Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Houston › NPI 1649463928
Behavioral

Himelfarb, Karen

Himelfarb, Karen was paid $202K by Medicaid between Oct 2020 and Apr 2022, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 99% of everything it billed.

33Billing provider infoHIMELFARB, KAREN
HOUSTON, TX 77015
33aNPI1649463928assigned 08/21/2007
28Total paid$202K
24GClaims3,264
24DCodes billed2
24AFirst – last monthOct 2020 – Apr 2022
Compared with peers

Next to other Marriage & Family Therapist providers in Texas

Rank by total paid#5 of 52
Median peer was paid$41K
This provider vs. median4.9×

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

$0$10K$20K2018201920202021202220232024
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
2020410$25K
20212,289$149K
2022565$28K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 99% 3,238 1,565 $200K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 26 25 $2K

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.