PRECHELLE SHANNON
NPI 1073048070, individual, Fort Washington, MD, Counselor, Professional
- Hours beyond a day in 22 months under one organization, which can be supervisory billing.
- Records needed.
- 92% of Medicaid dollars are on codes with a history of abuse.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Nov 2022 | More hours than a day holds at a conservative unit price | 21.8 | 36.7 | 24.5 | 33.4 | 244 | 1 | 90791 90837 | $86K |
| Dec 2022 | More hours than a day holds at a conservative unit price | 21.4 | 36.3 | 24.2 | 34.1 | 263 | 1 | 90791 90832 90837 | $88K |
| Jan 2023 | More hours than a day holds at a conservative unit price | 23.1 | 38.9 | 25.9 | 36.6 | 266 | 1 | 90791 90837 | $95K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 25.9 | 42.0 | 28.0 | 37.7 | 275 | 1 | 90791 90837 | $102K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 28.9 | 46.4 | 30.9 | 46.4 | 320 | 1 | 90791 90832 90837 | $110K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 30.3 | 49.8 | 33.2 | 44.8 | 337 | 1 | 90791 90832 90837 | $122K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 28.2 | 46.4 | 30.9 | 42.2 | 321 | 1 | 90791 90837 | $110K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 28.3 | 46.7 | 31.1 | 46.0 | 323 | 1 | 90791 90832 90837 | $114K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 27.5 | 45.3 | 30.2 | 40.7 | 294 | 1 | 90791 90832 90837 | $110K |
| Sep 2023 | More hours than a day holds at a conservative unit price | 23.9 | 39.4 | 26.3 | 37.5 | 313 | 1 | 90791 90837 | $94K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 30.1 | 49.5 | 33.0 | 46.5 | 368 | 1 | 90791 90832 90837 | $121K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 35.7 | 58.3 | 38.9 | 53.0 | 444 | 1 | 90791 90832 90837 | $139K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 25.7 | 42.2 | 28.2 | 41.6 | 372 | 1 | 90791 90832 90837 | $104K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 32.7 | 42.5 | 28.3 | 38.2 | 390 | 1 | 90791 90832 90837 | $131K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 31.6 | 41.0 | 27.3 | 37.8 | 377 | 1 | 90791 90832 90837 | $119K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 24.9 | 32.3 | 21.5 | 31.7 | 353 | 1 | 90791 90832 90837 | $100K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 26.7 | 33.6 | 22.4 | 30.6 | 330 | 1 | 90791 90832 90837 | $101K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 25.5 | 33.1 | 22.1 | 29.7 | 330 | 1 | 90791 90832 90837 | $103K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 25.0 | 32.2 | 21.4 | 32.2 | 332 | 1 | 90791 90832 90837 | $97K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 27.5 | 35.2 | 23.5 | 31.6 | 370 | 1 | 90791 90832 90837 | $110K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 26.0 | 34.1 | 22.8 | 32.1 | 357 | 1 | 90791 90832 90837 | $106K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 25.5 | 33.3 | 22.2 | 29.9 | 362 | 1 | 90791 90832 90837 | $104K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | PRECHELLE SHANNON |
| Type | Individual |
| Status | Active |
| NPI issued | April 27, 2017, last updated April 27, 2017 |
| Practice location | 12801 OLD FORT RD, SUITE 303, Fort Washington, MD 20744-2844, 240-423-5390 |
| Specialties | Counselor, Professional (101YP2500X, primary, license PRC14836 DC) |
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 | $3.0M | 92% | $365 | $191 (top 5% from $442) | 91st percentile | |
| 90791 | Psychiatric diagnostic evaluation | $232K | 7% | $154 | $105 (top 5% from $228) | 84th percentile | |
| 90832 | Psychotherapy, 30 minutes | $27K | 1% | $83 | $59 (top 5% from $239) | 72nd percentile |
In this area
16 providers in Prince George's County, MD carry an indicator in the public record, with $27.5M at stake between them. The most common is more hours than a day holds, on 11 of them, followed by part of a provider network on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | AMSTRONG CHAPAJONG Glenarden, MD, ranked 109 | $232K |
|
| 3 | CAPITAL HOSPICE Greenbelt, MD, ranked 784 | $1.5M |
|
| 3 | MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC. Greenbelt, MD, ranked 1191 | $389K |
|
| 4 | JAVAKA MOORE Forestville, MD, ranked 7381 | $8.8M |
|
| 4 | CHINEDU AKUBUDIKE Riverdale, MD, ranked 7450 | $5.1M |
|
| 4 | KADDIE KALLON Laurel, MD, ranked 7956 | $440K |
|
| 4 | ADEBISI ALLISON Laurel, MD, ranked 7957 | $436K |
|
| 4 | TRISTAN SHOCKLEY Laurel, MD, ranked 8148 | $1.7M |
|
Recent enforcement in MD
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.