Behavioral
OIG excluded
Harris, James
Harris, James was paid $146K by Medicaid between Jan 2018 and Feb 2019, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 97% of everything it billed.
33Billing provider infoHARRIS, JAMES
CLARKSTON, GA 30021
CLARKSTON, GA 30021
33aNPI1922436757assigned 10/14/2013
33bProvider typeMental Health Counselor
28Total paid$146K
24GClaims1,390
24DCodes billed2
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Mental Health Counselor providers in Georgia
Rank by total paid#35 of 170
Median peer was paid$39K
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.
OIG exclusionListed on the federal exclusion list (07/20/2023).
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 | 1,232 | $130K | |
| 2019 | 158 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 97% | 1,342 | 412 | $141K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.3% | 48 | 48 | $5K |
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.