JAN S. FINE, SLP
NPI 1336257583, individual, Knoxville, TN, Speech-Language Pathologist,
- Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 92508 ($118 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 | 26.4 | 14.3 | 9.5 | 12.9 | 231 | 1 | 92507 92508 | $36K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 24.4 | 11.4 | 7.6 | 10.7 | 197 | 2 | 92507 92508 | $30K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 24.6 | 9.7 | 6.4 | 9.5 | 175 | 2 | 92507 92508 | $26K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 25.9 | 17.9 | 11.9 | 16.2 | 335 | 2 | 92507 92508 92523 | $46K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JAN S. FINE, SLP |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | August 28, 2006, last updated July 8, 2007 |
| Practice location | 1001 GLENNSHIRE DR, Knoxville, TN 37923-1958, 865-705-8688 |
| Specialties | Speech-Language Pathologist, (235Z00000X, primary, license 0000002724 TN) |
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 | |
|---|---|---|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | $1.1M | 51% | $132 | $190 (top 5% from $477) | 30th percentile | |
| 92508 | Treatment of speech, language, voice, communication, and/or hearing processing disorder in a group setting | $1.0M | 48% | $118 | $48 (top 5% from $111) | 97th percentile | |
| 92523 | Evaluation of speech sound production with evaluation of language comprehension and expression | $9K | 0% | $108 | $137 (top 5% from $251) | 31st percentile | |
| 98966 | Telephone medical discussion provided by nonphysician professional, 5-10 minutes | $2K | 0% | $35 | $2.13 (top 5% from $62) | too few months to rank |
In this area
30 providers in Knox County, TN carry an indicator in the public record, with $35.3M at stake between them. The most common is more hours than a day holds, on 24 of them, followed by named in an enforcement record on 3. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ROCKY HILL PHARMACY, LLC Knoxville, TN, ranked 582 | $0 |
|
| 1 | HOLLI WOMACK Knoxville, TN, ranked 653 | $0 |
|
| 1 | CYNTHIA CLEMONS Knoxville, TN, ranked 681 | $0 |
|
| 3 | WELLPARK HEALTHCARE CENTER, LLC Knoxville, TN, ranked 4309 | $0 |
|
| 3 | PRESBYTERIAN HOMES OF TENNESSEE, INC. Knoxville, TN, ranked 6805 | $0 |
|
| 3 | SHALOM HOSPICE OF GREATER KNOXVILLE LLC Knoxville, TN, ranked 7248 | $0 |
|
| 4 | JOHN BARSOTTI Knoxville, TN, ranked 7335 | $732K |
|
| 4 | CYNTHIA HARMON Knoxville, TN, ranked 8172 | $1.2M |
|
Recent enforcement in TN
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.