ERICA LYNN JOHNSON
NPI 1003203019, individual, Lakewood, CO, Counselor, Mental Health
- Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90834 ($375 per patient-month) sit in the top 5% of every provider billing that code.
- 92% 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 |
|---|---|---|---|---|---|---|---|---|---|
| May 2023 | More hours than a day holds, even counting one unit per claim line | 27.8 | 29.0 | 19.3 | 25.7 | 177 | 1 | 90837 90847 T1017 | $91K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 24.8 | 25.0 | 16.6 | 22.7 | 159 | 1 | 90837 | $77K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 24.4 | 26.8 | 17.8 | 23.6 | 218 | 1 | 90791 90834 90837 T1017 | $84K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 25.1 | 36.0 | 24.0 | 32.3 | 229 | 2 | 90834 90837 | $124K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ERICA LYNN JOHNSON (also ERICA WHITTEMORE) |
| Type | Individual |
| Status | Active |
| NPI issued | April 17, 2015, last updated September 4, 2026 |
| Practice location | 3900 S WADSWORTH BLVD STE 365, Lakewood, CO 80235-2220, 720-468-0806 |
| Specialties | Counselor, Mental Health (101YM0800X, primary, license LPC.0014267 CO) |
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 | $1.9M | 92% | $381 | $191 (top 5% from $442) | 92nd percentile | |
| 90834 | Psychotherapy, 45 minutes | $119K | 6% | $375 | $101 (top 5% from $318) | 97th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $11K | 1% | $150 | $105 (top 5% from $228) | 83rd percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $9K | 0% | $183 | $130 (top 5% from $458) | too few months to rank | |
| H0005 | Medicaid service code | $6K | 0% | $196 | $129 (top 5% from $479) | too few months to rank | |
| H0032 | Medicaid service code | $4K | 0% | $72 | $98 (top 5% from $675) | too few months to rank | |
| T1017 | Targeted case management each 15 min | $3K | 0% | $58 | $167 (top 5% from $808) | too few months to rank | |
| H0031 | Medicaid service code | $2K | 0% | $79 | $100 (top 5% from $540) | too few months to rank |
In this area
9 providers in Jefferson County, CO carry an indicator in the public record, with $3.2M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by part of a provider network on 3. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ALISON BARTON Littleton, CO, ranked 176 | $58K |
|
| 1 | VEENA MATHAD Arvada, CO, ranked 248 | $19K |
|
| 3 | PERSONAL ASSISTANCE SERVICES OF COLORADO, LLC Lakewood, CO, ranked 1712 | $0 |
|
| 3 | COVENANT LIVING OF COLORADO Westminster, CO, ranked 3889 | $0 |
|
| 3 | ELEVATION HOSPICE OF COLORADO, LLC Arvada, CO, ranked 7074 | $0 |
|
| 4 | CHRISTINA MURPHY Arvada, CO, ranked 8174 | $1.2M |
|
| 4 | MANDY VIGIL Lakewood, CO, ranked 8186 | $998K |
|
| 4 | BETHANY FERGUSON Wheat Ridge, CO, ranked 8255 | $283K |
|
Recent enforcement in CO
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.