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Donald Mccoy

Psychologist, Health Service·Nashville, TN·NPI: 1568545416SharePrint ReportML Risk: 89%

Total Paid

$453K

$452,535

Total Claims

8,268

Beneficiaries

2,759

3.0 claims/patient

Avg Cost/Claim

$55

🔍 Analysis

Provider Overview

Donald Mccoy is a Psychologist, Health Service provider based in Nashville, TN. From 2018-01 through 2018-12, this provider received $453K in Medicaid payments across 8K claims serving 3K beneficiaries, billing 6 distinct procedure codes.

Key Findings

  • 📊Billing stopped in 2018-12, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 53% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$240K

3,597 claims · 53.0%

Your Cost: $66.67/claim|Median: $85.66
0.8× median
90847Normal range

Family psychotherapy with patient, 50 min

$180K

3,634 claims · 39.8%

Your Cost: $49.57/claim|Median: $77.33
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$17K

273 claims · 3.8%

Your Cost: $62.57/claim|Median: $99.21
0.6× median
90853Normal range

Group psychotherapy

$10K

624 claims · 2.3%

Your Cost: $16.61/claim|Median: $25.02
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$4K

85 claims · 0.8%

Your Cost: $43.45/claim|Median: $63.65
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$1K

55 claims · 0.3%

Your Cost: $26.29/claim|Median: $41.28
0.6× median