JACK E. THOMAS, Ph.D.
NPI 1013107036, individual, Bloomington, IN, Psychologist, Clinical
- Hours beyond a day in 17 months, but with up to 994 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 67% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 45.5 | 36.0 | 24.0 | 34.3 | 371 | 1 | 90791 90832 90834 90837 90846 90847 | $80K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 31.5 | 26.3 | 17.5 | 23.6 | 279 | 1 | 90834 90837 90846 90847 | $60K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 26.7 | 22.3 | 14.9 | 22.0 | 283 | 1 | 90832 90834 90837 90846 90847 | $53K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 30.4 | 24.2 | 16.1 | 22.6 | 280 | 1 | 90834 90837 90846 90847 | $52K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 35.4 | 16.1 | 10.7 | 14.4 | 300 | 1 | 90791 90834 90837 90846 90847 | $39K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 39.2 | 26.2 | 17.5 | 23.9 | 340 | 1 | 90791 90834 90837 90846 90847 | $61K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 34.8 | 23.4 | 15.6 | 23.0 | 304 | 1 | 90832 90834 90837 90846 90847 | $57K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 42.4 | 33.5 | 22.4 | 31.5 | 602 | 1 | 90791 90832 90834 90837 90846 90847 | $82K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 63.0 | 51.1 | 34.1 | 46.5 | 725 | 1 | 90791 90832 90834 90837 90846 90847 | $121K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 47.9 | 40.2 | 26.8 | 39.6 | 713 | 1 | 90791 90832 90834 90837 90846 90847 | $98K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 61.1 | 49.0 | 32.7 | 44.6 | 735 | 1 | 90791 90832 90834 90837 90846 90847 | $115K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 50.7 | 39.9 | 26.6 | 35.9 | 721 | 1 | 90791 90832 90834 90837 90846 90847 | $97K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 80.8 | 67.9 | 45.3 | 66.8 | 933 | 1 | 90791 90832 90834 90837 90846 90847 | $161K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 88.1 | 77.5 | 51.7 | 72.4 | 929 | 1 | 90791 90832 90834 90837 90846 90847 | $167K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 88.0 | 75.8 | 50.5 | 68.1 | 994 | 1 | 90791 90832 90834 90837 90846 90847 | $180K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 89.4 | 74.9 | 49.9 | 71.3 | 969 | 1 | 90791 90832 90834 90837 90846 90847 | $171K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 68.3 | 56.9 | 37.9 | 53.4 | 761 | 1 | 90832 90834 90837 90846 90847 | $135K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JACK E. THOMAS, Ph.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 26, 2007, last updated July 26, 2007 |
| Practice location | 2108 S LOCUST CT, Bloomington, IN 47401-6751, 812-325-6877 |
| Specialties | Psychologist, Clinical (103TC0700X, primary, license 20010356A IN) |
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 | $1.4M | 67% | $244 | $191 (top 5% from $442) | 71st percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $259K | 13% | $122 | $113 (top 5% from $277) | 56th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $195K | 10% | $119 | $130 (top 5% from $458) | 44th percentile | |
| 90834 | Psychotherapy, 45 minutes | $150K | 7% | $108 | $101 (top 5% from $318) | 54th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $36K | 2% | $58 | $105 (top 5% from $228) | 20th percentile | |
| 90832 | Psychotherapy, 30 minutes | $30K | 1% | $53 | $59 (top 5% from $239) | 44th percentile |
In this area
2 providers in Monroe County, IN carry an indicator in the public record, with $948K at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PUTNAM COUNTY HOSPITAL Bloomington, IN, ranked 2188 | $0 |
|
| 5 | SARAH RAGONESE Bloomington, IN, ranked 11042 | $948K |
Recent enforcement in IN
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.