KIMBERLY M BEARE, Crisis Clinician
NPI 1043352610, individual, Jackson, TN, Counselor
- Hours beyond a day in 6 months under one organization, which can be supervisory billing.
- 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 |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 24.5 | 22.9 | 15.3 | 20.6 | 91 | 1 | 90834 90847 | $51K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 38.3 | 20.3 | 13.5 | 18.2 | 227 | 1 | 90834 90837 | $60K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 35.5 | 16.3 | 10.9 | 15.0 | 131 | 1 | 90834 90837 | $46K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 41.0 | 16.1 | 10.7 | 15.8 | 142 | 1 | 90834 90837 | $49K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 33.9 | 18.6 | 12.4 | 16.9 | 158 | 1 | 90834 90837 90847 | $55K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 35.1 | 22.1 | 14.7 | 19.9 | 166 | 1 | 90834 90837 90847 | $67K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KIMBERLY M BEARE, Crisis Clinician |
| Type | Individual |
| Status | Active |
| NPI issued | February 12, 2007, last updated August 6, 2009 |
| Practice location | 238 SUMMAR DR, Jackson, TN 38301-3906, 731-935-8200 |
| Mailing address | 1804 HIGHWAY 45 BYP, SUITE 604, Jackson, TN 38305-4436 |
| Specialties | Case Manager/Care Coordinator (171M00000X) Counselor (101Y00000X, primary, license 1839 TN) |
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 | |
|---|---|---|---|---|---|---|---|
| 90849 | Multiple-family group psychotherapy | $674K | 44% | $364 | $105 (top 5% from $366) | 94th percentile | |
| 90834 | Psychotherapy, 45 minutes | $487K | 32% | $308 | $101 (top 5% from $318) | 95th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $333K | 22% | $280 | $191 (top 5% from $442) | 80th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $49K | 3% | $114 | $130 (top 5% from $458) | 41st percentile | |
| 90791 | Psychiatric diagnostic evaluation | $1K | 0% | $81 | $105 (top 5% from $228) | too few months to rank | |
| 90853 | Group psychotherapyhistory of abuse | $1K | 0% | $82 | $60 (top 5% from $332) | too few months to rank |
In this area
5 providers in Madison County, TN carry an indicator in the public record, with $2.7M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by paid after a public list action on 2. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ALEXANDER ALPEROVICH Jackson, TN, ranked 269 | $12K |
|
| 1 | ADVANCED CARDIOVASCULAR & VEIN CENTER Jackson, TN, ranked 387 | $1K |
|
| 4 | TWANA MILLER Jackson, TN, ranked 8173 | $1.2M |
|
| 4 | JAMES JONES Jackson, TN, ranked 8973 | $1.0M |
|
| 4 | STEPHEN COLLIER Jackson, TN, ranked 9234 | $461K |
|
Recent enforcement in TN
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.