CARRIE STEWARD, APRN-CNP
NPI 1023650165, individual, Beavercreek, OH, Nurse Practitioner, Family
- Hours beyond a day in 3 months, but with up to 208 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 42.0 | 3.4 | 2.2 | 3.4 | 133 | 1 | 99309 | $4K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 42.9 | 3.2 | 2.1 | 2.9 | 115 | 1 | 99309 | $4K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 27.4 | 5.6 | 3.7 | 5.3 | 144 | 1 | 99309 | $6K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CARRIE STEWARD, APRN-CNP (also CARRIE MILLER) |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | October 10, 2019, last updated November 19, 2020 |
| Practice location | 2605 GREENBRIER CT, Beavercreek, OH 45431-8564, 937-782-8103 |
| Mailing address | 1975 MIAMISBURG CENTERVILLE RD, Centerville, OH 45459-3811 |
| Specialties | Nurse Practitioner, Family (363LF0000X, primary, license APRN.CNP.024086 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 | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $246K | 90% | $55 | $21 (top 5% from $84) | 89th percentile | |
| G0463 | Medicaid service code | $14K | 5% | $103 | $73 (top 5% from $142) | 75th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $12K | 4% | $20 | $44 (top 5% from $110) | 17th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $2K | 1% | $13 | $14 (top 5% from $58) | too few months to rank | |
| 99318 | Medicaid service code | $733 | 0% | $33 | $18 (top 5% from $58) | too few months to rank |
| 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 | 2,165 | 362 | $147K | $178 | $86 | 2.1x | 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 | 140 | 50 | $7K | $135 | $60 | 2.3x | 2.0x (90th percentile 3.4x) |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 26 | 14 | $2K | $162 | $102 | 1.6x | 2.0x (90th percentile 3.4x) |
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
2 providers in Greene County, OH carry an indicator in the public record, with $8.2M at stake between them. The most common is named in an enforcement record, on 1 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | RECOVERY STREET CENTRAL LLC Dayton, OH, ranked 906 | $8.2M |
|
| 3 | HIGH-DAY, LLC Fairborn, OH, ranked 5443 | $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.