Medicaid Provider Spending

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

CAPITOL CITY FAMILY AND EDUCATION SERVICES

NPI: 1942561162 · MERRILLVILLE, IN 46410 · Addiction (Substance Use Disorder) Counselor · NPI assigned 06/05/2012

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 90837 with only 1 total codes billed. Highly concentrated billing profile.

$2.08M
Total Medicaid Paid
32,657
Total Claims
7,019
Beneficiaries
1
Codes Billed
2018-01
First Month
2019-09
Last Month

Provider Details

Authorized OfficialSMITH, PRISCILLA (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date06/05/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,967 $1.36M
2019 8,690 $718K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 32,657 7,019 $2.08M