LAURA HENRICHS CARDELLA, MD
NPI 1194887802, individual, Rochester, NY, Psychiatry & Neurology, Child & Adolescent Psychiatry
- Hours beyond a day in 24 months, but with up to 781 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 99214 ($415 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds at a conservative unit price | 21.7 | 39.3 | 26.2 | 35.3 | 429 | 1 | 90791 90832 90834 90853 99212 99213 99214 | $84K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 24.7 | 45.0 | 30.0 | 42.0 | 439 | 1 | 90791 90832 90834 90846 90853 99212 99213 99214 | $86K |
| Aug 2022 | More hours than a day holds at a conservative unit price | 11.0 | 81.8 | 54.5 | 33.4 | 540 | 1 | 90791 90832 90834 90846 90847 90853 99213 99214 99215 99401 99417 H2011 | $251K |
| Oct 2022 | More hours than a day holds at a conservative unit price | 12.5 | 86.5 | 57.7 | 41.8 | 610 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 99401 99417 H2011 | $262K |
| Nov 2022 | More hours than a day holds at a conservative unit price | 19.1 | 91.7 | 61.1 | 83.3 | 599 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 99417 | $229K |
| Dec 2022 | More hours than a day holds at a conservative unit price | 19.1 | 92.1 | 61.4 | 86.5 | 611 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 99417 | $236K |
| Jan 2023 | More hours than a day holds at a conservative unit price | 16.9 | 85.6 | 57.1 | 80.4 | 513 | 1 | 90791 90832 90834 90837 90846 90847 90853 99214 | $209K |
| Feb 2023 | More hours than a day holds at a conservative unit price | 17.0 | 98.3 | 65.6 | 91.8 | 478 | 1 | 90791 90832 90834 90837 90846 90847 90853 99401 | $214K |
| Mar 2023 | More hours than a day holds at a conservative unit price | 22.1 | 121.5 | 81.0 | 109.2 | 644 | 1 | 90791 90832 90834 90837 90846 90847 90853 99214 99215 99417 | $303K |
| Apr 2023 | More hours than a day holds at a conservative unit price | 17.7 | 91.9 | 61.3 | 91.9 | 563 | 1 | 90791 90832 90834 90837 90846 90847 90853 99214 99215 | $222K |
| May 2023 | More hours than a day holds at a conservative unit price | 17.7 | 95.4 | 63.6 | 85.8 | 581 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 99417 | $243K |
| Jun 2023 | More hours than a day holds at a conservative unit price | 19.1 | 97.9 | 65.3 | 89.0 | 600 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 99417 | $244K |
| Jul 2023 | More hours than a day holds at a conservative unit price | 18.4 | 96.2 | 64.2 | 94.7 | 609 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 99417 | $243K |
| Aug 2023 | More hours than a day holds at a conservative unit price | 19.6 | 101.3 | 67.6 | 91.0 | 613 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 99417 | $257K |
| Sep 2023 | More hours than a day holds at a conservative unit price | 19.2 | 99.9 | 66.6 | 95.1 | 583 | 1 | 90791 90832 90834 90837 90846 90847 90853 99214 99215 99417 | $242K |
| Oct 2023 | More hours than a day holds at a conservative unit price | 21.4 | 109.7 | 73.2 | 103.1 | 660 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 | $275K |
| Nov 2023 | More hours than a day holds at a conservative unit price | 20.1 | 106.7 | 71.1 | 97.0 | 611 | 1 | 90791 90832 90834 90837 90846 90853 99213 99214 99215 | $254K |
| Dec 2023 | More hours than a day holds at a conservative unit price | 17.9 | 91.1 | 60.8 | 89.7 | 593 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 99417 | $228K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 25.2 | 109.5 | 73.0 | 98.4 | 765 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 99417 | $317K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 26.9 | 118.1 | 78.7 | 108.7 | 781 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 99417 | $318K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 24.1 | 109.0 | 72.7 | 107.3 | 747 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 99401 99417 | $310K |
| Apr 2024 | More hours than a day holds at a conservative unit price | 23.6 | 103.9 | 69.3 | 94.5 | 712 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 99417 | $291K |
| May 2024 | More hours than a day holds at a conservative unit price | 23.3 | 106.8 | 71.2 | 95.9 | 717 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 99417 | $309K |
| Jun 2024 | More hours than a day holds at a conservative unit price | 19.0 | 85.7 | 57.1 | 85.7 | 584 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 99215 99417 | $239K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | LAURA HENRICHS CARDELLA, MD (also LAURA HENRICHS) |
| Type | Individual |
| Status | Active |
| NPI issued | December 16, 2006, last updated July 6, 2023 |
| Practice location | 315 SCIENCE PKWY, Rochester, NY 14620-4257, 585-279-7809 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, license 60250621 NY) Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, license 250621 NY) Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, primary, license 60-250621 NY) |
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 | |
|---|---|---|---|---|---|---|---|
| H2011 | Crisis intervention service per 15 min | $4.4M | 34% | $363 | $181 (top 5% from $3K) | 62nd percentile | |
| 90834 | Psychotherapy, 45 minutes | $2.0M | 16% | $415 | $101 (top 5% from $318) | 98th percentile | |
| 90832 | Psychotherapy, 30 minutes | $1.3M | 10% | $340 | $59 (top 5% from $239) | 98th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $810K | 6% | $240 | $60 (top 5% from $133) | 99th percentile | |
| T1040 | Medicaid service code | $807K | 6% | $344 | $247 (top 5% from $672) | 73rd percentile | |
| 90853 | Group psychotherapyhistory of abuse | $700K | 5% | $649 | $60 (top 5% from $332) | 98th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $597K | 5% | $255 | $105 (top 5% from $228) | 97th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $516K | 4% | $394 | $191 (top 5% from $442) | 93rd percentile |
In this area
9 providers in Monroe County, NY carry an indicator in the public record, with $28.9M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | AGA OPERATING LLC Rochester, NY, ranked 3921 | $0 |
|
| 3 | LFG OPERATING LLC Spencerport, NY, ranked 5247 | $0 |
|
| 3 | 170 WEST AVENUE OPERATING COMPANY, LLC Brockport, NY, ranked 6965 | $0 |
|
| 4 | ROBERT WEISMAN Rochester, NY, ranked 7356 | $14.2M |
|
| 4 | MYRA MATHIS-UWANOGHO Rochester, NY, ranked 7418 | $6.4M |
|
| 4 | GLORIA BACIEWICZ Rochester, NY, ranked 7551 | $3.1M |
|
| 4 | VIJETA KUSHWAHA Rochester, NY, ranked 8039 | $181K |
|
| 5 | JOHN LYNCH Rochester, NY, ranked 10698 | $4.7M |
Recent enforcement in NY
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.