HEART MIND & SOUL COUNSELING AGENCY
NPI: 1831664077
· ARDMORE, OK 73401
· Mental Health Counselor
· NPI assigned 10/03/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0004 with only 3 total codes billed. Highly concentrated billing profile.
$1.25M
Total Medicaid Paid
Provider Details
| Authorized Official | SELF, TRIPR (OFFICE MANAGER) |
| NPI Enumeration Date | 10/03/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
224 |
$17K |
| 2019 |
3,587 |
$250K |
| 2020 |
3,140 |
$220K |
| 2021 |
3,484 |
$245K |
| 2022 |
3,427 |
$250K |
| 2023 |
3,214 |
$242K |
| 2024 |
290 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
17,310 |
4,156 |
$1.24M |
| H0031 |
Mental health assessment, by non-physician |
37 |
37 |
$4K |
| H0032 |
Mental health service plan development by non-physician |
19 |
19 |
$2K |