KIMBERLY WHITCHARD, PHD
NPI 1104192954, individual, Foley, AL, Psychologist, Clinical
- Hours beyond a day in 3 months, but with up to 964 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 2019 | More hours than a day holds, even counting one unit per claim line | 63.1 | 51.7 | 34.5 | 47.0 | 964 | 1 | 90791 90837 90847 96130 96132 96133 | $114K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 40.9 | 36.3 | 24.2 | 32.6 | 665 | 1 | 90791 90837 90847 96130 | $81K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 28.9 | 23.5 | 15.6 | 23.5 | 460 | 1 | 90791 90837 90847 96130 | $51K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KIMBERLY WHITCHARD, PHD |
| Type | Individual |
| Status | Active |
| NPI issued | March 27, 2012, last updated February 7, 2025 |
| Practice location | 22394 MIFLIN RD STE 201B, Foley, AL 36535-9593, 251-943-6213 |
| Mailing address | 504 GARDEN CLUB DR, Deland, FL 32724-7327 |
| Specialties | Psychologist (103T00000X, license 11213 FL) Psychologist, Clinical (103TC0700X, primary, license 850 AL) |
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 | $129K | 44% | $115 | $191 (top 5% from $442) | too few months to rank | |
| 90847 | Family psychotherapy with patient, 50 minutes | $126K | 43% | $112 | $130 (top 5% from $458) | too few months to rank | |
| 90791 | Psychiatric diagnostic evaluation | $17K | 6% | $51 | $105 (top 5% from $228) | 18th percentile | |
| 96130 | Evaluation of psychological test, first hour | $10K | 3% | $69 | $84 (top 5% from $233) | too few months to rank | |
| 96116 | Exam of neurobehavioral status, first hour | $5K | 2% | $67 | $59 (top 5% from $351) | too few months to rank | |
| 90785 | Psychiatric services complicated by communication factor | $3K | 1% | $4.61 | $15 (top 5% from $35) | too few months to rank | |
| 96133 | Evaluation of neuropsychological test, each additional hour | $1K | 0% | $116 | $238 (top 5% from $751) | too few months to rank | |
| 96132 | Evaluation of neuropsychological test, first hour | $1K | 0% | $96 | $92 (top 5% from $247) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 561 | 205 | $30K | $151 | $69 | 2.2x | 2.0x (90th percentile 3.5x) |
| 90791 | Psychiatric diagnostic evaluation | 182 | 176 | $21K | $311 | $145 | 2.1x | 1.9x (90th percentile 3.6x) |
| 90834 | Psychotherapy, 45 minutes | 28 | 13 | $2K | $199 | $89 | 2.2x | 2.0x (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
75 providers in AL carry an indicator in the public record, with $75.0M at stake between them. The most common is more hours than a day holds, on 48 of them, followed by part of a provider network on 19. 6 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DEBORAH FORD Andalusia, AL, ranked 44 | $37K |
|
| 1 | TOMMIE ROBINSON Owens Cross Roads, AL, ranked 217 | $33K |
|
| 1 | RENITA BROWN Oxford, AL, ranked 295 | $9K |
|
| 1 | CARE COMPLETE MEDICAL CLINIC(CCMC)LLC Birmingham, AL, ranked 313 | $6K |
|
| 1 | HASAN PULLIAM Anniston, AL, ranked 567 | $0 |
|
| 1 | FRANCENE GAYLE Huntsville, AL, ranked 672 | $0 |
|
| 3 | ASERACARE HOSPICE - HAMILITON, LLC Hamilton, AL, ranked 1036 | $1.1M |
|
| 3 | HOMESTEAD HOSPICE OF CAHABA, LLC Selma, AL, ranked 1404 | $60K |
|
Recent enforcement in AL
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.