OIG EXCLUDED — This provider appears on the federal exclusion list
Tommel Hayes
Compared to Social Worker, Clinical Peers
Total spending distribution among 34 providers in this specialty
This provider's total spending of $360K is at the 50th percentile among 34 Social Worker, Clinical providers.
Total Paid
$360K
$360,072
Total Claims
4,057
Beneficiaries
800
5.1 claims/patient
Avg Cost/Claim
$89
🔍 Analysis
Provider Overview
Tommel Hayes is a Social Worker, Clinical provider based in Goldsboro, NC. From 2018-01 through 2019-01, this provider received $360K in Medicaid payments across 4K claims serving 800 beneficiaries, billing 4 distinct procedure codes.
Key Findings
- 📊Billing stopped in 2019-01, suggesting this provider is no longer active in Medicaid.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 4 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 68% of total spending.
Psychotherapy, 60 minutes
$244K
2,221 claims · 67.7%
$98K
970 claims
$100.75
$76.61
Family psychotherapy without patient, 50 min
$98K
970 claims · 27.1%
Group psychotherapy
$14K
833 claims · 3.8%
Psychiatric diagnostic evaluation
$5K
33 claims · 1.4%
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