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

Alteri, LLC

Alteri, LLC was paid $3.44M by Medicaid between Jan 2019 and Dec 2024, across 19 billing codes. Its largest line is T2023, Targeted case management; per month — 46% of everything it billed.

33Billing provider infoALTERI, LLC
LEXINGTON, KY 40503
33aNPI1528566114assigned 01/29/2018
33bProvider typeClinical Social Worker
28Total paid$3.44M
24GClaims55,706
24DCodes billed19
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Clinical Social Worker providers in Kentucky

Rank by total paid#16 of 275
Median peer was paid$57K
This provider vs. median60×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SMITH, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
20192,306$79K
20208,376$469K
202112,259$754K
202211,881$731K
20237,019$452K
2024incomplete13,865$952K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2023 Targeted case management; per month 46% 5,646 4,712 $1.58M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 23% 11,732 6,457 $798K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 16,567 8,063 $646K
80305 3.4% 14,412 6,749 $116K
H0032 Mental health service plan development by non-physician 2.3% 1,256 1,169 $77K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 1.6% 1,425 1,030 $53K
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 1.3% 827 625 $44K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.1% 714 607 $36K
99205 Prolong outpt/office vis <1% 226 202 $21K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 612 353 $21K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 275 235 $20K
H0038 Self-help/peer services, per 15 minutes <1% 917 479 $13K
7 more codes
90785 <1% 555 $4K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 54 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 96 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 198 $2K
H0031 Mental health assessment, by non-physician <1% 26 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 86 $823.99
81025 <1% 82 $649.69

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 officialSMITH, JOHN (OWNER)
Same official

Other billing entities under SMITH, JOHN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.