KENNETH LEON MARTIN, MA, LPC
NPI 1093899007, individual, Columbia, SC, Counselor, Mental Health
- Billed more hands-on hours than a day holds in 6 months, peaking at 18.3 hours per day across 3 billing organizations.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 25.4 | 21.6 | 14.4 | 20.5 | 387 | 2 | 90834 90837 90846 90847 90853 | $78K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 24.8 | 21.7 | 14.5 | 19.5 | 357 | 2 | 90834 90837 90846 90847 90853 | $77K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 30.2 | 27.0 | 18.0 | 25.7 | 442 | 3 | 90791 90834 90837 90846 90847 90853 | $94K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 27.0 | 24.1 | 16.1 | 22.6 | 449 | 3 | 90791 90834 90837 90846 90847 90853 | $87K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 30.5 | 27.5 | 18.3 | 24.7 | 452 | 3 | 90791 90834 90837 90846 90847 90853 | $100K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 27.9 | 23.9 | 15.9 | 21.4 | 344 | 2 | 90834 90837 90846 90847 90853 | $87K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KENNETH LEON MARTIN, MA, LPC |
| Type | Individual |
| Status | Active |
| NPI issued | October 25, 2006, last updated September 6, 2011 |
| Practice location | 105 PACES BROOK AVE, #10518, Columbia, SC 29212-1642, 803-467-4125 |
| Specialties | Counselor, Mental Health (101YM0800X, primary, license 4941 SC) |
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 | $1.7M | 55% | $360 | $191 (top 5% from $442) | 91st percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $617K | 20% | $251 | $113 (top 5% from $277) | 93rd percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $258K | 9% | $217 | $130 (top 5% from $458) | 78th percentile | |
| 90834 | Psychotherapy, 45 minutes | $221K | 7% | $219 | $101 (top 5% from $318) | 87th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $107K | 4% | $151 | $105 (top 5% from $228) | 83rd percentile | |
| 90853 | Group psychotherapyhistory of abuse | $92K | 3% | $108 | $60 (top 5% from $332) | 75th percentile | |
| H2000 | Medicaid service code | $59K | 2% | $155 | $173 (top 5% from $548) | 41st percentile | |
| 90832 | Psychotherapy, 30 minutes | $1K | 0% | $90 | $59 (top 5% from $239) | too few months to rank |
In this area
3 providers in Lexington County, SC carry an indicator in the public record, with $1.7M 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 | LUTHERAN HOMES OF SC, INC. Chapin, SC, ranked 1104 | $666K |
|
| 4 | KERRY WHEELER Chapin, SC, ranked 9652 | $44K |
|
| 5 | RICHARD GUYTON Lexington, SC, ranked 11025 | $987K |
Recent enforcement in SC
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.