Behavioral
Pro Med Substance Abuse Program LLC
Pro Med Substance Abuse Program LLC was paid $1.00M by Medicaid between Jan 2018 and Dec 2022, across 3 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 97% of everything it billed.
33Billing provider infoPRO MED SUBSTANCE ABUSE PROGRAM LLC
TROY, MI 48083
TROY, MI 48083
33aNPI1861748238assigned 08/03/2012
33bProvider typeAddiction (Substance Use Disorder) Psychologist
28Total paid$1.00M
24GClaims23,057
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Addiction (Substance Use Disorder) Psychologist providers in Michigan
Rank by total paid#4 of 9
Median peer was paid$268K
This provider vs. median3.8×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration97% of spending on code 90834 with only 3 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2018 | 3,897 | $156K | |
| 2019 | 4,569 | $186K | |
| 2020 | 4,952 | $201K | |
| 2021 | 5,305 | $251K | |
| 2022 | 4,334 | $211K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 97% | 22,557 | 9,843 | $976K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.4% | 388 | 388 | $24K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 112 | 81 | $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.
From NPPES
Who's on the registration
Authorized officialWOLODKOWICZ, MARK (ADMINISTRATOR)