Roy, Jay

Roy, Jay was paid $10K by Medicaid between Jan 2018 and Apr 2018, across 1 billing code. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.

33Billing provider infoROY, JAY
GEORGETOWN, TX 78626

33aNPI1578786414assigned 04/10/2007

33bProvider typeProfessional Counselor

28Total paid$10K

24GClaims174

24DCodes billed1

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other Professional Counselor providers in Texas

Rank by total paid#665 of 854

Median peer was paid$56K

This provider vs. median0.2×

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.

OIG exclusionListed on the federal exclusion list (06/20/2023).

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	174	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	100%	174	94	$10K

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.