Behavioral
Smith, James
Smith, James was paid $1.62M by Medicaid between Nov 2019 and Oct 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoSMITH, JAMES
MEDFORD, MA 02155
MEDFORD, MA 02155
33aNPI1851714653assigned 01/29/2014
33bProvider typeMental Health Counselor
28Total paid$1.62M
24GClaims15,491
24DCodes billed10
24AFirst – last monthNov 2019 – Oct 2024
Compared with peers
Next to other Mental Health Counselor providers in Massachusetts
Rank by total paid#31 of 597
Median peer was paid$53K
This provider vs. median30×
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 | 18 | $2K | |
| 2020 | 78 | $9K | |
| 2021 | 715 | $75K | |
| 2022 | 4,339 | $436K | |
| 2023 | 8,015 | $869K | |
| 2024incomplete | 2,326 | $231K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 31% | 4,982 | 4,403 | $498K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 29% | 4,714 | 2,372 | $462K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 27% | 3,471 | 1,014 | $442K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.7% | 440 | 439 | $60K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.1% | 375 | 375 | $50K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 536 | 500 | $39K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.6% | 521 | 377 | $25K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.5% | 251 | 121 | $24K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 174 | 109 | $16K |
| H0046 | Mental health services, not otherwise specified | <1% | 27 | 25 | $4K |
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.