PAUL SCOTT FLACK, DMFT, LMFT
NPI 1124234349, individual, Woods Cross, UT, Marriage & Family Therapist
- Hours beyond a day in 2 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90837 ($1293 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2021 | More hours than a day holds at a conservative unit price | 5.8 | 38.6 | 25.7 | 36.2 | 49 | 1 | 90837 90853 | $242K |
| Aug 2021 | More hours than a day holds at a conservative unit price | 7.2 | 45.0 | 30.0 | 42.3 | 69 | 1 | 90837 90853 | $272K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | PAUL SCOTT FLACK, DMFT, LMFT |
| Type | Individual |
| Status | Active |
| NPI issued | May 15, 2007, last updated June 12, 2025 |
| Practice location | 512 W 750 S STE A, Woods Cross, UT 84010-7221, 801-935-8449 |
| Specialties | Marriage & Family Therapist (106H00000X, primary, license 5276452-3902 UT) |
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 | |
|---|---|---|---|---|---|---|---|
| H0018 | Behavioral health short-term residential per diem | $1.1M | 45% | $11K | $3K (top 5% from $7K) | too few months to rank | |
| 90853 | Group psychotherapyhistory of abuse | $824K | 35% | $5K | $60 (top 5% from $332) | 100th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $340K | 14% | $1K | $191 (top 5% from $442) | 100th percentile | |
| H0006 | Medicaid service code | $84K | 4% | $898 | $100 (top 5% from $371) | too few months to rank | |
| H2017 | Psychosocial rehabilitation services per 15 minhistory of abuse | $46K | 2% | $2K | $310 (top 5% from $1K) | too few months to rank | |
| 99354 | Prolonged service outpatient first hour (retired 2023) | $0 | 0% | $0.00 | $78 (top 5% from $222) | too few months to rank |
In this area
4 providers in Davis County, UT carry an indicator in the public record, with $449K at stake between them. The most common is more hours than a day holds, on 2 of them, followed by part of a provider network on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 2 | CASEY STELTER Layton, UT, ranked 748 | $30K |
|
| 3 | LEGACY HEALTH CARE INC Layton, UT, ranked 2199 | $0 |
|
| 3 | LEGACY HEALTH CARE, INC. Layton, UT, ranked 5768 | $0 |
|
| 5 | RHONDA SMITH Bountiful, UT, ranked 10300 | $419K |
|
Recent enforcement in UT
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.