Behavioral
Johnson, Tonya
Johnson, Tonya was paid $4.54M by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 97% of everything it billed.
33Billing provider infoJOHNSON, TONYA
NEWPORT NEWS, VA 23606
NEWPORT NEWS, VA 23606
33aNPI1750710232assigned 11/05/2013
33bProvider typeClinical Social Worker
28Total paid$4.54M
24GClaims23,360
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinical Social Worker providers in Virginia
Rank by total paid#8 of 309
Median peer was paid$37K
This provider vs. median122×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration97% of spending on code 90834 with only 3 total codes billed. Highly concentrated billing profile.
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 | 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 | |
| 2024incomplete | 4,108 | $915K |
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 | 97% | 21,214 | 14,312 | $4.38M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.4% | 2,129 | 643 | $156K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 17 | 17 | $2K |
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.