNPI1487042339assigned 12/30/2014

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$711K

24GClaims7,969

24DCodes billed1

24AFirst – last monthJan 2018 – Feb 2023

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Montana

Rank by total paid#10 of 118

Median peer was paid$82K

This provider vs. median8.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (08/20/2025).

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	707	$57K
2019	941	$81K
2020	1,892	$168K
2021	2,491	$224K
2022	1,765	$166K
2023	173	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	100%	7,969	1,314	$711K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.