Behavioral
Sproule, Michelle
Sproule, Michelle was paid $66K by Medicaid between Apr 2021 and Jul 2023, across 4 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 52% of everything it billed.
33Billing provider infoSPROULE, MICHELLE
SCOTTSDALE, AZ 85258
SCOTTSDALE, AZ 85258
33aNPI1962062661assigned 06/17/2019
33bProvider typeProfessional Counselor
28Total paid$66K
24GClaims813
24DCodes billed4
24AFirst – last monthApr 2021 – Jul 2023
Compared with peers
Next to other Professional Counselor providers in Arizona
Rank by total paid#24 of 72
Median peer was paid$3K
This provider vs. median22×
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 | |
|---|---|---|---|
| 2021 | 54 | $7K | |
| 2022 | 269 | $19K | |
| 2023 | 490 | $39K |
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 | 52% | 363 | 216 | $35K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 37% | 209 | 203 | $24K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 6.7% | 104 | 16 | $4K |
| T1016 | Case management, each 15 minutes | 4.1% | 137 | 64 | $3K |
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.