Scheila Watson
Compared to Counselor, Addiction (Substance Use Disorder) Peers
Total spending distribution among 20 providers in this specialty
This provider's total spending of $213K is at the below 25th percentile among 20 Counselor, Addiction (Substance Use Disorder) providers.
Total Paid
$213K
$213,248
Total Claims
2,956
Beneficiaries
1,151
2.6 claims/patient
Avg Cost/Claim
$72
🔍 Analysis
Provider Overview
Scheila Watson is a Counselor, Addiction (Substance Use Disorder) provider based in Colorado Springs, CO. From 2018-07 through 2019-09, this provider received $213K in Medicaid payments across 3K claims serving 1K beneficiaries, billing 5 distinct procedure codes.
Key Findings
- 📊85% of billing is concentrated in 90837 (90837), indicating significant specialization in this service.
- 📊Spending more than doubled from $43K in 2018 to $170K in 2019 (293% growth).
- 📊Saw a 3.9× spike in 2019 ($43K → $170K), a sharp year-over-year increase.
- 📊Billing stopped in 2019-09, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 85% of total spending.
Psychotherapy, 60 minutes
$182K
2,100 claims · 85.1%
$27K
553 claims
$48.51
$47.35
Alcohol and/or drug services, group counseling
$27K
553 claims · 12.6%
$2K
203 claims · 1.1%
$2K
60 claims
$26.96
$80.64
Mental health service plan development
$2K
60 claims · 0.8%
Behavioral health screening
$1K
40 claims · 0.5%
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