Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CAROLINA PEDIATRIC COUNSELING AND EDUCATIONAL SERVICES

NPI: 1831556729 · FLORENCE, SC 29501 · School Psychologist · NPI assigned 01/22/2016

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

99% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.

$2.05M
Total Medicaid Paid
18,451
Total Claims
10,890
Beneficiaries
2
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGOODWIN, MISTY (OWNER)
NPI Enumeration Date01/22/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 624 $70K
2019 4,195 $470K
2020 3,892 $435K
2021 4,807 $532K
2022 3,527 $389K
2023 846 $93K
2024 560 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 18,268 10,708 $2.02M
90791 Psychiatric diagnostic evaluation 183 182 $27K