RYEDENNA MARIE SIMON - MCQUEEN, LPC
NPI 1285923383, individual, Florence, SC, Counselor
- Billed more hands-on hours than a day holds in 1 month, peaking at 17.8 hours per day across 3 billing organizations.
- Medicaid dollars per patient on code 90837 ($451 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 28.5 | 26.7 | 17.8 | 24.0 | 474 | 3 | 90791 90834 90837 90846 90847 90853 | $95K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RYEDENNA MARIE SIMON - MCQUEEN, LPC |
| Type | Individual |
| Status | Active |
| NPI issued | March 30, 2011, last updated February 11, 2020 |
| Practice location | 360 N IRBY ST, Florence, SC 29501-2808, 843-667-9414 |
| Specialties | Counselor (101Y00000X, primary, license 6364 SC) |
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 | $253K | 49% | $451 | $191 (top 5% from $442) | 95th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $187K | 37% | $288 | $130 (top 5% from $458) | 87th percentile | |
| 90834 | Psychotherapy, 45 minutes | $27K | 5% | $133 | $101 (top 5% from $318) | too few months to rank | |
| 90791 | Psychiatric diagnostic evaluation | $14K | 3% | $140 | $105 (top 5% from $228) | too few months to rank | |
| 90846 | Family psychotherapy without patient, 50 minutes | $12K | 2% | $94 | $113 (top 5% from $277) | too few months to rank | |
| H2000 | Medicaid service code | $8K | 2% | $132 | $173 (top 5% from $548) | too few months to rank | |
| 90853 | Group psychotherapyhistory of abuse | $6K | 1% | $51 | $60 (top 5% from $332) | too few months to rank | |
| 99367 | Medicaid service code | $3K | 1% | $33 | $41 (top 5% from $92) | too few months to rank |
In this area
4 providers in Florence County, SC carry an indicator in the public record, with $3.4M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | STATE OF SOUTH CAROLINA COMPTROLLER GENERAL Florence, SC, ranked 2654 | $0 |
|
| 3 | WILSON SENIOR CARE HONORAGE LLC Florence, SC, ranked 3678 | $0 |
|
| 3 | 515 WARLEY OPCO LLC Florence, SC, ranked 5693 | $0 |
|
| 5 | JOHN KEITH Florence, SC, ranked 10723 | $3.4M |
Recent enforcement in SC
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.