Providers
All 15 in VA
CYNTHIA FREY, NP
NPI 1104042555, individual, Henrico, VA, Nurse Practitioner, Family
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 5 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99215 ($251 per patient-month) sit in the top 5% of every provider billing that code.
score 54 of 100, rank 7993, $308K at stake
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 |
|---|---|---|---|---|---|---|---|---|---|
| May 2024 | More hours than a day holds, even counting one unit per claim line | 29.0 | 13.2 | 8.8 | 11.8 | 210 | 1 | 90792 90833 99215 | $45K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 35.9 | 16.6 | 11.0 | 16.6 | 238 | 1 | 90792 90833 99215 | $55K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 25.4 | 17.6 | 11.7 | 15.8 | 225 | 1 | 90792 90833 99215 | $60K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 24.1 | 15.1 | 10.1 | 14.4 | 161 | 1 | 90833 99215 | $49K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 25.9 | 13.7 | 9.1 | 12.3 | 192 | 1 | 90792 90833 99215 | $46K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CYNTHIA FREY, NP |
| Type | Individual |
| Status | Active |
| NPI issued | April 17, 2007, last updated August 21, 2026 |
| Practice location | 1899 BILLINGSGATE CIR STE A, Henrico, VA 23238-4243, 804-928-5830 |
| Mailing address | 9702 GAYTON RD STE 219, Henrico, VA 23238-4907 |
| Specialties | Clinical Nurse Specialist, Psych/Mental Health, Adult (364SP0809X, license 2006011232 VA) Nurse Practitioner, Family (363LF0000X, primary, license 0024097886 VA) |
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 | |
|---|---|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $296K | 41% | $251 | $88 (top 5% from $210) | 97th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $168K | 23% | $113 | $49 (top 5% from $109) | 96th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $150K | 20% | $150 | $112 (top 5% from $313) | 71st percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $117K | 16% | $92 | $60 (top 5% from $133) | 80th percentile |
In this area
15 providers in Chesterfield County, VA carry an indicator in the public record, with $13.3M at stake between them. The most common is more hours than a day holds, on 8 of them, followed by part of a provider network on 4.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | THE ITHIEL GROUP, LLC Richmond, VA, ranked 1069 | $852K |
|
| 3 | JAMES RIVER HOME HEALTH CARE, LLC North Chesterfield, VA, ranked 1474 | $26K |
|
| 3 | TRINITY HOSPICE 2, LLC Richmond, VA, ranked 1658 | $1K |
|
| 3 | INTEGRITY HOME HEALTH INC Richmond, VA, ranked 1695 | $254 |
|
| 3 | JAMES RIVER HOME HEALTH CARE, LLC North Chesterfield, VA, ranked 4368 | $0 |
|
| 4 | DELIA ACUNA Chester, VA, ranked 7779 | $1.3M |
|
| 4 | DETRINA CRAWLEY North Chesterfield, VA, ranked 8413 | $4.9M |
|
| 4 | JAGDEEP KAHLON Midlothian, VA, ranked 8568 | $2.9M |
|
Recent enforcement in VA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedJun 23, 2026
U.S. Attorney’s Office announces charges against three defendants in the Eastern District of Virginia as part of national health care fraud takedown
Three defendants were charged with fraudulently billing Medicaid for mental health services that were not provided and with submitting false claims to Medicare through a straw-owned durable medical equipment company.
DOJSentencedJun 5, 2026
Medicaid service providers sentenced for false statements resulting in overbilling
Wright and Winfield instructed CCR employees to falsely claim in progress notes that children received therapeutic day treatment services from 2:00pm to 7:00pm, including providing prefilled progress note templates, resulting in overbilling to Medicaid.
DOJCivil settlementApr 27, 2026
Tri-Area Community Health Agrees to Pay $513,000 to Resolve Medicare Billing Allegations
Tri-Area Community Health billed Medicare for Annual Wellness Visits provided by pharmacists without appropriate physician supervision that were billed under the names of physicians not involved with the visits.
DOJSentencedMar 17, 2026
Six Sentenced in Healthcare Fraud Conspiracy that Stole $10 Million from Medicaid Over Six-Year Period
Six defendants conspired to submit false claims to Virginia Medicaid on behalf of 1st Adult N Pediatric Healthcare Services for nursing and personal care services that were not provided, including falsifying records and paying parents or guardians of patients for blank, signed nursing notes.
DOJIndictedMar 11, 2026
Victim Advisory- Divine Youth Case Updates
Divine Youth Counseling submitted more than $11 million in fraudulent Medicaid claims for Crisis Stabilization and Mobile Crisis services by falsely claiming two mental health professionals provided Team Treatment services and paid more than $470,000 in kickbacks in the form of hotel rooms for Medicaid recipients.
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.