Providers, detail view
More hours than a day holds
Clinicians whose Medicaid billing implies more hours of hands-on care than a day holds, organizations billed for more than 24 hours per patient per day, and providers over a state's own daily cap. Tier A needs the hours to come from three or more billing organizations in the same month, a per-patient breach, or a cap breach. Hours beyond a day under a single organization are tier B, because several states let clinics bill under a supervising clinician's NPI.
| provider | state | peak month | what was found | hours per day | lower bound | billing organizations | paid that month |
|---|---|---|---|---|---|---|---|
| ELENA WAGNER 1023351970, individual, 207V00000X | CA | Jul 2020 | More hours than a day holds at a conservative unit price | 25.9 | 4.7 | 4 | $62K |
| VICTORIA COLEMAN 1932315447, individual, 101YP2500X | NV | Aug 2018 | More hours than a day holds, even counting one unit per claim line | 23.0 | 51.2 | 3 | $147K |
| JAMES CATES 1407805104, individual, 103T00000X | IN | Apr 2022 | More hours than a day holds, even counting one unit per claim line | 18.5 | 27.1 | 5 | $63K |
| NABIL JOUNI 1790700201, individual, 2084P0800X | NV | Mar 2020 | More hours than a day holds, even counting one unit per claim line | 23.0 | 31.5 | 3 | $123K |
| SHAUNA LYNCH 1356551220, individual, 207Q00000X | CA | Sep 2020 | More hours than a day holds at a conservative unit price | 26.4 | 5.7 | 5 | $65K |
| CASEY STELTER 1073607222, individual, 207Q00000X | UT | Nov 2024 | More hours than a day holds, even counting one unit per claim line | 4.7 | 36.6 | 3 | $30K |
| SIGRID ELSTON 1003839317, individual, 103TC1900X | IN | Mar 2021 | More hours than a day holds at a conservative unit price | 27.6 | 27.1 | 3 | $620K |
| CHARLES WHETSELL 1518183540, individual, 103T00000X | AL | Nov 2021 | More hours than a day holds, even counting one unit per claim line | 15.1 | 26.0 | 3 | $52K |
| ROXANNE FUENTES 1235211574, individual, 1041C0700X | MD | Jan 2024 | More hours than a day holds, even counting one unit per claim line | 13.7 | 25.5 | 3 | $97K |
| ROSALY DIAZ TORRUELLAS 1114340858, individual, 207R00000X | NV | May 2024 | More hours than a day holds, even counting one unit per claim line | 45.6 | 62.6 | 3 | $240K |
| TAKITA S. HAYES DBA TAKITA'S HELPING HANDS 1982019816, organization, 251E00000X | FL | Aug 2018 | More than 24 hours per patient per day | 55.0 | 52.5 | 1 | $928K |
| CENTRUS PREMIER HOME CARE INC 1194711226, organization, 251E00000X | MA | Jun 2023 | More than 24 hours per patient per day | 24.7 | 3.9 | 1 | $228K |
| ERIC BARNES 1619952520, individual, 207RG0300X | MO | Jan 2019 | More hours than a day holds, even counting one unit per claim line | 11.9 | 35.5 | 8 | $37K |
| MIGUEL VARGAS-LAGUNAS 1356551873, individual, 207R00000X | NV | Dec 2023 | More hours than a day holds, even counting one unit per claim line | 44.4 | 60.9 | 4 | $236K |
| TERESIA MEDLEY-HOOD 1730330689, individual, 101YM0800X | SC | Dec 2018 | More hours than a day holds, even counting one unit per claim line | 21.5 | 34.1 | 3 | $116K |
| YASSER ALY 1265585293, individual, 101YA0400X | NY | Oct 2020 | More hours than a day holds, even counting one unit per claim line | 23.6 | 44.2 | 4 | $136K |
| YAMIR GARCIA SEGARRA 1164795985, individual, 235Z00000X | PR | Apr 2024 | More hours than a day holds, even counting one unit per claim line | 20.6 | 25.6 | 3 | $121K |
| MORTON HYSON 1710915368, individual, 174400000X | NV | Nov 2018 | More hours than a day holds, even counting one unit per claim line | 17.5 | 26.4 | 3 | $98K |
