KATHY ANN MARTIN, lmsw
NPI 1174874077, individual, Poteau, OK, Social Worker
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KATHY ANN MARTIN, lmsw |
| Type | Individual |
| Status | Active |
| NPI issued | October 2, 2012, last updated February 5, 2025 |
| Practice location | 204 WALL ST, SUITE A, Poteau, OK 74953-4400, 918-647-2155 |
| Mailing address | PO BOX 179, Stigler, OK 74462-0179 |
| Specialties | Social Worker (104100000X, primary, license 3640 OK) |
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 | |
|---|---|---|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | $49K | 78% | $21 | $59 (top 5% from $239) | 21st percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $7K | 11% | $28 | $191 (top 5% from $442) | 6th percentile | |
| 90785 | Psychiatric services complicated by communication factor | $6K | 10% | $4.68 | $15 (top 5% from $35) | 16th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $279 | 0% | $9.30 | $105 (top 5% from $228) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 1,278 | 50 | $55K | $74 | $56 | 1.3x | 2.0x (90th percentile 3.5x) |
| 90837 | Psychotherapy, 1 hour | 232 | 25 | $19K | $142 | $109 | 1.3x | 1.6x (90th percentile 2.9x) |
| 90834 | Psychotherapy, 45 minutes | 96 | 22 | $6K | $75 | $74 | 1.0x | 2.0x (90th percentile 3.6x) |
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
4 providers in Le Flore County, OK carry an indicator in the public record, with $432K at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | WELCOME BACK HOME CARE, INC. Pocola, OK, ranked 2330 | $0 |
|
| 3 | THE OAKS HEALTHCARE CENTER - POTEAU, LLC Poteau, OK, ranked 4883 | $0 |
|
| 3 | POCOLA NURSING CENTER LLC Pocola, OK, ranked 7231 | $0 |
|
| 4 | DENNIS CARTER Poteau, OK, ranked 9251 | $432K |
|
Recent enforcement in OK
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.