Vaughn, Polly

Vaughn, Polly was paid $1.21M by Medicaid between Aug 2018 and Nov 2023, across 1 billing code. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.

33Billing provider infoVAUGHN, POLLY
BOURBONNAIS, IL 60914

33aNPI1750754008assigned 11/09/2015

33bProvider typeProfessional Counselor

28Total paid$1.21M

24GClaims13,678

24DCodes billed1

24AFirst – last monthAug 2018 – Nov 2023

Compared with peers

Next to other Professional Counselor providers in Illinois

Rank by total paid#12 of 314

Median peer was paid$39K

This provider vs. median31×

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 Concentration100% of spending on code 90837 with only 1 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	152	$9K
2019	1,896	$137K
2020	4,991	$410K
2021	4,558	$444K
2022	182	$19K
2023	1,899	$187K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	100%	13,678	1,058	$1.21M

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.