KAREN ELIZABETH ROBERSON, RPT
NPI 1184836496, individual, Starkville, MS, Physical Therapist
- Hours beyond a day in 3 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2018 | More hours than a day holds at a conservative unit price | 2.2 | 39.5 | 26.4 | 37.7 | 57 | 1 | 97530 | $23K |
| Jul 2018 | More hours than a day holds at a conservative unit price | 2.0 | 39.0 | 26.0 | 36.6 | 65 | 1 | 97530 | $23K |
| Aug 2018 | More hours than a day holds at a conservative unit price | 2.5 | 48.4 | 32.3 | 43.5 | 76 | 1 | 97530 | $29K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KAREN ELIZABETH ROBERSON, RPT |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | May 7, 2007, last updated July 8, 2007 |
| Practice location | 1108 DR. MARTIN LUTHER KING JR. DRIVE WEST, Starkville, MS 39759, 662-418-0233 |
| Mailing address | 1108 DR. MARTIN LUTHER KING JR. DRIVE, Starkville, MS 39759 |
| Specialties | Physical Therapist (225100000X, primary, license PT 1706 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 | $304K | 100% | $235 | $124 (top 5% from $387) | 76th percentile | |
| 97116 | Therapy procedure for walking training, each 15 minutes | $466 | 0% | $39 | $30 (top 5% from $180) | too few months to rank |
In this area
2 providers in Oktibbeha County, MS carry an indicator in the public record, with $288K 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 | CATHERINE FANDEL Starkville, MS, ranked 9371 | $283K |
|
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.