Compared to Social Worker, Clinical Peers
Total spending distribution among 34 providers in this specialty
P25MedianP75P90
This provider's total spending of $401K is at the 75th percentile among 34 Social Worker, Clinical providers.
Total Paid
$401K
$400,551
Total Claims
6,134
Beneficiaries
1,590
3.9 claims/patient
Avg Cost/Claim
$65
🔍 Analysis
Provider Overview
Carmel O'reardon is a Social Worker, Clinical provider based in Houston, TX. From 2020-11 through 2023-10, this provider received $401K in Medicaid payments across 6K claims serving 2K beneficiaries, billing 2 distinct procedure codes.
Key Findings
- 📊94% of all billing comes from a single procedure code: 90834 (90834). This extreme concentration is unusual and may indicate specialized services or a narrow billing pattern.
- 📊Spending more than doubled from $23K in 2020 to $110K in 2023 (378% growth).
- 📊Saw a 5.6× spike in 2021 ($23K → $128K), a sharp year-over-year increase.
Yearly Spending
2020
$23K
+457%
2021
$128K
+9%
2022
$140K
-21%
2023
$110K
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 2 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 94% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
Other Top Providers in Texas
View all →Similar Providers
Other top providers in Social Worker, Clinical