DAVID CARL GHOSTLEY, Psy, D
NPI 1265489538, individual, Dothan, AL, Psychologist, Clinical
- Hours beyond a day in 11 months, but with up to 671 patients a month across 3 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 2018 | More hours than a day holds, even counting one unit per claim line | 25.5 | 23.7 | 15.8 | 21.3 | 545 | 3 | 90791 90832 90834 90837 90847 | $50K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 27.3 | 23.7 | 15.8 | 22.1 | 537 | 3 | 90791 90832 90837 90847 | $46K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 26.9 | 24.0 | 16.0 | 22.5 | 593 | 3 | 90791 90832 90834 90837 90847 | $52K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 28.6 | 24.8 | 16.5 | 23.6 | 579 | 3 | 90791 90832 90834 90837 90847 | $51K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 27.5 | 24.1 | 16.1 | 21.7 | 589 | 3 | 90791 90832 90834 90837 90847 | $51K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 25.6 | 22.4 | 14.9 | 21.3 | 535 | 3 | 90832 90834 90837 90847 | $46K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 27.6 | 22.5 | 15.0 | 20.2 | 538 | 3 | 90791 90832 90834 90837 90847 | $48K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 27.8 | 21.8 | 14.5 | 21.8 | 671 | 3 | 90791 90832 90834 90837 90847 | $45K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 26.7 | 21.0 | 14.0 | 18.9 | 648 | 3 | 90791 90832 90834 90837 90847 | $45K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 24.8 | 21.3 | 14.2 | 19.3 | 564 | 3 | 90791 90832 90834 90837 90847 | $44K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 26.8 | 22.6 | 15.1 | 20.3 | 600 | 3 | 90791 90832 90834 90837 90847 | $51K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DAVID CARL GHOSTLEY, Psy, D |
| Type | Individual |
| Status | Active |
| NPI issued | May 30, 2006, last updated August 19, 2013 |
| Practice location | 202 N BELL ST, Dothan, AL 36303-4310, 334-699-1620 |
| Specialties | Psychologist, Clinical (103TC0700X, primary, license 1262 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 | |
|---|---|---|---|---|---|---|---|
| 90847 | Family psychotherapy with patient, 50 minutes | $361K | 48% | $91 | $130 (top 5% from $458) | 26th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $245K | 33% | $108 | $191 (top 5% from $442) | 15th percentile | |
| 90832 | Psychotherapy, 30 minutes | $80K | 11% | $43 | $59 (top 5% from $239) | 34th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $42K | 6% | $72 | $105 (top 5% from $228) | 26th percentile | |
| 90834 | Psychotherapy, 45 minutes | $18K | 2% | $47 | $101 (top 5% from $318) | 19th percentile | |
| 96103 | Medicaid service code | $1K | 0% | $17 | $3.25 (top 5% from $28) | too few months to rank |
In this area
3 providers in Houston County, AL carry an indicator in the public record, with $4.8M at stake between them. The most common is more hours than a day holds, on 3 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | SHELBY DIPILLA Dothan, AL, ranked 8111 | $3.0M |
|
| 5 | JOHN STRUNK Dothan, AL, ranked 10891 | $1.5M | |
| 5 | WILLIAM WATSON Dothan, AL, ranked 11408 | $255K |
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.