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Michael Marshall

Social Worker, Clinical·Waterford, CT·NPI: 1972029494SharePrint ReportML Risk: 85%

Compared to Social Worker, Clinical Peers

Total spending distribution among 34 providers in this specialty

P25MedianP75P90

This provider's total spending of $203K is at the 25th percentile among 34 Social Worker, Clinical providers.

Total Paid

$203K

$202,845

Total Claims

2,546

Beneficiaries

858

3.0 claims/patient

Avg Cost/Claim

$80

🔍 Analysis

Provider Overview

Michael Marshall is a Social Worker, Clinical provider based in Waterford, CT. From 2019-09 through 2020-07, this provider received $203K in Medicaid payments across 3K claims serving 858 beneficiaries, billing 3 distinct procedure codes.

Key Findings

  • 📊87% of billing is concentrated in 90837 (90837), indicating significant specialization in this service.
  • 📊Billing stopped in 2020-07, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Yearly Spending

2019
$68K
+98%
2020
$135K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 87% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$176K

1,909 claims · 86.5%

Your Cost: $91.95/claim|Median: $85.66
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$18K

205 claims · 8.9%

Your Cost: $87.64/claim|Median: $99.21
0.9× median
90853Normal range

Group psychotherapy

$9K

432 claims · 4.6%

Your Cost: $21.62/claim|Median: $25.02
0.9× median