DARCIE RUPERT CLARK, MS, LPCC, LCDCIII
NPI 1003149808, individual, Dayton, OH, Counselor, Mental Health
- Hours beyond a day in 8 months under one organization, which can be supervisory billing.
- Records needed.
- 89% of Medicaid dollars are on codes with a history of abuse.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 24.7 | 15.7 | 10.5 | 14.1 | 295 | 2 | 90791 90832 90837 | $47K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 28.0 | 13.7 | 9.1 | 12.4 | 270 | 2 | 90791 90837 | $39K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 25.6 | 20.4 | 13.6 | 18.3 | 342 | 1 | 90791 90832 90837 | $59K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 24.3 | 18.9 | 12.6 | 17.2 | 338 | 1 | 90791 90832 90837 | $53K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 29.6 | 24.8 | 16.5 | 23.3 | 372 | 1 | 90791 90832 90834 90837 | $68K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 30.9 | 20.4 | 13.6 | 19.1 | 353 | 1 | 90791 90832 90834 90837 | $51K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 25.3 | 20.4 | 13.6 | 20.4 | 343 | 1 | 90791 90832 90834 90837 | $54K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 24.4 | 19.8 | 13.2 | 17.8 | 344 | 1 | 90791 90832 90834 90837 | $54K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DARCIE RUPERT CLARK, MS, LPCC, LCDCIII |
| Type | Individual |
| Status | Active |
| NPI issued | September 10, 2009, last updated December 28, 2020 |
| Practice location | 11 W MONUMENT AVE STE 100, Dayton, OH 45402-1293, 937-679-6301 |
| Specialties | Counselor, Addiction (Substance Use Disorder) (101YA0400X, license 991819 OH) Counselor, Addiction (Substance Use Disorder) (101YA0400X, license E08331-5 OH) Counselor, Professional (101YP2500X, license EO8331 OH) Counselor, Mental Health (101YM0800X, primary, license EO8331 OH) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $2.9M | 89% | $174 | $191 (top 5% from $442) | 42nd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $276K | 9% | $97 | $105 (top 5% from $228) | 42nd percentile | |
| 90834 | Psychotherapy, 45 minutes | $45K | 1% | $75 | $101 (top 5% from $318) | 32nd percentile | |
| 90832 | Psychotherapy, 30 minutes | $29K | 1% | $54 | $59 (top 5% from $239) | 45th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $6K | 0% | $114 | $130 (top 5% from $458) | too few months to rank |
In this area
14 providers in Montgomery County, OH carry an indicator in the public record, with $6.5M at stake between them. The most common is part of a provider network, on 11 of them, followed by more hours than a day holds on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | HEARTLAND PHARMACY 2 LLC Moraine, OH, ranked 524 | $0 |
|
| 3 | HORIZON HOME HEALTHCARE SERVICE, LLC Dayton, OH, ranked 829 | $3.3M |
|
| 3 | STATE HEALTH CARE LTD Dayton, OH, ranked 847 | $1.2M |
|
| 3 | FLAX FLOWER HOME HEALTH CARE LLC Dayton, OH, ranked 886 | $174K |
|
| 3 | HOPE HOME CARE, LLC Miamisburg, OH, ranked 1105 | $665K |
|
| 3 | ALTERNATE SOLUTIONS HOMECARE OF DAYTON, LLC Kettering, OH, ranked 1199 | $370K |
|
| 3 | KETTERING MEDICAL CENTER Kettering, OH, ranked 2070 | $0 |
|
| 3 | GUARDIAN ANGEL HOME CARE OF MORAINE Moraine, OH, ranked 2275 | $0 |
|
Recent enforcement in OH
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.