Medicaid Provider Spending

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

COMMUNITY MATTERS, LLC

NPI: 1972020295 · EAST HARTFORD, CT 06108 · Professional Counselor · NPI assigned 08/28/2017

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

100% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.

$1.15M
Total Medicaid Paid
13,792
Total Claims
3,974
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCDOUGALD, TANGIE (OWNER)
NPI Enumeration Date08/28/2017

Related Entities

Other providers sharing the same authorized official: MCDOUGALD, TANGIE

ProviderCityStateTotal Paid
COMMUNITY MATTERS OUTPATIENT PSYCHIATRIC CLINIC FOR CHILDREN, INC. EAST HARTFORD CT $628K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 961 $81K
2019 1,344 $120K
2020 1,200 $105K
2021 1,286 $103K
2022 2,689 $230K
2023 2,980 $247K
2024 3,332 $267K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 13,725 3,918 $1.15M
90791 Psychiatric diagnostic evaluation 67 56 $5K