Community Matters, LLC

Community Matters, LLC was paid $1.15M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.

33Billing provider infoCOMMUNITY MATTERS, LLC
EAST HARTFORD, CT 06108

33aNPI1972020295assigned 08/28/2017

33bProvider typeProfessional Counselor

28Total paid$1.15M

24GClaims13,792

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Professional Counselor providers in Connecticut

Rank by total paid#17 of 418

Median peer was paid$79K

This provider vs. median15×

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.

Single-Code Concentration100% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.

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	961	$81K
2019	1,344	$120K
2020	1,200	$105K
2021	1,286	$103K
2022	2,689	$230K
2023	2,980	$247K
2024incomplete	3,332	$267K

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	100%	13,725	3,918	$1.15M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	67	56	$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.

From NPPES

Who's on the registration

Authorized officialMCDOUGALD, TANGIE (OWNER)

Same official

Other billing entities under MCDOUGALD, TANGIE

Full network →

Provider	Location	Paid
Community Matters Outpatient Psychiatric Clinic for Children, INC.	East Hartford, CT	$628K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.