KATIE RENEE NEWTON, LPC
NPI 1124674940, individual, Fort Collins, CO, Counselor
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- 92% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 27.0 | 24.3 | 16.2 | 23.1 | 280 | 2 | 90791 90837 90847 | $74K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KATIE RENEE NEWTON, LPC |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | August 16, 2019, last updated October 28, 2022 |
| Practice location | 2120 MILESTONE DR STE 103, Fort Collins, CO 80525-5761, 970-829-8780 |
| Mailing address | 264 CAMINO DEL MUNDO, Fort Collins, CO 80524-8962 |
| Specialties | Counselor (101Y00000X, primary) |
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 | $802K | 92% | $337 | $191 (top 5% from $442) | 89th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $33K | 4% | $129 | $105 (top 5% from $228) | 73rd percentile | |
| H0032 | Medicaid service code | $21K | 2% | $56 | $98 (top 5% from $675) | 18th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $16K | 2% | $225 | $130 (top 5% from $458) | too few months to rank |
In this area
15 providers in Larimer County, CO carry an indicator in the public record, with $16.2M at stake between them. The most common is more hours than a day holds, on 10 of them, followed by part of a provider network on 5.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | REHABILITATION AND VISITING NURSE ASSOCIATION, LLC Loveland, CO, ranked 2027 | $0 |
|
| 3 | ALEXANDER HOME HEALTHCARE LLC Fort Collins, CO, ranked 2206 | $0 |
|
| 3 | STORYBROOK CARE & REHABILITATION LLC Fort Collins, CO, ranked 4140 | $0 |
|
| 3 | GSD INITIATIVE LLC Loveland, CO, ranked 4650 | $0 |
|
| 3 | CANYON COLORADO HOME CARE & HOSPICE LLC Loveland, CO, ranked 5811 | $0 |
|
| 4 | CLARK MCCOY Fort Collins, CO, ranked 7361 | $12.4M |
|
| 4 | JULIEN FAURE Fort Collins, CO, ranked 8217 | $636K |
|
| 4 | JILLIAN POPP Fort Collins, CO, ranked 8221 | $550K |
|
Recent enforcement in CO
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.