DANIELLE M BOYER, LCSW

NPI 1063863173, individual, Millsboro, DE, Social Worker, Clinical

Evidence tier

informational

score 29 of 100, rank 11944, $8K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	DANIELLE M BOYER, LCSW
Type	Individual
Status	Active
NPI issued	June 29, 2016, last updated October 7, 2024
Practice location	24077 COUNTRY LIVING RD STE 2, Millsboro, DE 19966-3188, 302-224-1400
Mailing address	121 SEAWINDS DR, Dagsboro, DE 19939-9612
Specialties	Social Worker (104100000X) Social Worker, Clinical (1041C0700X, primary, license Q1-0001633 DE)

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
90834	Psychotherapy, 45 minutes	$14K	100%	$154	$101 (top 5% from $318)	too few months to rank

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
90791	Psychiatric diagnostic evaluation	13	13	$1K	$332	$120	2.8x	1.9x (90th percentile 3.6x)

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

3 providers in Sussex County, DE carry an indicator in the public record, with $157K at stake between them. The most common is more hours than a day holds, on 2 of them, followed by part of a provider network on 1.

tier	provider	at stake	why
3	101 E DELAWARE AVE OPERATIONS LLC Delmar, DE, ranked 6069	$0	Part of provider network D1-00083, ranked 83 nationally.
4	ERIN MCGREAL Millsboro, DE, ranked 9551	$120K	Hours beyond a day in 10 months under one organization, which can be supervisory billing. Records needed.
5	TRACY DYSARD Georgetown, DE, ranked 11807	$37K

Recent enforcement in DE

All releases

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

DOJPleaded guiltyJul 2, 2026

South Dakota Man Pleads Guilty to Aggravated Identity Theft and Obtaining Drugs by Fraud

Mauldin used his access as a medical biller and credentialer to steal medical professionals' licensure information to order thousands of opioid pills, falsified his own electronic medical records to pose as a cancer patient and obtain pain management services paid by his private health insurer, and held himself out as a licensed nurse to perform Transcranial Magnetic Stimulation therapy and submit false claims to Medicaid.

DOJComplaint filedJun 30, 2026

Civil Complaint Filed Over False Laboratory Claims

The United States alleges the defendants violated the False Claims Act by submitting thousands of claims to government health care programs for laboratory diagnostic tests that lacked a valid medical purpose, were conducted in violation of laboratory clinical standards, and in numerous cases were not conducted at all.

DOJCivil settlementApr 29, 2026

Former Delaware Physician to Pay $180,000 to Resolve Allegations of Genetic Testing Fraud

A physician agreed to pay $180,000 to resolve False Claims Act allegations that she ordered medically unnecessary genetic tests for more than 100 Medicare beneficiaries with whom she had no established physician-patient relationship, often based only on brief telemedicine consultations or none at all.

DOJIndictedDec 15, 2025

Medical Biller Charged with Diverting Opioids and Federal Health Care Fraud

A medical biller and credentialer used stolen identities and licensure information of medical professionals to order and prescribe himself thousands of opioid pills, falsified his own medical records to obtain pain management treatment paid by a private insurer, and submitted false claims to Medicaid for Transcranial Magnetic Stimulation therapy he performed while posing as a nurse.

DOJComplaint filedJul 7, 2025

United States Files False Claim Act Complaint Against Delaware Medical Provider

The United States alleges that Dr. Mufti referred more than 100 Medicare beneficiaries for medically unnecessary genetic laboratory tests based on brief telemedicine consultations or no consultation, causing false claims to Medicare.

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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