Providers

GREGORY D BURDEN, LCSW

NPI 1215174156, individual, Las Vegas, NV, Social Worker, Clinical

2
Evidence tier
impossible volume with concurrency
  • Billed more hands-on hours than a day holds in 15 months, peaking at 39.2 hours per day across 6 billing organizations.
  • Medicaid dollars per patient on code 90901 ($637 per patient-month) sit in the top 5% of every provider billing that code.
score 85 of 100, rank 694, $2.5M at stake

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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
May 2020More hours than a day holds, even counting one unit per claim line34.337.224.836.6282290837 90876 H0004$138K
Jun 2020More hours than a day holds, even counting one unit per claim line52.754.636.449.6365290832 90837 90876 H0004$190K
Jul 2020More hours than a day holds, even counting one unit per claim line28.028.619.025.7261290837 90876$101K
Dec 2020More hours than a day holds, even counting one unit per claim line25.321.414.219.2260590791 90837 90876$74K
Jan 2021More hours than a day holds, even counting one unit per claim line26.228.118.727.6243390791 90837 90876 H0004$99K
Feb 2021More hours than a day holds, even counting one unit per claim line58.958.839.254.9416390791 90837 90876 H0004$188K
Mar 2021More hours than a day holds, even counting one unit per claim line26.425.917.323.3450490837 90876 H0004$92K
Mar 2022More hours than a day holds, even counting one unit per claim line25.327.618.424.8212390837 90876 H0004$102K
Apr 2022More hours than a day holds, even counting one unit per claim line53.657.038.054.3400490837 90876 H0004$204K
Jan 2023More hours than a day holds, even counting one unit per claim line29.031.521.029.5375590837 90876 H0004$113K
Feb 2023More hours than a day holds, even counting one unit per claim line33.336.124.133.7336590837 90876 H0004$117K
Mar 2023More hours than a day holds, even counting one unit per claim line32.536.224.132.5374590837 90876 H0004$134K
Apr 2023More hours than a day holds, even counting one unit per claim line36.235.923.935.9393590837 90876 H0004$129K
May 2023More hours than a day holds, even counting one unit per claim line33.837.124.833.4339690837 90876 H0004$137K
Jun 2023More hours than a day holds, even counting one unit per claim line34.737.625.034.1256590837 90876 H0004$133K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameGREGORY D BURDEN, LCSW
TypeIndividual
StatusActive
NPI issuedJanuary 14, 2009, last updated May 4, 2017
Practice location2780 S JONES BLVD STE 115, Las Vegas, NV 89146-5625, 702-323-1323
Mailing address6021 SUNDIAL CREST CT, Las Vegas, NV 89120-2561
Specialties
Social Worker, Clinical (1041C0700X, primary, license 3096-C NV)

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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
90876Psychophysiological therapy with biofeedback 45 min$2.3M50%$714$392 (top 5% from $816)89th percentile
H0004Behavioral health counseling and therapy per 15 minhistory of abuse$578K13%$137$174 (top 5% from $559)39th percentile
90837Psychotherapy, 1 hourhistory of abuse$552K12%$86$191 (top 5% from $442)11th percentile
90901Biofeedback training$430K9%$637$45 (top 5% from $503)96th percentile
H0031Medicaid service code$347K8%$162$100 (top 5% from $540)71st percentile
S9480Intensive outpatient psychiatric services per diem$268K6%$1K$946 (top 5% from $4K)58th percentile
Q3014Telehealth originating site facility fee$53K1%$17$21 (top 5% from $84)41st percentile
90791Psychiatric diagnostic evaluation$17K0%$55$105 (top 5% from $228)19th percentile

In this area

338 providers in Clark County, NV carry an indicator in the public record, with $273.8M at stake between them. The most common is part of a provider network, on 167 of them, followed by more hours than a day holds on 151. 17 are tier 1: documented action, then payment.

tierproviderat stakewhy
1TIMOTHY WILSON
Las Vegas, NV, ranked 113
$192K
  • Listed on the Medicare revocation list since January 26, 2023.
  • Medicaid still paid claims in 21 later months, $191,872 in total.
1DEVONTE' CHRISTOPHER
North Las Vegas, NV, ranked 175
$59K
  • Listed on the AZ Medicaid exclusion list since September 1, 2024.
  • Medicaid still paid claims in 1 later month, $59,101 in total.
1MANE SHAH
Las Vegas, NV, ranked 205
$40K
  • Listed on the Medicare revocation list since August 16, 2018.
  • Medicaid still paid claims in 15 later months, $40,126 in total.
1JOHN MARIUS TOLENTINO
Las Vegas, NV, ranked 254
$16K
  • Listed on the CA Medicaid exclusion list since December 2, 2022.
  • Medicaid still paid claims in 5 later months, $16,415 in total.
1DAVID ADAMS
Las Vegas, NV, ranked 345
$3K
  • Listed on the CA Medicaid exclusion list since October 2, 2018.
  • Medicaid still paid claims in 2 later months, $3,216 in total.
1VICTOR BRUCE
Las Vegas, NV, ranked 361
$2K
  • Listed on the OIG exclusion list and the NY Medicaid exclusion list and the SAM.gov exclusion list (OPM) since December 20, 2015.
  • Medicaid still paid claims in 2 later months, $2,266 in total.
1AMARA MEDICAL CENTER LLC
Las Vegas, NV, ranked 457
$9
  • Listed on the Medicare revocation list since June 20, 2024.
  • Medicaid still paid claims in 2 later months, $9 in total.
1RODNESHIA CARTER
North Las Vegas, NV, ranked 479
$0
  • Adjudicated (sentenced) per a state attorney general release dated December 9, 2024.
  • No Medicaid payments in the last 12 observed months.
All 338 in NV

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.

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