| ARION SHEPHERD 1982159638, individual, 363LF0000X | NV | Jan 2024 | More hours than a day holds, even counting one unit per claim line | 17.6 | 29.7 | 3 | $66K |
| JEFFREY CHILDERS 1740361013, individual, 2084P0800X | NC | Aug 2019 | More hours than a day holds at a conservative unit price | 28.2 | 21.3 | 3 | $67K |
| ROGER PERRY 1942491832, individual, 103T00000X | IN | Oct 2018 | More hours than a day holds, even counting one unit per claim line | 41.8 | 49.1 | 3 | $121K |
| KENNETH MARTIN 1093899007, individual, 101YM0800X | SC | Jun 2018 | More hours than a day holds, even counting one unit per claim line | 18.0 | 30.2 | 3 | $94K |
| NARICIA FUTRELL 1033425483, individual, 104100000X | TN | Sep 2018 | More hours than a day holds, even counting one unit per claim line | 29.3 | 51.1 | 3 | $84K |
| MUKWEL AIYUK 1275081481, individual, 363LF0000X | NV | May 2023 | More hours than a day holds, even counting one unit per claim line | 12.0 | 24.0 | 4 | $63K |
| SHIRLEY FORD 1821299066, individual, 1041C0700X | SC | Nov 2019 | More hours than a day holds, even counting one unit per claim line | 17.7 | 26.6 | 3 | $94K |
| LESLIE STEGALL 1356875397, individual, 363LF0000X | OH | Apr 2022 | More hours than a day holds, even counting one unit per claim line | 14.4 | 26.0 | 3 | $57K |
| MARTIN FAKIEL 1972787000, individual, 2084P0800X | NV | May 2019 | More hours than a day holds, even counting one unit per claim line | 29.1 | 43.8 | 3 | $156K |
| GREGORY BURDEN 1215174156, individual, 1041C0700X | NV | Jan 2023 | More hours than a day holds, even counting one unit per claim line | 21.0 | 29.0 | 5 | $113K |
| BILLY LEONARDO 1588174361, individual, 363LF0000X | NV | Sep 2019 | More hours than a day holds, even counting one unit per claim line | 14.8 | 28.4 | 3 | $77K |
| SALAR DELDAR 1578799193, individual, 2081P2900X | CA | Aug 2021 | More hours than a day holds at a conservative unit price | 26.3 | 14.8 | 4 | $79K |
| RYEDENNA SIMON - MCQUEEN 1285923383, individual, 101Y00000X | SC | Jan 2019 | More hours than a day holds, even counting one unit per claim line | 17.8 | 28.5 | 3 | $95K |
| ZINOVIY BENZAR 1598853343, individual, 2084P0800X | NV | May 2023 | More hours than a day holds, even counting one unit per claim line | 16.3 | 30.6 | 4 | $74K |
| ENIKO MIMLESS 1093006199, individual, 101YM0800X | NV | Jan 2024 | More hours than a day holds, even counting one unit per claim line | 16.1 | 25.0 | 3 | $132K |
| LAURIE HAN-CONRAD 1790833663, individual, 207Q00000X | CA | Mar 2024 | More hours than a day holds at a conservative unit price | 27.1 | 5.8 | 4 | $60K |
| GORDANA BRABSON 1952507832, individual, 106H00000X | NV | Nov 2022 | More hours than a day holds, even counting one unit per claim line | 16.6 | 31.1 | 3 | $85K |
| NORTHEAST ARC INC 1679570113, organization, 251E00000X | MA | Oct 2022 | More than 24 hours per patient per day | 24.6 | 2.5 | 1 | $140K |
| LAWRENCE KATZ 1497795645, individual, 103TC1900X | AL | Apr 2019 | More hours than a day holds, even counting one unit per claim line | 17.6 | 36.8 | 5 | $56K |
| CHARLES MAHAKIAN 1881780724, individual, 2084P0800X | NV | Jun 2023 | More hours than a day holds, even counting one unit per claim line | 28.9 | 40.1 | 4 | $157K |
| YAPA APARTMENT LIVING PROGRAM, INC., DBA PROJECT TRANSITION 1316092125, organization, 251S00000X | TN | Feb 2018 | More than 24 hours per patient per day | 24.1 | 6.6 | 1 | $140K |
| BARBARA LEVY 1184629859, individual, 174400000X | CA | Feb 2021 | More hours than a day holds at a conservative unit price | 30.4 | 5.6 | 7 | $59K |
| DEBRA WHITFIELD 1073891859, individual, 103K00000X | NV | Feb 2018 | More hours than a day holds, even counting one unit per claim line | 23.2 | 35.0 | 4 | $117K |
