Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

STEPHENS, LENESE

NPI: 1659791853 · BOWIE, MD 20716 · Mental Health Counselor · NPI assigned 04/27/2014

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 90834 with only 2 total codes billed. Highly concentrated billing profile.

$1.13M
Total Medicaid Paid
14,350
Total Claims
3,333
Beneficiaries
2
Codes Billed
2018-08
First Month
2024-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 229 $16K
2019 672 $47K
2020 6,664 $486K
2021 1,193 $94K
2022 2,863 $244K
2023 2,512 $225K
2024 217 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 14,330 3,315 $1.13M
90791 Psychiatric diagnostic evaluation 20 18 $3K