DE SIMONE, ALBA
NPI: 1790857605
· CHELSEA, MA 02150
· Mental Health Counselor
· NPI assigned 11/15/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code 90834 with only 3 total codes billed. Highly concentrated billing profile.
$1.08M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
1,138 |
$121K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
11,336 |
4,680 |
$1.01M |
| 90837 |
Psychotherapy, 53 minutes with patient |
591 |
286 |
$71K |
| 90882 |
|
15 |
15 |
$322.20 |