CATHERINE RANDALL FANDEL, DPT
NPI 1184010985, individual, Starkville, MS, Physical Therapist
- Hours beyond a day in 6 months under one organization, which can be supervisory billing.
- Records needed.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Mar 2018 | More hours than a day holds at a conservative unit price | 2.6 | 40.3 | 26.9 | 37.8 | 87 | 1 | 97530 | $24K |
| Apr 2018 | More hours than a day holds at a conservative unit price | 2.2 | 42.3 | 28.2 | 40.3 | 79 | 1 | 97530 | $25K |
| May 2018 | More hours than a day holds at a conservative unit price | 2.6 | 47.7 | 31.8 | 42.8 | 91 | 1 | 97530 | $29K |
| Jun 2018 | More hours than a day holds at a conservative unit price | 2.1 | 38.7 | 25.8 | 36.8 | 89 | 1 | 97530 | $23K |
| Jul 2018 | More hours than a day holds at a conservative unit price | 1.7 | 37.0 | 24.7 | 34.7 | 71 | 1 | 97530 | $22K |
| Aug 2018 | More hours than a day holds at a conservative unit price | 1.8 | 41.7 | 27.8 | 37.4 | 73 | 1 | 97530 | $25K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CATHERINE RANDALL FANDEL, DPT |
| Type | Individual |
| Status | Active |
| NPI issued | April 9, 2015, last updated April 9, 2015 |
| Practice location | 1411 HIGHWAY 389, Starkville, MS 39759-8451, 662-769-4888 |
| Mailing address | 430 HUNTINGTON CT, New Albany, MS 38652-1912 |
| Specialties | Physical Therapist (225100000X, primary, license PT 5604 MS) |
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 | |
|---|---|---|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | $363K | 100% | $265 | $124 (top 5% from $387) | 82nd percentile |
In this area
2 providers in Oktibbeha County, MS carry an indicator in the public record, with $213K at stake between them. The most common is paid after a public list action, on 1 of them, followed by more hours than a day holds on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | BENJAMIN SANFORD Starkville, MS, ranked 320 | $5K |
|
| 4 | KAREN ROBERSON Starkville, MS, ranked 9462 | $207K |
|
Recent enforcement in MS
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.