Behavioral
Jones, April
Jones, April was paid $64K by Medicaid between Apr 2023 and Dec 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 97% of everything it billed.
33Billing provider infoJONES, APRIL
FLORENCE, KY 41042
FLORENCE, KY 41042
33aNPI1992733349assigned 06/28/2006
33bProvider typeProfessional Counselor
28Total paid$64K
24GClaims1,144
24DCodes billed3
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Kentucky
Rank by total paid#160 of 255
Median peer was paid$129K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2023 | 425 | $24K | |
| 2024incomplete | 719 | $40K |
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% | 980 | 456 | $62K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.7% | 12 | 12 | $1K |
| 90785 | 1.6% | 152 | 84 | $992.47 |
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.