Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Dionne Coleman

Social Worker, Clinical·Towson, MD·NPI: 1285141762SharePrint ReportML Risk: 85%

Compared to Social Worker, Clinical Peers

Total spending distribution among 34 providers in this specialty

P25MedianP75P90

This provider's total spending of $152K is at the below 25th percentile among 34 Social Worker, Clinical providers.

Total Paid

$152K

$152,119

Total Claims

2,257

Beneficiaries

681

3.3 claims/patient

Avg Cost/Claim

$67

🔍 Analysis

Provider Overview

Dionne Coleman is a Social Worker, Clinical provider based in Towson, MD. From 2018-09 through 2019-10, this provider received $152K in Medicaid payments across 2K claims serving 681 beneficiaries, billing 3 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 $33K in 2018 to $119K in 2019 (266% growth).
  • 📊Saw a 3.7× spike in 2019 ($33K → $119K), a sharp year-over-year increase.
  • 📊Billing stopped in 2019-10, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Yearly Spending

2018
$33K
+266%
2019
$119K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 94% of total spending.

90834Normal range

Psychotherapy, 45 minutes

$143K

2,026 claims · 94.2%

Your Cost: $70.70/claim|Median: $63.65
1.1× median
90853Normal range

Group psychotherapy

$5K

202 claims · 3.6%

Your Cost: $27.20/claim|Median: $25.02
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$3K

29 claims · 2.2%

Your Cost: $116.44/claim|Median: $99.21
1.2× median