Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALTERI, LLC

NPI: 1528566114 · LEXINGTON, KY 40503 · Clinical Social Worker · NPI assigned 01/29/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, JOHN controls 20+ related entities in our dataset. Read more

$3.44M
Total Medicaid Paid
55,706
Total Claims
31,442
Beneficiaries
19
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, JOHN (OWNER)
NPI Enumeration Date01/29/2018

Related Entities

Other providers sharing the same authorized official: SMITH, JOHN

ProviderCityStateTotal Paid
PRESTIGE HEALTHCARE RESOURCES INC. BLADENSBURG MD $55.74M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $44.35M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $11.62M
PROACT DENTAL, INC. BIRMINGHAM AL $9.47M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $8.33M
DUKE UNIVERSITY HEALTH SYSTEM INC RALEIGH NC $7.84M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $7.61M
WISHON RADIOLOGICAL MEDICAL GROUP, INC. FRESNO CA $5.11M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $5.01M
DUKE UNIVERSITY HEALTH SYSTEM, INC. RALEIGH NC $4.15M
LIGHTHOUSE SYSTEMS, LLC PHARR TX $3.54M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $1.59M
GATEWAY MEDICAL GROUP LC OKEECHOBEE FL $447K
TRIANGLE GERIATRIC AND MEMORY CLINIC, PLLC CARY NC $437K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $289K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $118K
ASSOCIATED HEALTH SERVICES, INC. DURHAM NC $102K
DUKE HEALTH INTEGRATED PRACTICE, INC. DURHAM NC $64K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $49K
WOMEN'S IMAGING SPECIALISTS IN HEALTHCARE FRESNO CA $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,306 $79K
2020 8,376 $469K
2021 12,259 $754K
2022 11,881 $731K
2023 7,019 $452K
2024 13,865 $952K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2023 Targeted case management; per month 5,646 4,712 $1.58M
90837 Psychotherapy, 53 minutes with patient 11,732 6,457 $798K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,567 8,063 $646K
80305 14,412 6,749 $116K
H0032 Mental health service plan development by non-physician 1,256 1,169 $77K
90832 Psychotherapy, 30 minutes with patient 1,425 1,030 $53K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 827 625 $44K
90834 Psychotherapy, 45 minutes with patient 714 607 $36K
99205 Prolong outpt/office vis 226 202 $21K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 612 353 $21K
90791 Psychiatric diagnostic evaluation 275 235 $20K
H0038 Self-help/peer services, per 15 minutes 917 479 $13K
90785 555 343 $4K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 54 51 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 96 96 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 198 144 $2K
H0031 Mental health assessment, by non-physician 26 25 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 86 57 $823.99
81025 82 45 $649.69