GREGORY D BURDEN, LCSW
NPI 1215174156, individual, Las Vegas, NV, Social Worker, Clinical
- 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.
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 |
|---|---|---|---|---|---|---|---|---|---|
| May 2020 | More hours than a day holds, even counting one unit per claim line | 34.3 | 37.2 | 24.8 | 36.6 | 282 | 2 | 90837 90876 H0004 | $138K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 52.7 | 54.6 | 36.4 | 49.6 | 365 | 2 | 90832 90837 90876 H0004 | $190K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 28.0 | 28.6 | 19.0 | 25.7 | 261 | 2 | 90837 90876 | $101K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 25.3 | 21.4 | 14.2 | 19.2 | 260 | 5 | 90791 90837 90876 | $74K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 26.2 | 28.1 | 18.7 | 27.6 | 243 | 3 | 90791 90837 90876 H0004 | $99K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 58.9 | 58.8 | 39.2 | 54.9 | 416 | 3 | 90791 90837 90876 H0004 | $188K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 26.4 | 25.9 | 17.3 | 23.3 | 450 | 4 | 90837 90876 H0004 | $92K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 25.3 | 27.6 | 18.4 | 24.8 | 212 | 3 | 90837 90876 H0004 | $102K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 53.6 | 57.0 | 38.0 | 54.3 | 400 | 4 | 90837 90876 H0004 | $204K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 29.0 | 31.5 | 21.0 | 29.5 | 375 | 5 | 90837 90876 H0004 | $113K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 33.3 | 36.1 | 24.1 | 33.7 | 336 | 5 | 90837 90876 H0004 | $117K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 32.5 | 36.2 | 24.1 | 32.5 | 374 | 5 | 90837 90876 H0004 | $134K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 36.2 | 35.9 | 23.9 | 35.9 | 393 | 5 | 90837 90876 H0004 | $129K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 33.8 | 37.1 | 24.8 | 33.4 | 339 | 6 | 90837 90876 H0004 | $137K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 34.7 | 37.6 | 25.0 | 34.1 | 256 | 5 | 90837 90876 H0004 | $133K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | GREGORY D BURDEN, LCSW |
| Type | Individual |
| Status | Active |
| NPI issued | January 14, 2009, last updated May 4, 2017 |
| Practice location | 2780 S JONES BLVD STE 115, Las Vegas, NV 89146-5625, 702-323-1323 |
| Mailing address | 6021 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90876 | Psychophysiological therapy with biofeedback 45 min | $2.3M | 50% | $714 | $392 (top 5% from $816) | 89th percentile | |
| H0004 | Behavioral health counseling and therapy per 15 minhistory of abuse | $578K | 13% | $137 | $174 (top 5% from $559) | 39th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $552K | 12% | $86 | $191 (top 5% from $442) | 11th percentile | |
| 90901 | Biofeedback training | $430K | 9% | $637 | $45 (top 5% from $503) | 96th percentile | |
| H0031 | Medicaid service code | $347K | 8% | $162 | $100 (top 5% from $540) | 71st percentile | |
| S9480 | Intensive outpatient psychiatric services per diem | $268K | 6% | $1K | $946 (top 5% from $4K) | 58th percentile | |
| Q3014 | Telehealth originating site facility fee | $53K | 1% | $17 | $21 (top 5% from $84) | 41st percentile | |
| 90791 | Psychiatric diagnostic evaluation | $17K | 0% | $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.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TIMOTHY WILSON Las Vegas, NV, ranked 113 | $192K |
|
| 1 | DEVONTE' CHRISTOPHER North Las Vegas, NV, ranked 175 | $59K |
|
| 1 | MANE SHAH Las Vegas, NV, ranked 205 | $40K |
|
| 1 | JOHN MARIUS TOLENTINO Las Vegas, NV, ranked 254 | $16K |
|
| 1 | DAVID ADAMS Las Vegas, NV, ranked 345 | $3K |
|
| 1 | VICTOR BRUCE Las Vegas, NV, ranked 361 | $2K |
|
| 1 | AMARA MEDICAL CENTER LLC Las Vegas, NV, ranked 457 | $9 |
|
| 1 | RODNESHIA CARTER North Las Vegas, NV, ranked 479 | $0 |
|
Recent enforcement in NV
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.