Loder, Dalene

Loder, Dalene was paid $1.05M by Medicaid between Jan 2018 and Jun 2023, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 97% of everything it billed.

33Billing provider infoLODER, DALENE
SPOKANE VALLEY, WA 99206

33aNPI1982909388assigned 01/14/2011

33bProvider typeMental Health Counselor

28Total paid$1.05M

24GClaims13,851

24DCodes billed2

24AFirst – last monthJan 2018 – Jun 2023

Compared with peers

Next to other Mental Health Counselor providers in Washington

Rank by total paid#25 of 368

Median peer was paid$48K

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% 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	1,342	$78K
2019	2,137	$128K
2020	3,045	$198K
2021	2,992	$232K
2022	2,872	$272K
2023	1,463	$145K

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%	13,331	4,617	$1.02M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	3.5%	520	518	$37K

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.