Education System Management, INC

Education System Management, INC was paid $576K by Medicaid between Oct 2018 and Dec 2021, across 14 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 39% of everything it billed.

33Billing provider infoEDUCATION SYSTEM MANAGEMENT, INC
RIVERDALE, GA 30274

33aNPI1508134156assigned 12/12/2011

33bProvider typeClinical Social Worker

28Total paid$576K

24GClaims6,915

24DCodes billed14

24AFirst – last monthOct 2018 – Dec 2021

Compared with peers

Next to other Clinical Social Worker providers in Georgia

Rank by total paid#3 of 127

Median peer was paid$18K

This provider vs. median32×

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	81	$4K
2019	2,679	$195K
2020	2,238	$185K
2021	1,917	$192K

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	39%	2,445	735	$227K
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	24%	1,837	606	$139K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	12%	955	291	$68K
H2014	Skills training and development, per 15 minutes	9.0%	615	270	$52K
H0031	Mental health assessment, by non-physician	5.2%	204	145	$30K
H0032	Mental health service plan development by non-physician	4.4%	202	197	$26K
T1001	Nursing assessment / evaluation	2.8%	181	141	$16K
90853	Group psychotherapy (other than of a multiple-family group)	1.1%	258	84	$6K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	39	15	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	80	59	$3K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	43	29	$3K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	32	27	$2K

2 more codes

90792	Psychiatric diagnostic evaluation with medical services	<1%	12	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	$356.04

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.

From NPPES

Who's on the registration

Authorized officialBRADDY, CARROLL (CEO)