GINGER NICOLE FREEMAN, MA, LPC
NPI 1326542671, individual, South Hill, VA, Counselor, Mental Health
- Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- 96% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 25.1 | 22.0 | 14.7 | 20.7 | 267 | 2 | 90791 90837 | $65K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 27.9 | 26.9 | 17.9 | 24.2 | 335 | 2 | 90791 90837 | $89K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 25.6 | 25.0 | 16.7 | 23.0 | 286 | 2 | 90791 90837 | $77K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 25.6 | 24.6 | 16.4 | 22.4 | 270 | 2 | 90791 90837 | $79K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | GINGER NICOLE FREEMAN, MA, LPC |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | March 21, 2018, last updated February 12, 2020 |
| Practice location | 805 CHAPTICO RD, South Hill, VA 23970-1236, 434-233-1701 |
| Specialties | Counselor, Mental Health (101YM0800X, primary, license 0701007513 VA) |
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 | $1.6M | 96% | $280 | $191 (top 5% from $442) | 80th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $73K | 4% | $114 | $105 (top 5% from $228) | 61st percentile | |
| 90785 | Psychiatric services complicated by communication factor | $378 | 0% | $32 | $15 (top 5% from $35) | too few months to rank |
In this area
2 providers in Mecklenburg County, VA carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | CHASE CITY HEALTH CARE LLC Chase City, VA, ranked 3094 | $0 |
|
| 3 | SOUTH HILL VA OPCO LLC South Hill, VA, ranked 4415 | $0 |
|
Recent enforcement in VA
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.