Providers
JAMES BROWN, DNP
NPI 1013365378, individual, Valparaiso, IN, Nurse Practitioner, Psych/Mental Health
5
Evidence tier
informational
score 30 of 100, rank 11554, $140K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JAMES BROWN, DNP |
| Type | Individual |
| Status | Active |
| NPI issued | May 27, 2016, last updated July 28, 2025 |
| Practice location | 80 FOXWOOD CT, Valparaiso, IN 46385-8949, 219-241-5526 |
| Specialties | Nurse Practitioner, Family (363LF0000X, license 71005977A IN) Nurse Practitioner, Psych/Mental Health (363LP0808X, primary, license 71005977A 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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $340K | 70% | $35 | $21 (top 5% from $84) | 75th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $128K | 26% | $19 | $14 (top 5% from $58) | 63rd percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $9K | 2% | $22 | $30 (top 5% from $134) | 37th percentile | |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | $6K | 1% | $44 | $37 (top 5% from $100) | 61st percentile | |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | $2K | 1% | $25 | $22 (top 5% from $71) | 56th percentile | |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | $1K | 0% | $6.60 | $7.86 (top 5% from $34) | 41st percentile | |
| G9717 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.00) | too few months to rank | |
| G9916 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.00) | 0th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,843 | 218 | $99K | $260 | $79 | 3.3x | 2.0x (90th percentile 3.3x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 841 | 143 | $35K | $185 | $54 | 3.4x | 2.0x (90th percentile 3.4x) |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 46 | 46 | $5K | $445 | $133 | 3.3x | 1.9x (90th percentile 3.1x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
8 providers in Porter County, IN carry an indicator in the public record, with $32.6M at stake between them. The most common is more hours than a day holds, on 6 of them, followed by part of a provider network on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | TOGETHER HOMECARE OF NORTHWEST INDIANA LLC Valparaiso, IN, ranked 3025 | $0 |
|
| 3 | VALPARAISO HOME CARE SERVICES, LLC Valparaiso, IN, ranked 6367 | $0 |
|
| 4 | CATHLEEN AMADOR Valparaiso, IN, ranked 8082 | $5.7M |
|
| 4 | ANAND POPLI Valparaiso, IN, ranked 8267 | $17.3M |
|
| 4 | ANDI ARNAUTOVIC Portage, IN, ranked 8556 | $3.0M |
|
| 4 | SAMIR GUPTA Valparaiso, IN, ranked 8611 | $2.6M |
|
| 5 | SAJIV JOHN Valparaiso, IN, ranked 9956 | $2.2M |
|
| 5 | MARCIA BRIGGS Valparaiso, IN, ranked 10544 | $1.7M |
|
Recent enforcement in IN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedJun 18, 2026
Florida Man Sentenced to 36 Months in Prison
As vice president of a dental practice, he submitted claims to Indiana Medicaid falsely billing for hundreds of dental surgeries that were never performed, used patients' personal identifiers without authorization to support the claims, and committed tax evasion to conceal the income.
DOJSentencedFeb 18, 2026
Highland Physician Sentenced to 97 Months in Prison
Cataldi, sole owner of an otolaryngology practice, billed Medicare and private insurance for thousands of balloon sinuplasty procedures that she did not perform, seeking approximately $50 million and being paid almost $20 million.
DOJCivil settlementJan 28, 2026
Settlement for $1.7 Million With Former Physician Don J. Wagoner and His Business Entity for Fraudulently Billing the Indiana Medicaid Program
Defendants required patients seeking opioid or pain medicine prescriptions to give a single urine sample, tested it with one inexpensive multiplexed screening kit, and billed Indiana Medicaid $171.27 or more per patient by falsely certifying that nine or more separate samples had been collected and analyzed.
DOJSentencedJan 8, 2026
Indiana Woman Sentenced to 84 Months in Prison
Reese falsely claimed to be a licensed clinical psychologist, used forged documents to obtain employment and stole the identities and license numbers of three medical professionals to enroll in Indiana Medicaid and bill for therapy services.
DOJSentencedOct 3, 2024
Merrillville Doctor Sentenced to Prison and Ordered to Pay Restitution
Farley submitted claims to Medicaid and Medicare falsely representing that he had complex, extended visits with patients at his addiction treatment practice, billing for more than 7,000 services he did not provide.
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.