Support Evaluation and Intervention Services LCSW P.C

Support Evaluation and Intervention Services LCSW P.C was paid $1.86M by Medicaid between Jan 2018 and Jan 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 98% of everything it billed.

33Billing provider infoSUPPORT EVALUATION AND INTERVENTION SERVICES LCSW P.C
CORONA, NY 11368

33aNPI1790185395assigned 09/02/2014

33bProvider typeClinical Social Worker

28Total paid$1.86M

24GClaims24,274

24DCodes billed3

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Clinical Social Worker providers in New York

Rank by total paid#39 of 882

Median peer was paid$53K

This provider vs. median35×

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 Concentration98% of spending on code 90837 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	1,547	$116K
2019	3,848	$255K
2020	5,599	$379K
2021	5,790	$421K
2022	4,720	$404K
2023	2,710	$278K
2024incomplete	60	$5K

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	98%	19,719	5,921	$1.82M
90785		1.7%	4,487	1,417	$31K
90846	Family psychotherapy without the patient present, 50 minutes	<1%	68	35	$4K

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 officialPENA-TOLEDO, KARINA (PRESIDENT)