Carma Health, PLLC

Carma Health, PLLC was paid $108K by Medicaid between Oct 2020 and Jun 2023, across 5 billing codes. Its largest line is 90792, Psychiatric diagnostic evaluation with medical services — 39% of everything it billed.

33Billing provider infoCARMA HEALTH, PLLC
AUSTIN, TX 78705

33aNPI1760917785assigned 04/27/2017

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$108K

24GClaims2,412

24DCodes billed5

24AFirst – last monthOct 2020 – Jun 2023

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Texas

Rank by total paid#36 of 91

Median peer was paid$53K

This provider vs. median2.0×

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.

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
2020	262	$5K
2021	1,138	$50K
2022	909	$47K
2023	103	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90792	Psychiatric diagnostic evaluation with medical services	39%	526	436	$42K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	39%	1,226	414	$42K
99239	Hospital discharge day management, more than 30 minutes	16%	443	357	$17K
99238	Hospital discharge day management, 30 minutes or less	5.4%	194	149	$6K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	23	13	$437.81

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.

From NPPES

Who's on the registration

Authorized officialWIDMAN, LORIE (PRACTICE ADMINISTRATOR)