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John Joseph Carroll, PSY

Clinical Psychologist · Redondo Beach

NPI 1972002236

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2
Since medical school
14 years
Graduated 2012

Offices

2 locations

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call John Joseph Carroll’s office at (858) 883-3277 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$154,368

Medicare paid this office $154,368 for 112 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Psychotherapy, 30 minutes109$141,647$61
Psychiatric diagnostic evaluation73$10,641$138
Psychiatric services complicated by communication factor57$2,080$12

Who their Medicare patients are

112 Original Medicare patients in 2024. Average age 62 · Under 65 48% · Women 37% · Health risk score 2.32. Above the middle of the specialty; the typical psychologist, clinical clinician is at 1.25.

Conditions among them: High blood pressure 75% · Depression 75% · Diabetes 64% · COPD 53% · Chronic kidney disease 38% · Coronary heart disease 34% · Heart failure 31% · Dementia 18% · Stroke 12% · Atrial fibrillation 11%.

The office billed $256,225, Medicare allowed $198,671 and paid $154,368; for 2,581 services of 3 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20241122,581622.32$256,225$154,368
20231742,027672.45$168,075$96,222
202284939632.49$87,280$52,975
2021881,468621.93$134,380$84,369
20201291,543632.32$154,570$90,500
20191372,376612.16$335,300$153,125
2018862,240581.45$360,460$146,391

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 4 services

Original Medicare services billed in 2023
Psychotherapy, 30 minutes132$84,516$59
Group psychotherapy50$4,890$22
Psychiatric services complicated by communication factor81$4,406$12
Psychiatric diagnostic evaluation11$1,616$147

2022: 2 services

Original Medicare services billed in 2022
Psychotherapy, 30 minutes80$50,277$62
Psychiatric services complicated by communication factor46$1,341$12

2021: 3 services

Original Medicare services billed in 2021
Psychotherapy, 30 minutes85$78,482$63
Psychotherapy, 45 minutes21$2,932$86
Psychiatric services complicated by communication factor43$1,996$12

2020: 1 service

Original Medicare services billed in 2020
Psychotherapy, 30 minutes127$87,432$58

2019: 3 services

Original Medicare services billed in 2019
Psychotherapy, 30 minutes127$82,464$57
Psychotherapy, 45 minutes62$59,930$73
Psychiatric diagnostic evaluation93$10,730$105

2018: 4 services

Original Medicare services billed in 2018
Psychotherapy, 45 minutes86$121,585$73
Psychotherapy, 30 minutes12$10,321$55
Psychiatric diagnostic evaluation75$7,691$100
Group psychotherapy14$6,794$22

Medicaid work

$276,416 in 2024

Medicaid paid $276,416 for 6,923 billed services this clinician did in 2024, up to 107 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
PSYCHOTHERAPY W/PATIENT 30 MINUTES4,882$230,222
GROUP PSYCHOTHERAPY1,976$44,295
PSYCH DIAGNOSTIC EVALUATION43$1,896
Interactive complexity22$3
Medicaid work by year
20246,9234107$276,416
20235,325277$135,200
20225,355368$170,973
20212,837380$92,844
20202,836384$61,303
2019306130$8,189
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
PSYCHOTHERAPY W/PATIENT 30 MINUTES3,411$108,289
GROUP PSYCHOTHERAPY1,914$26,911

2022

Largest Medicaid services in 2022
PSYCHOTHERAPY W/PATIENT 30 MINUTES3,361$132,757
GROUP PSYCHOTHERAPY1,968$38,115
Interactive complexity26$101

2021

Largest Medicaid services in 2021
PSYCHOTHERAPY W/PATIENT 30 MINUTES2,329$82,528
GROUP PSYCHOTHERAPY495$9,777
Psychotherapy, 45 minutes with patient13$539

2020

Largest Medicaid services in 2020
PSYCHOTHERAPY W/PATIENT 30 MINUTES2,379$40,669
Psychotherapy, 45 minutes with patient430$20,085
GROUP PSYCHOTHERAPY27$548

2019

Largest Medicaid services in 2019
PSYCHOTHERAPY W/PATIENT 30 MINUTES306$8,189

Professional record

NPI
1972002236
Licence
CA PSY29750
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 103TC0700X (103TC0700X)
Mailing address
Po Box 1290, Venice, CA, 90294
NPI first listed
2018-02-01
NPI last updated
2020-10-09
NPI record certified
2020-10-09

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 4133 Redwood Ave Unit 1002, Los Angeles, CA, 90066 · 3570 E Imperial Hwy, Lynwood, CA, 90262