ALTHEA T CONLEY, MD., Ph.D.
NPI 1114995198, individual, Warren, AR, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 31 months, but with up to 517 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99233 ($342 per patient-month) sit in the top 5% of every provider billing that code.
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 2021 | More hours than a day holds, even counting one unit per claim line | 24.1 | 26.0 | 17.3 | 24.4 | 294 | 1 | 99223 99232 99233 99239 | $41K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 32.2 | 39.2 | 26.1 | 35.6 | 472 | 1 | 99223 99232 99233 99239 | $60K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 40.8 | 45.0 | 30.0 | 44.3 | 517 | 1 | 99223 99233 99239 | $72K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 31.3 | 44.4 | 29.6 | 40.4 | 431 | 1 | 99223 99233 99239 | $69K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 25.5 | 36.1 | 24.1 | 32.4 | 371 | 1 | 99223 99233 99239 | $58K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 28.0 | 37.4 | 24.9 | 34.9 | 471 | 1 | 99223 99233 99239 | $57K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 28.2 | 40.8 | 27.2 | 36.7 | 507 | 1 | 99223 99233 99239 | $69K |
| Jun 2022 | More hours than a day holds at a conservative unit price | 22.3 | 37.0 | 24.7 | 33.7 | 222 | 1 | 99223 99233 99239 | $58K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 24.3 | 36.5 | 24.3 | 32.8 | 298 | 1 | 99223 99233 99239 | $59K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 45.8 | 57.4 | 38.3 | 52.2 | 475 | 2 | 99214 99223 99233 99239 | $90K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 38.3 | 54.6 | 36.4 | 53.7 | 491 | 1 | 99223 99233 99239 | $88K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 28.2 | 37.4 | 24.9 | 34.0 | 350 | 1 | 99223 99233 99239 | $59K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 30.8 | 38.8 | 25.9 | 36.4 | 318 | 2 | 99214 99223 99233 99239 | $63K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 99.8 | 43.4 | 28.9 | 40.8 | 420 | 1 | 99223 99233 99239 | $75K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 62.7 | 47.0 | 31.4 | 43.9 | 450 | 1 | 99223 99233 99239 | $73K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 40.7 | 51.6 | 34.4 | 46.4 | 461 | 1 | 90792 99223 99233 99239 | $89K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 38.9 | 51.2 | 34.1 | 51.2 | 355 | 1 | 99223 99233 99239 | $84K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 37.9 | 47.8 | 31.9 | 43.0 | 293 | 1 | 99223 99233 99239 | $81K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 32.3 | 44.5 | 29.7 | 40.5 | 186 | 1 | 99223 99233 99239 | $73K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 34.1 | 44.5 | 29.7 | 43.8 | 211 | 1 | 99223 99233 99239 | $75K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 29.9 | 42.0 | 28.0 | 37.7 | 266 | 1 | 99223 99233 99239 | $71K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 36.9 | 49.6 | 33.1 | 47.3 | 379 | 2 | 99223 99233 99239 | $82K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 53.1 | 55.4 | 36.9 | 52.1 | 394 | 2 | 90792 99223 99233 99239 | $94K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 37.6 | 51.6 | 34.4 | 46.9 | 334 | 2 | 99223 99233 99239 | $85K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 31.0 | 38.0 | 25.3 | 37.4 | 289 | 2 | 99223 99233 99239 | $65K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 28.9 | 31.5 | 21.0 | 28.3 | 238 | 2 | 90792 99223 99233 99239 | $60K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 50.7 | 44.1 | 29.4 | 40.6 | 360 | 2 | 99223 99231 99232 99233 99239 | $76K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 57.8 | 36.6 | 24.4 | 36.0 | 376 | 1 | 99223 99231 99232 99233 99239 | $67K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 29.1 | 33.1 | 22.1 | 30.1 | 359 | 2 | 99223 99231 99232 99233 99239 | $59K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 29.0 | 35.6 | 23.7 | 32.0 | 358 | 2 | 99223 99231 99232 99233 99239 | $65K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 25.1 | 25.7 | 17.1 | 25.7 | 235 | 2 | 90792 99223 99231 99232 99233 99239 | $45K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ALTHEA T CONLEY, MD., Ph.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | March 8, 2006, last updated January 29, 2024 |
| Practice location | 404 S BRADLEY ST, Warren, AR 71671-3459, 870-367-2461 |
| Mailing address | PO BOX 10193, EL Dorado, AR 71730-0023 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license E4070 AR) |
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 | |
|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $1.6M | 64% | $342 | $96 (top 5% from $249) | 98th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $454K | 18% | $117 | $81 (top 5% from $170) | 79th percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $219K | 9% | $59 | $49 (top 5% from $101) | 63rd percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $126K | 5% | $128 | $67 (top 5% from $174) | 87th percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $57K | 2% | $358 | $37 (top 5% from $103) | 100th percentile | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $38K | 2% | $139 | $45 (top 5% from $110) | 98th percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $16K | 1% | $59 | $63 (top 5% from $137) | 45th percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $5K | 0% | $43 | $48 (top 5% from $80) | 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 |
|---|---|---|---|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 866 | 87 | $30K | $152 | $44 | 3.4x | 2.4x (90th percentile 4.0x) |
| 90792 | Psychiatric diagnostic evaluation with medical services | 49 | 47 | $6K | $325 | $156 | 2.1x | 2.2x (90th percentile 3.9x) |
| 99238 | Hospital discharge day management, 30 minutes or less | 90 | 82 | $5K | $151 | $73 | 2.1x | 2.6x (90th percentile 4.7x) |
| 90791 | Psychiatric diagnostic evaluation | 37 | 34 | $4K | $315 | $141 | 2.2x | 1.9x (90th percentile 3.6x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 42 | 18 | $2K | $182 | $71 | 2.6x | 2.6x (90th percentile 4.3x) |
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
30 providers in AR carry an indicator in the public record, with $31.2M at stake between them. The most common is more hours than a day holds, on 25 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 | PRESTIGE MEDICAL SUPPLY INC Jonesboro, AR, ranked 7 | $450K |
|
| 1 | ADAM MAASS Springdale, AR, ranked 305 | $7K |
|
| 1 | HANNAH HARRIS Fayetteville, AR, ranked 307 | $7K |
|
| 3 | KRAMEELAH BANKS Little Rock, AR, ranked 2462 | $0 |
|
| 3 | ARKANSAS BEHAVIORAL CENTER (ABC), LLC Little Rock, AR, ranked 5190 | $0 |
|
| 4 | CARL RIDDELL Little Rock, AR, ranked 7402 | $7.3M |
|
| 4 | NAVEEN PATIL Little Rock, AR, ranked 7428 | $5.9M |
|
| 4 | LAWRENCE LABBATE Little Rock, AR, ranked 7599 | $2.7M |
|
Recent enforcement in AR
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.