Carter, James

Carter, James was paid $260K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 45% of everything it billed.

33Billing provider infoCARTER, JAMES
MAYFIELD, KY 42066

33aNPI1598189151assigned 02/18/2014

33bProvider typeMental Health Counselor

28Total paid$260K

24GClaims2,432

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Mental Health Counselor providers in Kentucky

Rank by total paid#83 of 204

Median peer was paid$135K

This provider vs. median1.9×

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	216	$13K
2019	83	$6K
2020	78	$6K
2021	145	$11K
2022	656	$61K
2023	668	$102K
2024incomplete	586	$60K

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	45%	1,472	626	$117K
T2023	Targeted case management; per month	36%	305	291	$93K
99354		11%	439	159	$29K
H0004	Behavioral health counseling and therapy, per 15 minutes	7.7%	216	102	$20K

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.