Compared to Social Worker Peers
Total spending distribution among 10 providers in this specialty
This provider's total spending of $296K is at the 25th percentile among 10 Social Worker providers.
Total Paid
$296K
$295,850
Total Claims
3,340
Beneficiaries
867
3.9 claims/patient
Avg Cost/Claim
$89
🔍 Analysis
Provider Overview
Formka Johnson is a Social Worker provider based in Baltimore, MD. From 2022-03 through 2023-11, this provider received $296K in Medicaid payments across 3K claims serving 867 beneficiaries, billing 3 distinct procedure codes.
Key Findings
- 📊98% 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.
- 📊Billing stopped in 2023-11, suggesting this provider is no longer active in Medicaid.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 3 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 98% of total spending.
Psychotherapy, 45 minutes
$289K
3,272 claims · 97.6%
Psychiatric diagnostic evaluation
$6K
42 claims · 1.9%
Psychotherapy, 30 minutes
$1K
26 claims · 0.4%
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