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

Tiffany Darby

Counselor, School·South Euclid, OH·NPI: 1922363936SharePrint ReportML Risk: 87%

Total Paid

$93K

$92,599

Total Claims

1,146

Beneficiaries

304

3.8 claims/patient

Avg Cost/Claim

$81

🔍 Analysis

Provider Overview

Tiffany Darby is a Counselor, School provider based in South Euclid, OH. From 2018-01 through 2018-08, this provider received $93K in Medicaid payments across 1K claims serving 304 beneficiaries, billing 2 distinct procedure codes.

Key Findings

  • 📊98% 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  • 📊Billing stopped in 2018-08, suggesting this provider is no longer active in Medicaid.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 2 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 98% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$91K

1,131 claims · 98.5%

Your Cost: $80.61/claim|Median: $85.66
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$1K

15 claims · 1.5%

Your Cost: $94.98/claim|Median: $99.21
1.0× median