Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DOUGHERTY, THOMAS

NPI: 1831514967 · KINGSTON, PA 18704 · Professional Counselor · NPI assigned 02/26/2014

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0004 with only 1 total codes billed. Highly concentrated billing profile.

$1.08M
Total Medicaid Paid
9,910
Total Claims
3,405
Beneficiaries
1
Codes Billed
2020-09
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 543 $51K
2021 2,217 $221K
2022 2,443 $267K
2023 2,574 $296K
2024 2,133 $250K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 9,910 3,405 $1.08M