OIG EXCLUDED — This provider appears on the federal exclusion list
Compared to Counselor Peers
Total spending distribution among 9 providers in this specialty
This provider's total spending of $389K is at the 25th percentile among 9 Counselor providers.
Total Paid
$389K
$388,579
Total Claims
5,444
Beneficiaries
742
7.3 claims/patient
Avg Cost/Claim
$71
🔍 Analysis
Provider Overview
Jackson Nsilulu is a Counselor provider based in Trotwood, OH. From 2018-01 through 2019-09, this provider received $389K in Medicaid payments across 5K claims serving 742 beneficiaries, billing 1 distinct procedure codes.
Key Findings
- 📊100% of billing is concentrated in 90837 (90837), indicating significant specialization in this service.
- 📊Billing stopped in 2019-09, suggesting this provider is no longer active in Medicaid.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 1 distinct procedure code. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 100% of total spending.
Psychotherapy, 60 minutes
$389K
5,444 claims · 100.0%
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