Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Somerset › NPI 1689954778
Behavioral

West, Gwen

West, Gwen was paid $406K by Medicaid between May 2020 and Jan 2024, across 4 billing codes. Its largest line is T2023, Targeted case management; per month — 79% of everything it billed.

33Billing provider infoWEST, GWEN
SOMERSET, KY 42501
33aNPI1689954778assigned 08/22/2011
33bProvider typeClinical Social Worker
28Total paid$406K
24GClaims3,465
24DCodes billed4
24AFirst – last monthMay 2020 – Jan 2024
Compared with peers

Next to other Clinical Social Worker providers in Kentucky

Rank by total paid#53 of 275
Median peer was paid$57K
This provider vs. median7.1×

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$10K$20K2018201920202021202220232024
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
20201,081$120K
20211,391$139K
2022455$88K
2023526$55K
2024incomplete12$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2023 Targeted case management; per month 79% 968 956 $320K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 18% 1,047 383 $74K
90785 2.6% 1,428 457 $11K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 22 12 $1K

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.