Medicaid Provider Spending

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

JOHN ROBERT SHAW

NPI: 1851712798 · EAST LANSING, MI 48823 · Clinical Social Worker · NPI assigned 12/19/2013

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

99% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.

$1.81M
Total Medicaid Paid
22,314
Total Claims
6,994
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALLEGOS, CATHY (BILLING MANAGER)
NPI Enumeration Date12/19/2013

Related Entities

Other providers sharing the same authorized official: GALLEGOS, CATHY

ProviderCityStateTotal Paid
A NEW DAY COUNSELING CONSULTING AND COMMUNITY SERVICES LANSING MI $1.43M
JAYNAYA BARLOW OKEMOS MI $429K
CHANE REACTION LLC FARMINGTON HILLS MI $255K
LUNA HEALTH SOUTHFIELD MI $215K
REVIVED MIND COUNSELING SERVICES OKEMOS MI $23K
TURNING CORNERS CONSULTING INC EAST LANSING MI $13K
RLJ COUNSELING AND PSYCHOLOGICAL GRAND RAPIDS MI $2K
STEPPING STONES THERAPY EAST LANSING MI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,041 $146K
2019 2,997 $220K
2020 2,616 $192K
2021 2,850 $242K
2022 4,063 $355K
2023 4,633 $378K
2024 3,114 $282K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 21,959 6,736 $1.79M
90834 Psychotherapy, 45 minutes with patient 235 138 $14K
90791 Psychiatric diagnostic evaluation 120 120 $12K