Behavioral
Price, James
Price, James was paid $10K by Medicaid between Jan 2018 and Apr 2019, across 2 billing codes. Its largest line is 90791, psychiatric diagnostic evaluation — 94% of everything it billed.
33Billing provider infoPRICE, JAMES
WENTZVILLE, MO 63385
WENTZVILLE, MO 63385
33aNPI1568521813assigned 12/06/2006
33bProvider typeProfessional Counselor
28Total paid$10K
24GClaims346
24DCodes billed2
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Professional Counselor providers in Missouri
Rank by total paid#242 of 485
Median peer was paid$10K
This provider vs. median1.0×
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 | 292 | $9K | |
| 2019 | 54 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 94% | 328 | 319 | $10K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.8% | 18 | 17 | $592.26 |
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.