DORIS ODELL RYAN, Ph.D., HSPP
NPI 1073567889, individual, Avon, IN, Psychologist, Clinical
- Hours beyond a day in 1 month, but with up to 4799 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 82% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 129.5 | 234.4 | 156.3 | 30.7 | 4799 | 1 | 90791 90832 90834 90837 90846 90847 H0004 H0034 H0038 H2014 T1016 | $1.2M |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DORIS ODELL RYAN, Ph.D., HSPP |
| Type | Individual |
| Status | Active |
| NPI issued | May 19, 2006, last updated September 19, 2017 |
| Practice location | 6655 US 36 EAST, CUMMINS BEHAVIORAL HEALTH SERVICES, Avon, IN 46123, 317-272-3330 |
| Mailing address | 5101 E US HIGHWAY 36, STE 100, Avon, IN 46123-6646 |
| Specialties | Psychologist, Clinical (103TC0700X, primary, license 20041969A IN) |
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 | |
|---|---|---|---|---|---|---|---|
| H2014 | Skills training and development per 15 minhistory of abuse | $3.9M | 80% | $491 | $298 (top 5% from $3K) | too few months to rank | |
| T1016 | Case management each 15 min | $528K | 11% | $72 | $98 (top 5% from $507) | too few months to rank | |
| H0031 | Medicaid service code | $101K | 2% | $77 | $100 (top 5% from $540) | too few months to rank | |
| H0004 | Behavioral health counseling and therapy per 15 minhistory of abuse | $95K | 2% | $161 | $174 (top 5% from $559) | too few months to rank | |
| T2022 | Case management per month | $84K | 2% | $817 | $286 (top 5% from $657) | too few months to rank | |
| H0038 | Self-help/peer services per 15 min | $52K | 1% | $197 | $147 (top 5% from $2K) | too few months to rank | |
| 90834 | Psychotherapy, 45 minutes | $47K | 1% | $88 | $101 (top 5% from $318) | too few months to rank | |
| H0015 | Alcohol/drug intensive outpatient per diemhistory of abuse | $39K | 1% | $223 | $666 (top 5% from $2K) | too few months to rank |
In this area
4 providers in Hendricks County, IN carry an indicator in the public record, with $56.0M at stake between them. The most common is part of a provider network, on 2 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PULASKI MEMORIAL HOSPITAL Avon, IN, ranked 5664 | $0 |
|
| 3 | PUTNAM COUNTY HOSPITAL Indianapolis, IN, ranked 6477 | $0 |
|
| 4 | ARMEN SARKISSIAN Avon, IN, ranked 7272 | $35.2M |
|
| 4 | ASHLEIGH WOODS Avon, IN, ranked 7350 | $20.8M |
|
Recent enforcement in IN
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.