JANE ANNE EMERSON, M.D.
NPI 1164479531, individual, Columbia, MO, Physical Medicine & Rehabilitation
- Hours beyond a day in 6 months, but with up to 89 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 97110 ($3873 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 2018 | More hours than a day holds at a conservative unit price | 1.1 | 97.5 | 65.0 | 65.7 | 36 | 1 | 97110 97112 97530 99231 | $345K |
| Oct 2018 | More hours than a day holds at a conservative unit price | 2.0 | 107.6 | 71.7 | 55.7 | 62 | 1 | 97110 97112 97530 97535 | $347K |
| Nov 2018 | More hours than a day holds at a conservative unit price | 2.7 | 60.2 | 40.1 | 40.9 | 75 | 1 | 92507 97110 97112 97530 97535 99213 | $190K |
| Dec 2018 | More hours than a day holds at a conservative unit price | 1.6 | 95.0 | 63.3 | 73.7 | 59 | 1 | 97110 97112 97530 97535 99214 | $313K |
| Apr 2019 | More hours than a day holds at a conservative unit price | 2.5 | 243.8 | 162.5 | 106.4 | 74 | 1 | 97110 97112 97530 97535 | $805K |
| May 2019 | More hours than a day holds at a conservative unit price | 1.6 | 94.4 | 62.9 | 38.6 | 45 | 1 | 97110 97112 97530 99213 | $318K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JANE ANNE EMERSON, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | May 30, 2006, last updated September 14, 2022 |
| Practice location | 315 W BUSINESS LOOP 70, Columbia, MO 65203-3248, 573-884-0033 |
| Mailing address | PO BOX 7687, Columbia, MO 65205-7687 |
| Specialties | Physical Medicine & Rehabilitation (208100000X, primary, license 110552 MO) |
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 | |
|---|---|---|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $1.7M | 35% | $4K | $59 (top 5% from $187) | 100th percentile | |
| 97530 | Therapy procedure using functional activities | $1.7M | 34% | $2K | $124 (top 5% from $387) | 100th percentile | |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $822K | 17% | $4K | $76 (top 5% from $314) | 100th percentile | |
| 97535 | Training for self-care or home management, each 15 minutes | $207K | 4% | $1K | $48 (top 5% from $459) | 98th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $144K | 3% | $120 | $60 (top 5% from $133) | 92nd percentile | |
| 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | $83K | 2% | $2K | $190 (top 5% from $477) | too few months to rank | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $76K | 2% | $252 | $67 (top 5% from $174) | 99th percentile | |
| G0463 | Medicaid service code | $74K | 1% | $82 | $73 (top 5% from $142) | 57th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 122 | 68 | $7K | $181 | $78 | 2.3x | 2.6x (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
10 providers in Boone County, MO carry an indicator in the public record, with $2.9M at stake between them. The most common is more hours than a day holds, on 6 of them, followed by named in an enforcement record on 3. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JERRY BRUGGEMAN Columbia, MO, ranked 422 | $433 |
|
| 3 | JONATHAN MORRIS Columbia, MO, ranked 1217 | $326K |
|
| 3 | BOONE COUNTY SENIOR CITIZEN SERVICE CORPORATION Columbia, MO, ranked 4804 | $0 |
|
| 3 | COLUMBIA URGENT CARE, INC Columbia, MO, ranked 7066 | $0 |
|
| 4 | KYLA JANSEN Columbia, MO, ranked 8519 | $33K |
|
| 4 | ERIC BARNES Columbia, MO, ranked 9127 | $637K |
|
| 4 | KRISTAL ALLEN Columbia, MO, ranked 9248 | $4K |
|
| 5 | TRACY STROUD Columbia, MO, ranked 10028 | $1.5M |
|
Recent enforcement in MO
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.