TONI PAULY, CPC
1321 S HWY 160 STE 3E, PAHRUMP, NV 89048
NPI Number
1396131322
Practice location · View on Google Maps
Total Medicaid Payments
$162,907
0% vs specialty average
Patients Seen
683
Total Claims
1,716
$ Per Patient
$239
Specialty avg: $199
Specialty Rank
#8 of 50
Counselor, Professional providers in Nevada
Peer Average
$162,225
Average total for Counselor, Professional
Claims per Patient
2.5
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2021 | $30,823 | |
| 2022 | $41,638 | |
| 2023 | $48,691 | |
| 2024 | $41,755 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 90837 | Individual therapy session (60 minutes) | 1,635 | $161,017 | 98.8% | $98 |
| Q3014 | Telehealth originating site facility fee | 81 | $1,891 | 1.2% | $23 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.