Downey, Lauren

Downey, Lauren was paid $943K by Medicaid between May 2019 and Dec 2023, across 6 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 90% of everything it billed.

33Billing provider infoDOWNEY, LAUREN
LEXINGTON, KY 40504

33aNPI1811327711assigned 11/14/2013

33bProvider typeCounselor

28Total paid$943K

24GClaims13,077

24DCodes billed6

24AFirst – last monthMay 2019 – Dec 2023

Compared with peers

Next to other Counselor providers in Kentucky

Rank by total paid#15 of 55

Median peer was paid$202K

This provider vs. median4.7×

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.

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
2019	324	$19K
2020	3,317	$231K
2021	4,708	$344K
2022	3,890	$292K
2023	838	$57K

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	90%	11,903	4,178	$847K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	5.5%	727	599	$52K
T2023	Targeted case management; per month	3.2%	208	116	$31K
H0032	Mental health service plan development by non-physician	<1%	103	92	$7K
H0031	Mental health assessment, by non-physician	<1%	92	82	$5K
99354		<1%	44	12	$3K

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.