Providers

ALTHEA T CONLEY, MD., Ph.D.

NPI 1114995198, individual, Warren, AR, Psychiatry & Neurology, Psychiatry

4
Evidence tier
structure or single-organization volume
  • 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.
score 55 of 100, rank 7632, $2.4M 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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Aug 2021More hours than a day holds, even counting one unit per claim line24.126.017.324.4294199223 99232 99233 99239$41K
Sep 2021More hours than a day holds, even counting one unit per claim line32.239.226.135.6472199223 99232 99233 99239$60K
Oct 2021More hours than a day holds, even counting one unit per claim line40.845.030.044.3517199223 99233 99239$72K
Nov 2021More hours than a day holds, even counting one unit per claim line31.344.429.640.4431199223 99233 99239$69K
Dec 2021More hours than a day holds, even counting one unit per claim line25.536.124.132.4371199223 99233 99239$58K
Feb 2022More hours than a day holds, even counting one unit per claim line28.037.424.934.9471199223 99233 99239$57K
Mar 2022More hours than a day holds, even counting one unit per claim line28.240.827.236.7507199223 99233 99239$69K
Jun 2022More hours than a day holds at a conservative unit price22.337.024.733.7222199223 99233 99239$58K
Aug 2022More hours than a day holds, even counting one unit per claim line24.336.524.332.8298199223 99233 99239$59K
Sep 2022More hours than a day holds, even counting one unit per claim line45.857.438.352.2475299214 99223 99233 99239$90K
Oct 2022More hours than a day holds, even counting one unit per claim line38.354.636.453.7491199223 99233 99239$88K
Nov 2022More hours than a day holds, even counting one unit per claim line28.237.424.934.0350199223 99233 99239$59K
Dec 2022More hours than a day holds, even counting one unit per claim line30.838.825.936.4318299214 99223 99233 99239$63K
Jan 2023More hours than a day holds, even counting one unit per claim line99.843.428.940.8420199223 99233 99239$75K
Feb 2023More hours than a day holds, even counting one unit per claim line62.747.031.443.9450199223 99233 99239$73K
Mar 2023More hours than a day holds, even counting one unit per claim line40.751.634.446.4461190792 99223 99233 99239$89K
Apr 2023More hours than a day holds, even counting one unit per claim line38.951.234.151.2355199223 99233 99239$84K
May 2023More hours than a day holds, even counting one unit per claim line37.947.831.943.0293199223 99233 99239$81K
Jun 2023More hours than a day holds, even counting one unit per claim line32.344.529.740.5186199223 99233 99239$73K
Jul 2023More hours than a day holds, even counting one unit per claim line34.144.529.743.8211199223 99233 99239$75K
Aug 2023More hours than a day holds, even counting one unit per claim line29.942.028.037.7266199223 99233 99239$71K
Sep 2023More hours than a day holds, even counting one unit per claim line36.949.633.147.3379299223 99233 99239$82K
Oct 2023More hours than a day holds, even counting one unit per claim line53.155.436.952.1394290792 99223 99233 99239$94K
Nov 2023More hours than a day holds, even counting one unit per claim line37.651.634.446.9334299223 99233 99239$85K
Dec 2023More hours than a day holds, even counting one unit per claim line31.038.025.337.4289299223 99233 99239$65K
Jan 2024More hours than a day holds, even counting one unit per claim line28.931.521.028.3238290792 99223 99233 99239$60K
Feb 2024More hours than a day holds, even counting one unit per claim line50.744.129.440.6360299223 99231 99232 99233 99239$76K
Mar 2024More hours than a day holds, even counting one unit per claim line57.836.624.436.0376199223 99231 99232 99233 99239$67K
Apr 2024More hours than a day holds, even counting one unit per claim line29.133.122.130.1359299223 99231 99232 99233 99239$59K
May 2024More hours than a day holds, even counting one unit per claim line29.035.623.732.0358299223 99231 99232 99233 99239$65K
Jun 2024More hours than a day holds, even counting one unit per claim line25.125.717.125.7235290792 99223 99231 99232 99233 99239$45K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameALTHEA T CONLEY, MD., Ph.D.
TypeIndividual, sole proprietor
StatusActive
NPI issuedMarch 8, 2006, last updated January 29, 2024
Practice location404 S BRADLEY ST, Warren, AR 71671-3459, 870-367-2461
Mailing addressPO 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$1.6M64%$342$96 (top 5% from $249)98th percentile
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$454K18%$117$81 (top 5% from $170)79th percentile
99239Hospital discharge day management, more than 30 minutes$219K9%$59$49 (top 5% from $101)63rd percentile
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$126K5%$128$67 (top 5% from $174)87th percentile
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes$57K2%$358$37 (top 5% from $103)100th percentile
80307Testing for presence of drug, by chemistry analyzers$38K2%$139$45 (top 5% from $110)98th percentile
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes$16K1%$59$63 (top 5% from $137)45th percentile
99238Hospital discharge day management, 30 minutes or less$5K0%$43$48 (top 5% from $80)too few months to rank
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes86687$30K$152$443.4x2.4x (90th percentile 4.0x)
90792Psychiatric diagnostic evaluation with medical services4947$6K$325$1562.1x2.2x (90th percentile 3.9x)
99238Hospital discharge day management, 30 minutes or less9082$5K$151$732.1x2.6x (90th percentile 4.7x)
90791Psychiatric diagnostic evaluation3734$4K$315$1412.2x1.9x (90th percentile 3.6x)
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4218$2K$182$712.6x2.6x (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.

tierproviderat stakewhy
1PRESTIGE MEDICAL SUPPLY INC
Jonesboro, AR, ranked 7
$450K
  • Listed on the Medicare revocation list since September 14, 2023.
  • Medicaid still paid claims in 14 later months, $450,238 in total.
  • and 1 more
1ADAM MAASS
Springdale, AR, ranked 305
$7K
  • Listed on the MO Medicaid exclusion list since August 13, 2021.
  • Medicaid still paid claims in 5 later months, $7,326 in total.
1HANNAH HARRIS
Fayetteville, AR, ranked 307
$7K
  • Listed on the Medicare revocation list since November 8, 2021.
  • Medicaid still paid claims in 2 later months, $6,844 in total.
3KRAMEELAH BANKS
Little Rock, AR, ranked 2462
$0
  • Charged (indicted) per a Department of Justice release dated November 19, 2025, not adjudicated.
3ARKANSAS BEHAVIORAL CENTER (ABC), LLC
Little Rock, AR, ranked 5190
$0
  • Charged (indicted) per a Department of Justice release dated November 19, 2025, not adjudicated.
4CARL RIDDELL
Little Rock, AR, ranked 7402
$7.3M
  • Hours beyond a day in 44 months, but with up to 2850 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4NAVEEN PATIL
Little Rock, AR, ranked 7428
$5.9M
  • Hours beyond a day in 24 months, but with up to 955 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4LAWRENCE LABBATE
Little Rock, AR, ranked 7599
$2.7M
  • Hours beyond a day in 12 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
All 30 in AR

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.

Ask this case

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