PAINE, THOMAS
NPI: 1801075825
· FITCHBURG, MA 01420
· Addiction (Substance Use Disorder) Counselor
· NPI assigned 10/26/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.
$1.47M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
348 |
$25K |
| 2019 |
136 |
$9K |
| 2020 |
1,340 |
$116K |
| 2021 |
1,866 |
$206K |
| 2022 |
3,206 |
$403K |
| 2023 |
3,213 |
$389K |
| 2024 |
2,661 |
$318K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
12,240 |
2,631 |
$1.43M |
| 90834 |
Psychotherapy, 45 minutes with patient |
496 |
155 |
$35K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
34 |
12 |
$2K |