Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$500$1.0K$1.5K2018201920202021202220232024
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
2018292$9K
201954$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.