FEHINTOLA OGUNSAKIN, RN, MSN, APN, FNP-C
NPI 1134526759, individual, Elizabeth, NJ, Nurse Practitioner, Psych/Mental Health
- Hours beyond a day in 2 months, but with up to 798 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 90792 ($365 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 |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 25.1 | 27.6 | 18.4 | 25.1 | 756 | 1 | 90792 90833 90847 99214 99215 | $113K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 24.3 | 26.6 | 17.8 | 26.2 | 798 | 1 | 90792 90833 90847 99214 99215 | $125K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | FEHINTOLA OGUNSAKIN, RN, MSN, APN, FNP-C |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | November 25, 2014, last updated January 31, 2019 |
| Practice location | 288 N BROAD ST FL 2A, Elizabeth, NJ 07208-3711, 908-291-3151 |
| Mailing address | 7 SELMA LN, Hazlet, NJ 07730-2475 |
| Specialties | Nurse Practitioner, Family (363LF0000X, license 26NJ00536600 NJ) Nurse Practitioner, Psych/Mental Health (363LP0808X, primary, license 26NJ00536600 NJ) |
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 | |
|---|---|---|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $764K | 24% | $104 | $49 (top 5% from $109) | 94th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $604K | 19% | $83 | $60 (top 5% from $133) | 73rd percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $466K | 15% | $157 | $130 (top 5% from $458) | 63rd percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $448K | 14% | $365 | $112 (top 5% from $313) | 96th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $388K | 12% | $117 | $88 (top 5% from $210) | 69th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $221K | 7% | $53 | $44 (top 5% from $110) | 63rd percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $139K | 4% | $143 | $113 (top 5% from $277) | 68th percentile | |
| 90832 | Psychotherapy, 30 minutes | $63K | 2% | $68 | $59 (top 5% from $239) | 60th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 220 | 17 | $14K | $148 | $85 | 1.8x | 2.2x (90th percentile 3.8x) |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 230 | 18 | $12K | $110 | $65 | 1.7x | 2.1x (90th percentile 3.5x) |
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
10 providers in Union County, NJ carry an indicator in the public record, with $17.0M at stake between them. The most common is more hours than a day holds, on 7 of them, followed by paid after a public list action on 2. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | STUART RICE Summit, NJ, ranked 296 | $9K |
|
| 1 | STEVEN BROWNSTEIN Springfield, NJ, ranked 435 | $199 |
|
| 1 | ELITE PHARMACY, INC Linden, NJ, ranked 588 | $0 |
|
| 4 | EDGARDO TAN Elizabeth, NJ, ranked 7312 | $1.7M |
|
| 4 | TREVOR FORBES Springfield, NJ, ranked 7459 | $4.8M |
|
| 4 | IROKA IFEGWU Union, NJ, ranked 7672 | $2.1M |
|
| 4 | KAMRAN TASHAROFI Garwood, NJ, ranked 8571 | $2.9M |
|
| 4 | VIPIN GARG Elizabeth, NJ, ranked 8582 | $2.8M |
|
Recent enforcement in NJ
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.