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

Randall Wallace

Psychologist, Clinical·Hartford, CT·NPI: 1891049003Share

Compared to Psychologist, Clinical Peers

Total spending distribution among 7 providers in this specialty

P25MedianP75P90

This provider's total spending of $387K is at the 25th percentile among 7 Psychologist, Clinical providers.

Total Paid

$387K

$386,806

Total Claims

4,185

Beneficiaries

1,125

3.7 claims/patient

Avg Cost/Claim

$92

🔍 Analysis

Provider Overview

Randall Wallace is a Psychologist, Clinical provider based in Hartford, CT. From 2018-01 through 2020-03, this provider received $387K in Medicaid payments across 4K claims serving 1K beneficiaries, billing 2 distinct procedure codes.

Key Findings

  • 📊97% of all billing comes from a single procedure code: 90837 (90837). This extreme concentration is unusual and may indicate specialized services or a narrow billing pattern.
  • 📊Billing stopped in 2020-03, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Yearly Spending

2018
$200K
-21%
2019
$158K
-82%
2020
$28K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 97% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$376K

4,056 claims · 97.3%

Your Cost: $92.78/claim|Median: $85.66
1.1× median
90876Normal range

$10K

129 claims · 2.7%

Your Cost: $81.20/claim|Median: $85.83
0.9× median