SAPPHIRE BLUE BEHAVIORAL HEALTH SOLUTIONS
NPI: 1558839068
· LAKE OSWEGO, OR 97035
· Mental Health Counselor
· NPI assigned 11/02/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.
$1.31M
Total Medicaid Paid
Provider Details
| Authorized Official | LA VERNE, A. (CEO) |
| NPI Enumeration Date | 11/02/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
739 |
$90K |
| 2022 |
1,998 |
$282K |
| 2023 |
3,233 |
$589K |
| 2024 |
1,867 |
$349K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
7,710 |
2,630 |
$1.29M |
| 90791 |
Psychiatric diagnostic evaluation |
114 |
100 |
$16K |
| 90834 |
Psychotherapy, 45 minutes with patient |
13 |
12 |
$2K |