Hefti, Prisca

Hefti, Prisca was paid $132K by Medicaid between Dec 2018 and Mar 2023, across 3 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 91% of everything it billed.

33Billing provider infoHEFTI, PRISCA
N SMITHFIELD, RI 02896

33aNPI1508133182assigned 11/26/2011

33bProvider typeClinical Social Worker

28Total paid$132K

24GClaims1,439

24DCodes billed3

24AFirst – last monthDec 2018 – Mar 2023

Compared with peers

Next to other Clinical Social Worker providers in Rhode Island

Rank by total paid#80 of 358

Median peer was paid$27K

This provider vs. median4.8×

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	24	$2K
2019	294	$25K
2020	68	$5K
2021	336	$30K
2022	450	$43K
2023	267	$26K

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	91%	1,339	699	$120K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	6.3%	75	44	$8K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.6%	25	25	$3K

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.