JOHN P. KELLY, LPC
NPI 1215455316, individual, Newton Falls, OH, Counselor, Professional
- Hours beyond a day in 1 month, but with up to 385 patients a month across 4 billing organizations, 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 28.2 | 8.1 | 5.4 | 7.6 | 336 | 4 | 90791 90832 90834 | $23K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JOHN P. KELLY, LPC |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | September 8, 2017, last updated September 8, 2017 |
| Practice location | 175 E BROAD ST, Newton Falls, OH 44444-1708, 330-872-2010 |
| Mailing address | 3237 KIRK RD, Youngstown, OH 44511-2147 |
| Specialties | Counselor, Professional (101YP2500X, primary, license C.1500834 OH) |
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 | |
|---|---|---|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | $749K | 48% | $66 | $59 (top 5% from $239) | 58th percentile | |
| T1015 | Medicaid service code | $698K | 44% | $155 | $182 (top 5% from $488) | 39th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $61K | 4% | $92 | $105 (top 5% from $228) | 38th percentile | |
| 90834 | Psychotherapy, 45 minutes | $42K | 3% | $64 | $101 (top 5% from $318) | 26th percentile | |
| H0048 | Medicaid service code | $10K | 1% | $22 | $23 (top 5% from $57) | 45th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $8K | 0% | $124 | $191 (top 5% from $442) | too few months to rank | |
| H0005 | Medicaid service code | $3K | 0% | $55 | $129 (top 5% from $479) | too few months to rank | |
| H0006 | Medicaid service code | $2K | 0% | $22 | $100 (top 5% from $371) | too few months to rank |
In this area
3 providers in Trumbull County, OH carry an indicator in the public record, with $986K at stake between them. The most common is part of a provider network, on 2 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | NILES SKILLED NURSING, LLC Niles, OH, ranked 4878 | $0 |
|
| 3 | MINERAL RIDGE SKILLED NURSING AND RESIDENTIAL CARE, LLC Mineral Ridge, OH, ranked 7162 | $0 |
|
| 5 | PHILLIP MAIDEN Warren, OH, ranked 10110 | $986K |
|
Recent enforcement in OH
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.