Behavioral
Rawles & Associates, PLC
Rawles & Associates, PLC was paid $3.37M by Medicaid between Sep 2018 and Dec 2024, across 20 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 53% of everything it billed.
33Billing provider infoRAWLES & ASSOCIATES, PLC
NEWPORT NEWS, VA 23605
NEWPORT NEWS, VA 23605
33aNPI1669631883assigned 06/03/2008
33bProvider typePsychologist
28Total paid$3.37M
24GClaims36,746
24DCodes billed20
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in Virginia
Rank by total paid#3 of 28
Median peer was paid$117K
This provider vs. median29×
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 | 111 | $17K | |
| 2019 | 1,257 | $119K | |
| 2020 | 2,321 | $234K | |
| 2021 | 3,708 | $360K | |
| 2022 | 8,242 | $822K | |
| 2023 | 13,214 | $1.05M | |
| 2024incomplete | 7,893 | $763K |
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 | 53% | 18,554 | 8,978 | $1.79M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.4% | 3,781 | 3,016 | $316K |
| 96131 | 8.5% | 1,326 | 861 | $288K | |
| 96137 | 7.1% | 1,408 | 860 | $240K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.5% | 3,096 | 2,492 | $185K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.7% | 1,013 | 947 | $126K |
| 96130 | 2.6% | 984 | 854 | $87K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.1% | 440 | 407 | $69K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 1,651 | 1,194 | $59K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.7% | 1,088 | 909 | $58K |
| 99205 | Prolong outpt/office vis | <1% | 365 | 314 | $34K |
| 90839 | <1% | 304 | 216 | $32K |
8 more codes
| 96136 | <1% | 996 | $31K | |
| 99417 | Prolong home eval add 15m | <1% | 309 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 697 | $13K |
| 96101 | <1% | 32 | $10K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 129 | $8K |
| 90836 | <1% | 50 | $3K | |
| 96127 | <1% | 508 | $756.41 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $76.11 |
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.
From NPPES
Who's on the registration
Authorized officialRAWLES, PORTIA (CEO/CLINICIAN)