Behavioral
Hansen, David
Hansen, David was paid $25K by Medicaid between Aug 2022 and Nov 2022, across 5 billing codes. Its largest line is 96139, — 38% of everything it billed.
33Billing provider infoHANSEN, DAVID
TULSA, OK 74105
TULSA, OK 74105
33aNPI1730101817assigned 07/24/2006
33bProvider typeClinical Neuropsychologist
28Total paid$25K
24GClaims230
24DCodes billed5
24AFirst – last monthAug 2022 – Nov 2022
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 | |
|---|---|---|---|
| 2022 | 230 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96139 | 38% | 47 | 46 | $9K | |
| 96133 | 23% | 45 | 45 | $6K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 19% | 45 | 45 | $5K |
| 96132 | 16% | 46 | 46 | $4K | |
| 96138 | 4.3% | 47 | 46 | $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.