Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Pool, Roberta

Pool, Roberta was paid $122K by Medicaid between Jan 2018 and Jul 2021, across 3 billing codes. Its largest line is 90832, psychotherapy session, about 30 minutes — 63% of everything it billed.

33Billing provider infoPOOL, ROBERTA
MORTON, IL 61550
33aNPI1669801171assigned 11/05/2013
33bProvider typeCounselor
28Total paid$122K
24GClaims2,382
24DCodes billed3
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers

Next to other Counselor providers in Illinois

Rank by total paid#25 of 85
Median peer was paid$55K
This provider vs. median2.2×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018435$23K
2019849$38K
2020504$26K
2021594$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 63% 1,925 1,089 $77K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 36% 396 288 $44K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 61 41 $606.74

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.