Medicaid Provider Spending

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

VAUGHN, POLLY

NPI: 1750754008 · BOURBONNAIS, IL 60914 · Professional Counselor · NPI assigned 11/09/2015

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

100% of spending on code 90837 with only 1 total codes billed. Highly concentrated billing profile.

$1.21M
Total Medicaid Paid
13,678
Total Claims
1,058
Beneficiaries
1
Codes Billed
2018-08
First Month
2023-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 152 $9K
2019 1,896 $137K
2020 4,991 $410K
2021 4,558 $444K
2022 182 $19K
2023 1,899 $187K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 13,678 1,058 $1.21M