Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Nesheim, Sandra

Nesheim, Sandra was paid $658K by Medicaid between Oct 2019 and Oct 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 99% of everything it billed.

33Billing provider infoNESHEIM, SANDRA
SALINAS, CA 93901
33aNPI1508059122assigned 08/27/2007
28Total paid$658K
24GClaims5,163
24DCodes billed3
24AFirst – last monthOct 2019 – Oct 2024
Compared with peers

Next to other Clinical Child & Adolescent Psychologist providers in California

Rank by total paid#5 of 15
Median peer was paid$305K
This provider vs. median2.2×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
201969$7K
2020795$82K
20211,242$127K
20221,202$161K
20231,227$186K
2024incomplete628$96K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 99% 5,096 2,232 $651K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 52 37 $6K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 15 13 $1K

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.