| GREGORY BROWN 1508081894, individual, 2084P0800X | NV | Oct 2024 | More hours than a day holds, even counting one unit per claim line | 23.1 | 32.0 | 3 | $127K |
| CHRISTOPHER ESTEP 1154519569, individual, 101YP2500X | CO | May 2023 | More hours than a day holds, even counting one unit per claim line | 29.7 | 43.1 | 3 | $142K |
| MARIA MACHADO 1215230529, individual, 225100000X | FL | Mar 2023 | More hours than a day holds, even counting one unit per claim line | 21.1 | 26.6 | 8 | $161K |
| MARY HOGUE 1225579535, individual, 1041C0700X | NV | Jan 2021 | More hours than a day holds, even counting one unit per claim line | 23.9 | 43.7 | 3 | $146K |
| BRIAN GRANT 1063574994, individual, 103TH0100X | IN | Apr 2019 | More hours than a day holds, even counting one unit per claim line | 12.5 | 24.1 | 3 | $41K |
| EDGAR EVANGELISTA 1669693081, individual, 2084D0003X | NV | Sep 2018 | More hours than a day holds, even counting one unit per claim line | 44.5 | 82.8 | 3 | $248K |
| DAVID LINDEN 1821062324, individual, 2084P0800X | NV | Oct 2018 | More hours than a day holds, even counting one unit per claim line | 18.0 | 30.1 | 3 | $94K |
| HUMAYUN SHAREEF 1790843464, individual, 207Q00000X | FL | Jan 2019 | More hours than a day holds at a conservative unit price | 27.4 | 13.5 | 3 | $19K |
| BRADFORD STEPHENS 1366444648, individual, 174400000X | OK | Jan 2021 | More hours than a day holds at a conservative unit price | 144.8 | 4.3 | 3 | $66K |
| CHUDI OBIJEKWU 1770973307, individual, 101YM0800X | NV | Mar 2018 | More hours than a day holds, even counting one unit per claim line | 21.5 | 30.9 | 3 | $116K |
| CAROL GRIFFIN 1912269408, individual, 207Q00000X | CA | Apr 2024 | More hours than a day holds at a conservative unit price | 26.8 | 5.6 | 4 | $55K |
| KYLE BUKOWSKI 1912249004, individual, 207V00000X | CA | Oct 2022 | More hours than a day holds at a conservative unit price | 25.5 | 5.6 | 6 | $55K |
| MARIA MONDONEDO 1356052765, individual, 363LP0808X | NV | Jul 2024 | More hours than a day holds, even counting one unit per claim line | 17.2 | 27.5 | 3 | $99K |
| AYMARA VALLADARES 1184865289, individual, 101YM0800X | NV | Mar 2024 | More hours than a day holds, even counting one unit per claim line | 18.6 | 29.3 | 6 | $88K |
| MARJORIE LANDRON 1972919561, individual, 1041C0700X | NV | Jul 2022 | More hours than a day holds, even counting one unit per claim line | 29.7 | 47.9 | 4 | $163K |
| SOPHIA BARTONE 1679919666, individual, 101YA0400X | NV | Mar 2018 | More hours than a day holds, even counting one unit per claim line | 14.7 | 24.9 | 3 | $83K |
| MARISSA KUMMERLING 1467897942, individual, 207Q00000X | CA | Oct 2024 | More hours than a day holds at a conservative unit price | 26.8 | 5.7 | 6 | $54K |
| JOSEPH FRANZETTI 1639246341, individual, 2084P0800X | AZ | Apr 2023 | More hours than a day holds at a conservative unit price | 50.7 | 40.2 | 3 | $1.3M |
| NAVNEET KAUR 1558142331, individual, 363LP2300X | CA | Oct 2024 | More hours than a day holds at a conservative unit price | 29.4 | 11.2 | 3 | $68K |
| RITU RASTOGI 1366438822, individual, 207R00000X | DE | Jan 2024 | More hours than a day holds, even counting one unit per claim line | 10.3 | 28.9 | 6 | $45K |
| ANDREW MILLER 1619992757, individual, 101YM0800X | IN | May 2023 | More hours than a day holds, even counting one unit per claim line | 21.8 | 29.5 | 3 | $79K |
| MILLICENT AMPADU 1962921452, individual, 104100000X | NY | Oct 2019 | More hours than a day holds, even counting one unit per claim line | 12.8 | 25.8 | 3 | $61K |