CLARA ELIZABETH LONG, PhD, LPC, BCBA
NPI 1205333283, individual, Montgomery, AL, Counselor, Professional
- Hours beyond a day in 8 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 |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 29.5 | 12.2 | 8.1 | 9.7 | 220 | 1 | 90791 90837 96130 96132 97153 97155 | $34K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 26.2 | 8.0 | 5.3 | 7.8 | 213 | 1 | 90791 90837 96130 96132 | $21K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 34.4 | 11.0 | 7.3 | 10.0 | 243 | 1 | 90791 90837 96130 96132 | $27K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 24.8 | 7.4 | 4.9 | 7.4 | 196 | 1 | 90791 90837 96130 96132 | $19K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 37.2 | 10.7 | 7.1 | 9.6 | 257 | 1 | 90791 90837 96130 96132 | $28K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 41.5 | 11.4 | 7.6 | 10.7 | 273 | 1 | 90791 90837 96130 96132 | $30K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 29.2 | 8.1 | 5.4 | 7.8 | 174 | 1 | 90791 90837 96130 96132 | $20K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 26.1 | 8.4 | 5.6 | 7.5 | 182 | 1 | 90791 90837 96130 96132 | $22K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CLARA ELIZABETH LONG, PhD, LPC, BCBA |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | April 6, 2018, last updated August 23, 2022 |
| Practice location | 1320 CARMICHAEL WAY, Montgomery, AL 36106-3691, 334-356-4900 |
| Specialties | Counselor, Professional (101YP2500X, primary, license 3854 AL) Behavior Analyst (103K00000X, license 2019-033 AL) |
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 | |
|---|---|---|---|---|---|---|---|
| 96130 | Evaluation of psychological test, first hour | $115K | 26% | $117 | $84 (top 5% from $233) | 77th percentile | |
| 96132 | Evaluation of neuropsychological test, first hour | $105K | 24% | $147 | $92 (top 5% from $247) | 88th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $84K | 19% | $77 | $191 (top 5% from $442) | 10th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $59K | 14% | $72 | $105 (top 5% from $228) | 26th percentile | |
| 97153 | Adaptive behavior treatment by protocol by technicianhistory of abuse | $38K | 9% | $483 | $2K (top 5% from $6K) | too few months to rank | |
| 97155 | Adaptive behavior treatment with protocol modification by QHPhistory of abuse | $13K | 3% | $190 | $512 (top 5% from $1K) | too few months to rank | |
| 96131 | Evaluation of psychological test, each additional hour | $12K | 3% | $51 | $170 (top 5% from $515) | 7th percentile | |
| 97151 | Behavior identification assessment by professional, each 15 minutes | $7K | 2% | $343 | $389 (top 5% from $1K) | too few months to rank |
In this area
2 providers in Montgomery County, AL carry an indicator in the public record, with $7.9M at stake between them. The most common is more hours than a day holds, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | CHARLES WOODLEY Montgomery, AL, ranked 8086 | $5.1M |
|
| 4 | MARNIE DILLON Maxwell Afb, AL, ranked 8581 | $2.8M |
|
Recent enforcement in AL
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.