ELISE N JARVIS
NPI 1306300512, individual, Wakefield, RI, Counselor, Mental Health
- Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code H0004 ($1058 per patient-month) sit in the top 5% of every provider billing that code.
- 99% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2023 | More hours than a day holds at a conservative unit price | 3.5 | 38.0 | 25.3 | 34.1 | 94 | 1 | H0004 H2014 | $69K |
| Mar 2023 | More hours than a day holds at a conservative unit price | 3.9 | 38.6 | 25.8 | 33.0 | 114 | 1 | 90791 H0004 H2014 | $79K |
| Apr 2023 | More hours than a day holds at a conservative unit price | 5.3 | 51.1 | 34.1 | 48.6 | 140 | 1 | 90791 H0004 H2014 | $101K |
| May 2023 | More hours than a day holds at a conservative unit price | 4.3 | 44.0 | 29.4 | 37.8 | 135 | 1 | 90791 H0004 H2014 | $89K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ELISE N JARVIS |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | January 22, 2019, last updated January 22, 2019 |
| Practice location | 24 SALT POND RD STE H1, Wakefield, RI 02879-4337, 401-789-3694 |
| Mailing address | 39 MERINO ST, Johnston, RI 02919-4417 |
| Specialties | Counselor, Mental Health (101YM0800X, primary, license MHC01020 RI) |
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 | |
|---|---|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy per 15 minhistory of abuse | $1.5M | 91% | $1K | $174 (top 5% from $559) | 98th percentile | |
| H2014 | Skills training and development per 15 minhistory of abuse | $144K | 9% | $196 | $298 (top 5% from $3K) | 35th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $9K | 1% | $122 | $105 (top 5% from $228) | too few months to rank |
In this area
7 providers in Washington County, RI carry an indicator in the public record, with $6.7M at stake between them. The most common is part of a provider network, on 4 of them, followed by more hours than a day holds on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ROYAL WESTERLY LLC Westerly, RI, ranked 3274 | $0 |
|
| 3 | THE CLIPPER HOME INC. Westerly, RI, ranked 4928 | $0 |
|
| 3 | 981 KINGS TOWN ROAD OPERATING COMPANY, LLC Peace Dale, RI, ranked 5328 | $0 |
|
| 3 | SOUTH COUNTY EDEN OPERATIONS LLC North Kingstown, RI, ranked 7219 | $0 |
|
| 4 | PETER KASSIS Exeter, RI, ranked 8871 | $1.4M |
|
| 5 | ELIZABETH MORAN New Shoreham, RI, ranked 10741 | $2.9M | |
| 5 | BRENDA VERDI North Kingstown, RI, ranked 10770 | $2.4M |
Recent enforcement in RI
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.