JULIE GARNER
NPI 1265616866, individual, Oxford, MS, Counselor, Mental Health
- Hours beyond a day in 13 months, but with up to 1291 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 |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 48.9 | 25.2 | 16.8 | 19.3 | 363 | 1 | 90837 90846 90847 H0036 T1017 | $56K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 38.5 | 21.3 | 14.2 | 16.9 | 428 | 1 | 90837 90846 90847 90853 H0036 T1017 | $46K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 28.2 | 13.9 | 9.3 | 10.7 | 355 | 1 | 90837 90846 90847 90853 H0036 T1017 | $31K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 33.7 | 55.7 | 37.1 | 28.5 | 841 | 1 | 90832 90834 90837 90846 90847 H0036 H2012 T1002 T1017 | $116K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 39.4 | 41.4 | 27.6 | 28.3 | 891 | 1 | 90792 90832 90837 90846 90847 H0036 H2012 T1002 T1017 | $84K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 34.3 | 43.8 | 29.2 | 30.7 | 851 | 1 | 90792 90832 90837 90846 90847 99213 H0036 H2012 T1017 | $95K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 37.5 | 49.2 | 32.8 | 34.4 | 970 | 1 | 90792 90832 90837 90846 90847 90853 99213 99214 H2012 H2015 T1017 | $126K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 41.1 | 55.9 | 37.2 | 38.1 | 923 | 1 | 90792 90832 90833 90837 90846 90847 90853 99213 99214 H2012 H2015 T1017 | $128K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 46.1 | 60.3 | 40.2 | 38.0 | 1157 | 1 | 90792 90832 90833 90837 90846 90847 90853 99213 99214 H2012 H2015 T1002 T1017 | $153K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 49.8 | 65.4 | 43.6 | 43.3 | 1291 | 1 | 90792 90832 90833 90834 90837 90846 90847 90853 99213 99214 H2015 T1002 T1017 | $166K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 40.5 | 58.1 | 38.7 | 40.7 | 1265 | 1 | 90792 90832 90833 90834 90837 90846 90847 90853 99213 99214 H2015 T1002 T1017 | $150K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 38.6 | 60.7 | 40.5 | 30.9 | 1230 | 1 | 90792 90832 90833 90837 90846 90847 90853 99213 99214 H2012 H2015 T1002 T1017 | $145K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 33.9 | 50.4 | 33.6 | 29.5 | 1038 | 1 | 90832 90833 90837 90846 90847 90853 99213 99214 H2012 H2015 T1002 T1017 | $120K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JULIE GARNER |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | December 19, 2007, last updated December 19, 2007 |
| Practice location | 152 HIGHWAY 7 S, Oxford, MS 38655-5392, 662-234-7521 |
| Specialties | Counselor, Mental Health (101YM0800X, primary, license ch0855 MS) |
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 | $1.3M | 33% | $210 | $191 (top 5% from $442) | 58th percentile | |
| H2022 | Community-based wrap-around services per diem | $651K | 17% | $2K | $3K (top 5% from $12K) | 40th percentile | |
| H2015 | Comprehensive community support services per 15 minhistory of abuse | $403K | 10% | $169 | $344 (top 5% from $2K) | 32nd percentile | |
| T1017 | Targeted case management each 15 min | $279K | 7% | $47 | $167 (top 5% from $808) | 19th percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $235K | 6% | $112 | $113 (top 5% from $277) | 49th percentile | |
| H0037 | Community psychiatric supportive treatment program per diem | $198K | 5% | $1K | $419 (top 5% from $5K) | 78th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $194K | 5% | $114 | $130 (top 5% from $458) | 41st percentile | |
| H0031 | Medicaid service code | $184K | 5% | $107 | $100 (top 5% from $540) | 54th percentile |
In this area
3 providers in Lafayette County, MS carry an indicator in the public record, with $73K at stake between them. The most common is paid after a public list action, on 2 of them, followed by more hours than a day holds on 1. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MARION LUND Oxford, MS, ranked 399 | $923 |
|
| 1 | FOOT DOCTOR, PLLC Oxford, MS, ranked 400 | $923 |
|
| 4 | REBECCA THOMPSON University, MS, ranked 8074 | $71K |
|
Recent enforcement in MS
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.