Behavioral
Duncan, J.
Duncan, J. was paid $187K by Medicaid between Mar 2021 and Dec 2024, across 2 billing codes. Its largest line is 90853, Group psychotherapy (other than of a multiple-family group) — 96% of everything it billed.
33Billing provider infoDUNCAN, J.
SPRINGFIELD, MO 65806
SPRINGFIELD, MO 65806
33aNPI1720384449assigned 01/27/2011
33bProvider typeClinical Social Worker
28Total paid$187K
24GClaims8,842
24DCodes billed2
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Missouri
Rank by total paid#29 of 259
Median peer was paid$10K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2021 | 1,539 | $31K | |
| 2022 | 2,522 | $54K | |
| 2023 | 2,644 | $55K | |
| 2024incomplete | 2,137 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90853 | Group psychotherapy (other than of a multiple-family group) | 96% | 8,784 | 2,455 | $180K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.0% | 58 | 57 | $7K |
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.