Providers

EARLENE E. STRAYHORN, MD

NPI 1134211246, individual, Ewa Beach, HI, Psychiatry & Neurology, Child & Adolescent Psychiatry

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 18 months, but with up to 1326 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • 64% of Medicaid dollars are on codes with a history of abuse.
score 53 of 100, rank 8137, $1.9M 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
Jan 2018More hours than a day holds, even counting one unit per claim line26.032.821.829.4696290791 90832 90834 90837 90847 90853 99213 99214$71K
Feb 2018More hours than a day holds, even counting one unit per claim line27.536.124.133.7755290791 90832 90834 90837 90847 99213 99214$72K
Mar 2018More hours than a day holds, even counting one unit per claim line25.830.820.529.0678290791 90832 90834 90837 90847 99214$66K
Apr 2018More hours than a day holds, even counting one unit per claim line29.836.224.134.5819290791 90832 90834 90837 90847 90853 99214$75K
May 2018More hours than a day holds, even counting one unit per claim line31.838.225.434.3838290791 90832 90834 90837 90846 90847 99214$81K
Aug 2018More hours than a day holds, even counting one unit per claim line27.937.425.033.6792290791 90834 90837 90847 99214$81K
Sep 2018More hours than a day holds, even counting one unit per claim line34.545.330.245.3916290791 90832 90834 90837 90846 90847 99213 99214$95K
Oct 2018More hours than a day holds, even counting one unit per claim line41.654.336.248.81131290791 90832 90834 90837 90847 99213 99214$117K
Nov 2018More hours than a day holds, even counting one unit per claim line40.952.535.047.71083290791 90832 90834 90837 90846 90847 99213 99214$108K
Dec 2018More hours than a day holds, even counting one unit per claim line35.747.131.446.31039290791 90832 90834 90837 90846 90847 99213 99214$101K
Jan 2019More hours than a day holds, even counting one unit per claim line38.843.228.838.8937290791 90832 90834 90837 90847 99213 99214$102K
Feb 2019More hours than a day holds, even counting one unit per claim line49.858.939.355.01151290791 90832 90834 90837 90846 90847 99213 99214$127K
Mar 2019More hours than a day holds, even counting one unit per claim line42.152.334.951.51137290791 90832 90834 90837 90847 99213 99214$123K
Apr 2019More hours than a day holds, even counting one unit per claim line54.468.745.862.51326290791 90832 90834 90837 90846 90847 99213 99214$157K
May 2019More hours than a day holds, even counting one unit per claim line46.856.437.650.71263290791 90832 90834 90837 90846 90847 99213 99214$134K
Jun 2019More hours than a day holds, even counting one unit per claim line25.530.720.530.7713290791 90834 90837 90847 99213 99214$73K
Aug 2019More hours than a day holds, even counting one unit per claim line31.134.122.732.0808290791 90834 90837 90847 99214$80K
Sep 2019More hours than a day holds, even counting one unit per claim line44.550.333.547.91137290791 90792 90832 90834 90837 90847 99214$112K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameEARLENE E. STRAYHORN, MD
TypeIndividual
StatusActive
NPI issuedSeptember 28, 2006, last updated July 21, 2023
Practice location91-2301 OLD FT WEAVER RD, Ewa Beach, HI 96706-3602, 808-677-2587
Mailing address2285 SEQUOIA DR, Aurora, IL 60506-6209
Specialties
Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, license 036070318 IL)
Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, license 01074448A IN)
Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, primary, license MD-21366 HI)

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
H2014Skills training and development per 15 minhistory of abuse$1.6M30%$549$298 (top 5% from $3K)71st percentile
H0004Behavioral health counseling and therapy per 15 minhistory of abuse$1.1M20%$497$174 (top 5% from $559)94th percentile
90837Psychotherapy, 1 hourhistory of abuse$717K13%$144$191 (top 5% from $442)28th percentile
T1016Case management each 15 min$475K9%$100$98 (top 5% from $507)50th percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$451K8%$95$60 (top 5% from $133)82nd percentile
90847Family psychotherapy with patient, 50 minutes$366K7%$78$130 (top 5% from $458)17th percentile
90834Psychotherapy, 45 minutes$216K4%$88$101 (top 5% from $318)42nd percentile
H0005Medicaid service code$118K2%$161$129 (top 5% from $479)63rd percentile

In this area

19 providers in Honolulu County, HI carry an indicator in the public record, with $568K at stake between them. The most common is part of a provider network, on 16 of them, followed by named in an enforcement record on 2. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1LELAND DAO
Haleiwa, HI, ranked 239
$21K
  • Listed on the Medicare revocation list since September 18, 2020.
  • Medicaid still paid claims in 27 later months, $21,135 in total.
3WESTERN HEALTH RESOURCES
Kaneohe, HI, ranked 1230
$294K
  • Part of provider network D1-00071, ranked 71 nationally.
3B.C.P., INC.
Honolulu, HI, ranked 1306
$156K
  • Part of provider network D1-00127, ranked 127 nationally.
3BRISTOL HOSPICE - HAWAII, LLC
Honolulu, HI, ranked 1365
$92K
  • Part of provider network D1-00104, ranked 104 nationally.
3PRIME CARE SERVICES HAWAII INC
Honolulu, HI, ranked 1601
$4K
  • Part of provider network D1-00104, ranked 104 nationally.
3ANN PEARL CARE HOME, INC
Kaneohe, HI, ranked 2595
$0
  • Part of provider network D1-00104, ranked 104 nationally.
3LILIHA KUPUNA SNF, LLC.
Honolulu, HI, ranked 2771
$0
  • Part of provider network D1-00104, ranked 104 nationally.
3DANIEL K AKAKA STATE VETERANS HOME
Kapolei, HI, ranked 4263
$0
  • Part of provider network D1-00104, ranked 104 nationally.
All 19 in HI

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.

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