SCOTT R BERRY, Ph.D.
NPI 1215005988, individual, New Albany, IN, Psychologist, Clinical
- Hours beyond a day in 1 month, but with up to 425 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- 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, even counting one unit per claim line | 28.3 | 26.1 | 17.4 | 24.6 | 425 | 1 | 90791 90832 90834 90837 90847 | $55K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SCOTT R BERRY, Ph.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | December 1, 2006, last updated September 13, 2018 |
| Practice location | 4210 ABERDEEN CT, New Albany, IN 47150, 812-510-3727 |
| Specialties | Counselor, Mental Health (101YM0800X, license 39001752A IN) Counselor, Mental Health (101YM0800X, license 163555 KY) Psychologist, Clinical (103TC0700X, license 130408 KY) Psychologist, Clinical (103TC0700X, primary, license 20042200A IN) |
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 | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $67K | 29% | $163 | $191 (top 5% from $442) | too few months to rank | |
| 90834 | Psychotherapy, 45 minutes | $43K | 18% | $112 | $101 (top 5% from $318) | too few months to rank | |
| 90887 | Medicaid service code | $42K | 18% | $144 | $98 (top 5% from $270) | too few months to rank | |
| 90847 | Family psychotherapy with patient, 50 minutes | $40K | 17% | $147 | $130 (top 5% from $458) | too few months to rank | |
| 90832 | Psychotherapy, 30 minutes | $30K | 13% | $72 | $59 (top 5% from $239) | 64th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $10K | 4% | $94 | $105 (top 5% from $228) | 39th percentile |
In this area
6 providers in Floyd County, IN carry an indicator in the public record, with $4.3M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | DAVIESS COUNTY HOSPITAL New Albany, IN, ranked 6241 | $0 |
|
| 3 | BAPTIST HEALTHCARE SYSTEM, INC. New Albany, IN, ranked 6663 | $0 |
|
| 4 | JESSICA HUETT New Albany, IN, ranked 8515 | $3.4M |
|
| 4 | LESLEY SCHMALTZ New Albany, IN, ranked 9217 | $496K |
|
| 5 | ROSALITHA KENNEDY Greenville, IN, ranked 10267 | $489K |
|
| 5 | PHYSICIANS MEDICAL CENTER LLC New Albany, IN, ranked 11978 | $1K |
Recent enforcement in IN
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.