Medicaid Provider Spending

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

NPI: 1891887691 · GLASTONBURY, CT 06033 · Psychologist · NPI assigned 09/29/2006

OIG Excluded Provider · This provider appears on the HHS Office of Inspector General List of Excluded Individuals/Entities. Exclusion date: 11/20/2024.
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.

$1.96M
Total Medicaid Paid
19,665
Total Claims
5,129
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,030 $328K
2019 3,644 $325K
2020 3,734 $341K
2021 3,414 $341K
2022 3,291 $344K
2023 2,552 $279K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 19,033 4,921 $1.93M
98968 322 104 $14K
98967 310 104 $13K