SHIPON, RANDOLPH
NPI: 1679716781
· BOONTON, NJ 07005
· Psychologist
· NPI assigned 04/20/2009
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.
$1.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
88 |
$8K |
| 2019 |
1,148 |
$99K |
| 2020 |
1,617 |
$142K |
| 2021 |
2,176 |
$192K |
| 2022 |
2,417 |
$210K |
| 2023 |
1,968 |
$183K |
| 2024 |
1,792 |
$174K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
11,194 |
3,164 |
$1.01M |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$2K |