STACY DENISE COWARD, RN

NPI 1053411686, individual, Virginia Beach, VA, Registered Nurse, Psych/Mental Health

Evidence tier

structure or single-organization volume

Hours beyond a day in 3 months under one organization, which can be supervisory billing.
Records needed.
96% of Medicaid dollars are on codes with a history of abuse.

score 53 of 100, rank 8167, $1.2M at stake

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 2022	More hours than a day holds, even counting one unit per claim line	24.6	22.9	15.3	20.9	100	2	90837	$65K
Jul 2022	More hours than a day holds, even counting one unit per claim line	27.7	24.2	16.1	23.8	100	1	90837	$70K
Aug 2022	More hours than a day holds, even counting one unit per claim line	25.1	23.6	15.7	21.2	139	1	90834 90837	$68K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	STACY DENISE COWARD, RN
Type	Individual, sole proprietor
Status	Active
NPI issued	September 24, 2006, last updated November 21, 2016
Practice location	1924 STILLMEADOW CT, Virginia Beach, VA 23456-4940, 321-287-4927
Specialties	Registered Nurse, Psych/Mental Health (163WP0808X, license RN9231733 FL) Registered Nurse, Psych/Mental Health (163WP0808X, primary, license RN1169953 VA) Counselor, Mental Health (101YM0800X)

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
90837	Psychotherapy, 1 hourhistory of abuse	$1.7M	96%	$339	$191 (top 5% from $442)	89th percentile
90834	Psychotherapy, 45 minutes	$50K	3%	$194	$101 (top 5% from $318)	83rd percentile
90791	Psychiatric diagnostic evaluation	$19K	1%	$112	$105 (top 5% from $228)	58th percentile
90853	Group psychotherapyhistory of abuse	$4K	0%	$50	$60 (top 5% from $332)	too few months to rank
90832	Psychotherapy, 30 minutes	$2K	0%	$58	$59 (top 5% from $239)	too few months to rank

In this area

9 providers in Virginia Beach city County, VA carry an indicator in the public record, with $2.0M at stake between them. The most common is part of a provider network, on 5 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	SWIFT MEDICAL TRANSPORT LLC Virginia Beach, VA, ranked 14	$140K	Listed on the Medicare revocation list since May 13, 2019. Medicaid still paid claims in 4 later months, $140,338 in total. and 1 more
1	GARFIELD SAMUELS Virginia Beach, VA, ranked 416	$489	Listed on the Medicare revocation list since September 20, 2022. Medicaid still paid claims in 3 later months, $489 in total.
3	BIRCHWOOD PARK REHABILITATION AND NURSING LLC Virginia Beach, VA, ranked 1849	$0	Part of provider network D1-00004, ranked 4 nationally.
3	CYPRESS POINT REHABILITATION AND NURSING LLC Virginia Beach, VA, ranked 2055	$0	Part of provider network D1-00004, ranked 4 nationally.
3	BAY POINTE REHABILITATION AND NURSING LLC Virginia Beach, VA, ranked 2272	$0	Part of provider network D1-00004, ranked 4 nationally.
3	BRISTOL HOSPICE - VIRGINIA BEACH, L.L.C. Virginia Beach, VA, ranked 6941	$0	Part of provider network D1-00039, ranked 39 nationally.
3	THALIA GARDENS REHABILITATION AND NURSING LLC Virginia Beach, VA, ranked 6981	$0	Part of provider network D1-00004, ranked 4 nationally.
4	STEPHEN CUNNINGHAM Virginia Beach, VA, ranked 8771	$1.8M	Hours beyond a day in 1 month, but with up to 960 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.

All 9 in VA

Recent enforcement in VA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJChargedJun 23, 2026

U.S. Attorney’s Office announces charges against three defendants in the Eastern District of Virginia as part of national health care fraud takedown

Three defendants were charged with fraudulently billing Medicaid for mental health services that were not provided and with submitting false claims to Medicare through a straw-owned durable medical equipment company.

DOJSentencedJun 5, 2026

Medicaid service providers sentenced for false statements resulting in overbilling

Wright and Winfield instructed CCR employees to falsely claim in progress notes that children received therapeutic day treatment services from 2:00pm to 7:00pm, including providing prefilled progress note templates, resulting in overbilling to Medicaid.

DOJCivil settlementApr 27, 2026

Tri-Area Community Health Agrees to Pay $513,000 to Resolve Medicare Billing Allegations

Tri-Area Community Health billed Medicare for Annual Wellness Visits provided by pharmacists without appropriate physician supervision that were billed under the names of physicians not involved with the visits.

DOJSentencedMar 17, 2026

Six Sentenced in Healthcare Fraud Conspiracy that Stole $10 Million from Medicaid Over Six-Year Period

Six defendants conspired to submit false claims to Virginia Medicaid on behalf of 1st Adult N Pediatric Healthcare Services for nursing and personal care services that were not provided, including falsifying records and paying parents or guardians of patients for blank, signed nursing notes.

DOJIndictedMar 11, 2026

Victim Advisory- Divine Youth Case Updates

Divine Youth Counseling submitted more than $11 million in fraudulent Medicaid claims for Crisis Stabilization and Mobile Crisis services by falsely claiming two mental health professionals provided Team Treatment services and paid more than $470,000 in kickbacks in the form of hotel rooms for Medicaid recipients.

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.

Ask this case

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