JOHNSON, TONYA
NPI: 1750710232
· NEWPORT NEWS, VA 23606
· Clinical Social Worker
· NPI assigned 11/05/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code 90834 with only 3 total codes billed. Highly concentrated billing profile.
$4.54M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,892 |
$208K |
| 2019 |
2,056 |
$243K |
| 2020 |
1,197 |
$233K |
| 2021 |
1,977 |
$398K |
| 2022 |
4,767 |
$1.14M |
| 2023 |
6,363 |
$1.40M |
| 2024 |
4,108 |
$915K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
21,214 |
14,312 |
$4.38M |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,129 |
643 |
$156K |
| 90791 |
Psychiatric diagnostic evaluation |
17 |
17 |
$2K |