De Simone, Alba

De Simone, Alba was paid $1.08M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 93% of everything it billed.

33Billing provider infoDE SIMONE, ALBA
CHELSEA, MA 02150

33aNPI1790857605assigned 11/15/2006

33bProvider typeMental Health Counselor

28Total paid$1.08M

24GClaims11,942

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Mental Health Counselor providers in Massachusetts

Rank by total paid#39 of 597

Median peer was paid$53K

This provider vs. median20×

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 Concentration93% 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	1,592	$133K
2019	1,681	$142K
2020	2,304	$194K
2021	1,968	$177K
2022	1,773	$168K
2023	1,486	$147K
2024incomplete	1,138	$121K

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	93%	11,336	4,680	$1.01M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	6.6%	591	286	$71K
90882		<1%	15	15	$322.20

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.