Simon, Larry

Simon, Larry was paid $196K by Medicaid between Jan 2018 and Aug 2023, across 4 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 83% of everything it billed.

33Billing provider infoSIMON, LARRY
WOONSOCKET, RI 02895

33aNPI1487752119assigned 09/20/2006

33bProvider typeMental Health Counselor

28Total paid$196K

24GClaims2,886

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other Mental Health Counselor providers in Rhode Island

Rank by total paid#43 of 257

Median peer was paid$31K

This provider vs. median6.3×

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.

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	811	$57K
2019	659	$44K
2020	674	$44K
2021	574	$38K
2022	142	$11K
2023	26	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	83%	2,473	1,085	$162K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	14%	336	149	$27K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	3.4%	61	61	$7K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	16	14	$540.08

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.