Lewis, Gretchen

Lewis, Gretchen was paid $975K by Medicaid between Jan 2018 and Dec 2023, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.

33Billing provider infoLEWIS, GRETCHEN
NEWPORT, VT 05855

33aNPI1659448207assigned 11/29/2006

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$975K

24GClaims12,108

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Vermont

Rank by total paid#2 of 75

Median peer was paid$66K

This provider vs. median15×

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 (07/20/2025).

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	1,863	$136K
2019	1,928	$145K
2020	2,195	$168K
2021	2,175	$167K
2022	2,099	$193K
2023	1,848	$166K

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%	12,048	4,723	$971K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	60	40	$4K

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.