JENNIFER M BRADOF, LCSW
NPI 1275971442, individual, Jackson, WY, Social Worker, Clinical
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- 62% of Medicaid dollars are on codes with a history of abuse.
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 2022 | More hours than a day holds, even counting one unit per claim line | 31.3 | 1.9 | 1.3 | 1.8 | 31 | 1 | 90837 | $5K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JENNIFER M BRADOF, LCSW |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 11, 2013, last updated June 11, 2013 |
| Practice location | 480 S CACHE ST, Jackson, WY 83001-8222, 307-222-6040 |
| Mailing address | PO BOX 2299, Jackson, WY 83001-2299 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license LCSW-837 WY) |
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 | $298K | 62% | $179 | $191 (top 5% from $442) | 44th percentile | |
| H2019 | Therapeutic behavioral services per 15 min | $138K | 29% | $2K | $226 (top 5% from $1K) | 95th percentile | |
| 90834 | Psychotherapy, 45 minutes | $46K | 10% | $132 | $101 (top 5% from $318) | 66th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 249 | 14 | $19K | $209 | $103 | 2.0x | 1.6x (90th percentile 2.9x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
7 providers in WY carry an indicator in the public record, with $1.1M at stake between them. The most common is part of a provider network, on 3 of them, followed by paid after a public list action on 2. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MARGARET EASLEY Lander, WY, ranked 219 | $32K |
|
| 1 | LANDER VALLEY FAMILY PRACTICE PC Lander, WY, ranked 230 | $24K |
|
| 1 | THE OLIVE BRANCH, LLC Cheyenne, WY, ranked 642 | $0 |
|
| 3 | NOBEL CARE HOSPICE INC Cheyenne, WY, ranked 5312 | $0 |
|
| 3 | EDEN HOME HEALTH OF CHEYENNE, LLC Cheyenne, WY, ranked 5725 | $0 |
|
| 3 | EDEN HOSPICE AT CHEYENNE, LLC Cheyenne, WY, ranked 6838 | $0 |
|
| 5 | STEPHEN BROWN Casper, WY, ranked 10097 | $1.1M |
|
Recent enforcement in WY
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.