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

Spisto, Marc

Spisto, Marc was paid $25K by Medicaid between Aug 2022 and Jul 2024, across 2 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 84% of everything it billed.

33Billing provider infoSPISTO, MARC
WORCESTER, MA 01606
33aNPI1538147822assigned 01/06/2006
33bProvider typeClinical Psychologist
28Total paid$25K
24GClaims252
24DCodes billed2
24AFirst – last monthAug 2022 – Jul 2024
Compared with peers

Next to other Clinical Psychologist providers in Massachusetts

Rank by total paid#57 of 103
Median peer was paid$35K
This provider vs. median0.7×

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$5.0K$10K2018201920202021202220232024
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
202230$3K
2023170$18K
2024incomplete52$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1040 Medicaid certified community behavioral health clinic services, per diem 84% 91 53 $21K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 16% 161 94 $4K

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.