VERA F PARKER, MSEd LCPC
NPI 1104942895, individual, Billings, MT, Counselor, Professional
- Hours beyond a day in 2 months under one organization, which can be supervisory billing.
- Records needed.
- 100% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 36.8 | 2.6 | 1.7 | 2.4 | 32 | 1 | 90837 | $7K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 41.3 | 2.2 | 1.5 | 2.1 | 33 | 1 | 90837 | $6K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | VERA F PARKER, MSEd LCPC |
| Type | Individual |
| Status | Active |
| NPI issued | March 22, 2007, last updated July 8, 2007 |
| Practice location | 1925 GRAND AVE, #117, Billings, MT 59102, 406-255-7766 |
| Specialties | Counselor, Professional (101YP2500X, primary, license 528LCPC MT) |
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 | $348K | 100% | $216 | $191 (top 5% from $442) | 60th percentile |
In this area
18 providers in MT carry an indicator in the public record, with $1.4M at stake between them. The most common is part of a provider network, on 12 of them, followed by paid after a public list action on 3. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JONATHAN WILHELM Belgrade, MT, ranked 238 | $21K |
|
| 1 | TRISTAN SVEJKOVSKY Butte, MT, ranked 379 | $1K |
|
| 1 | ERIC THOMAS Helena, MT, ranked 447 | $100 |
|
| 3 | LIVING CENTRE LIMITED Stevensville, MT, ranked 1114 | $618K |
|
| 3 | EDEN HOME HEALTH OF BOZEMAN, LLC Bozeman, MT, ranked 2580 | $0 |
|
| 3 | EDEN HOSPICE AT WESTERN MONTANA, LLC Bozeman, MT, ranked 3324 | $0 |
|
| 3 | DISCOVERY CARE CENTRE, LLC Hamilton, MT, ranked 3405 | $0 |
|
| 3 | SWEETWATER DILLON OPCO LLC Dillon, MT, ranked 3743 | $0 |
|
Recent enforcement in MT
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.