Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BAKER, JENSON

NPI: 1750639274 · PORTSMOUTH, VA 23707 · Mental Health Counselor · NPI assigned 08/15/2012

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

92% of spending on code H2012 with only 2 total codes billed. Highly concentrated billing profile.

$1.26M
Total Medicaid Paid
3,561
Total Claims
702
Beneficiaries
2
Codes Billed
2018-01
First Month
2021-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,611 $526K
2019 1,048 $427K
2020 827 $287K
2021 75 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2012 Behavioral health day treatment, per hour 3,041 620 $1.16M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 520 82 $99K