Atherholt, Derek

Atherholt, Derek was paid $460K by Medicaid between Mar 2018 and Jun 2022, across 5 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 95% of everything it billed.

33Billing provider infoATHERHOLT, DEREK
LEOMINSTER, MA 01453

33aNPI1922277193assigned 02/21/2008

33bProvider typeMental Health Counselor

28Total paid$460K

24GClaims5,590

24DCodes billed5

24AFirst – last monthMar 2018 – Jun 2022

Compared with peers

Next to other Mental Health Counselor providers in Massachusetts

Rank by total paid#80 of 597

Median peer was paid$53K

This provider vs. median8.6×

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
2018	1,071	$87K
2019	1,473	$114K
2020	1,436	$114K
2021	1,227	$109K
2022	383	$36K

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	95%	5,133	2,532	$438K
90882		2.2%	255	156	$10K
90887		1.7%	158	125	$8K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	26	19	$3K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	18	14	$2K

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.