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PRO MED SUBSTANCE ABUSE PROGRAM LLC
PRO MED SUBSTANCE ABUSE PROGRAM LLC
NPI: 1861748238
· TROY, MI 48083
· Addiction (Substance Use Disorder) Psychologist
· NPI assigned 08/03/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code 90834 with only 3 total codes billed. Highly concentrated billing profile.
$1.00M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,897 |
$156K |
| 2019 |
4,569 |
$186K |
| 2020 |
4,952 |
$201K |
| 2021 |
5,305 |
$251K |
| 2022 |
4,334 |
$211K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90834 |
Psychotherapy, 45 minutes with patient |
22,557 |
9,843 |
$976K |
| 90791 |
Psychiatric diagnostic evaluation |
388 |
388 |
$24K |
| 90832 |
Psychotherapy, 30 minutes with patient |
112 |
81 |
$4K |