Behavioral
Macdonald, Karen
Macdonald, Karen was paid $118K by Medicaid between Mar 2018 and Sep 2024, across 1 billing code. Its largest line is 90834, psychotherapy session, about 45 minutes — 100% of everything it billed.
33Billing provider infoMACDONALD, KAREN
CHARLESTOWN, RI 02813
CHARLESTOWN, RI 02813
33aNPI1700948080assigned 12/14/2006
33bProvider typeClinical Social Worker
28Total paid$118K
24GClaims1,374
24DCodes billed1
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers
Next to other Clinical Social Worker providers in Rhode Island
Rank by total paid#91 of 358
Median peer was paid$27K
This provider vs. median4.3×
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 | 147 | $9K | |
| 2020 | 147 | $13K | |
| 2021 | 575 | $48K | |
| 2022 | 250 | $22K | |
| 2023 | 182 | $18K | |
| 2024incomplete | 73 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 100% | 1,374 | 815 | $118K |
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.