KAREN LYN CROUCH, MA
NPI 1063662450, individual, Columbia, TN, Counselor, Professional
- Hours beyond a day in 2 months, but with up to 341 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2022 | More hours than a day holds at a conservative unit price | 23.1 | 44.5 | 29.7 | 43.8 | 318 | 1 | 90791 90832 90834 90837 | $89K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 24.3 | 47.3 | 31.5 | 42.5 | 341 | 1 | 90791 90832 90834 90837 | $93K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KAREN LYN CROUCH, MA (also KAREN SHELL) |
| Type | Individual |
| Status | Active |
| NPI issued | September 23, 2008, last updated December 31, 2014 |
| Practice location | 321 W 7TH ST, Columbia, TN 38401-3132, 931-490-1400 |
| Mailing address | 211B WAYNE STREET, Columbia, TN 38401-3132 |
| Specialties | Counselor, Mental Health (101YM0800X) Counselor, Professional (101YP2500X, primary, license LPC0000003280 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 | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $925K | 33% | $210 | $191 (top 5% from $442) | 58th percentile | |
| S0280 | Medicaid service code | $564K | 20% | $157 | $55 (top 5% from $345) | 66th percentile | |
| 90832 | Psychotherapy, 30 minutes | $293K | 11% | $102 | $59 (top 5% from $239) | 81st percentile | |
| H0037 | Community psychiatric supportive treatment program per diem | $285K | 10% | $427 | $419 (top 5% from $5K) | 56th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $209K | 8% | $164 | $105 (top 5% from $228) | 87th percentile | |
| H2017 | Psychosocial rehabilitation services per 15 minhistory of abuse | $173K | 6% | $483 | $310 (top 5% from $1K) | 70th percentile | |
| H2018 | Psychosocial rehabilitation services per diem | $159K | 6% | $653 | $1K (top 5% from $5K) | 39th percentile | |
| 90834 | Psychotherapy, 45 minutes | $87K | 3% | $114 | $101 (top 5% from $318) | 57th percentile |
In this area
4 providers in Maury County, TN carry an indicator in the public record, with $4.0M at stake between them. The most common is more hours than a day holds, on 2 of them, followed by named in an enforcement record on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | CRESTAR LABS LLC Spring Hill, TN, ranked 659 | $0 |
|
| 3 | EMERALD SPRING HILL, INC. Spring Hill, TN, ranked 3656 | $0 |
|
| 4 | RICHARD POWERS Columbia, TN, ranked 9007 | $942K |
|
| 5 | GIBRAN NADDY Columbia, TN, ranked 10737 | $3.1M |
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.