Paine, Thomas

Paine, Thomas was paid $1.47M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 97% of everything it billed.

33Billing provider infoPAINE, THOMAS
FITCHBURG, MA 01420

33aNPI1801075825assigned 10/26/2007

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$1.47M

24GClaims12,770

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

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

Rank by total paid#15 of 118

Median peer was paid$56K

This provider vs. median26×

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 Concentration97% 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	348	$25K
2019	136	$9K
2020	1,340	$116K
2021	1,866	$206K
2022	3,206	$403K
2023	3,213	$389K
2024incomplete	2,661	$318K

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	97%	12,240	2,631	$1.43M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	2.4%	496	155	$35K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	34	12	$2K

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.