DAVID WEBB, LPC
NPI 1356644124, individual, Cleveland, TN, Counselor, Mental Health
- Hours beyond a day in 1 month, but with up to 408 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 24.0 | 17.2 | 11.5 | 15.5 | 403 | 1 | 90832 90834 | $43K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DAVID WEBB, LPC |
| Type | Individual |
| Status | Active |
| NPI issued | December 16, 2010, last updated December 16, 2010 |
| Practice location | 940 S OCOEE ST, Cleveland, TN 37311-2601, 423-476-5454 |
| Mailing address | 118 N CHURCH ST, Murfreesboro, TN 37130-3636 |
| Specialties | Counselor, Mental Health (101YM0800X, primary, license 2636 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 | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $516K | 69% | $81 | $101 (top 5% from $318) | 37th percentile | |
| 90832 | Psychotherapy, 30 minutes | $211K | 28% | $51 | $59 (top 5% from $239) | 42nd percentile | |
| S0280 | Medicaid service code | $12K | 2% | $58 | $55 (top 5% from $345) | 51st percentile | |
| 90791 | Psychiatric diagnostic evaluation | $8K | 1% | $72 | $105 (top 5% from $228) | 26th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $6K | 1% | $108 | $130 (top 5% from $458) | too few months to rank | |
| G9010 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $1K) | 0th percentile | |
| G9005 | Medicaid service code | $0 | 0% | $0.00 | $44 (top 5% from $369) | 0th percentile | |
| G9006 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $217) | 0th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 80 | 20 | $4K | $99 | $72 | 1.4x | 2.0x (90th percentile 3.6x) |
| 90832 | Psychotherapy, 30 minutes | 55 | 26 | $2K | $76 | $54 | 1.4x | 2.0x (90th percentile 3.5x) |
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
6 providers in Bradley County, TN carry an indicator in the public record, with $15.8M at stake between them. The most common is more hours than a day holds, on 6 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | CRYSTAL CRUMLEY Cleveland, TN, ranked 8361 | $6.3M |
|
| 4 | DAVID FRANZ Cleveland, TN, ranked 8487 | $3.6M |
|
| 4 | JAMES LEWICKI Cleveland, TN, ranked 8594 | $2.8M |
|
| 4 | CHRISTIAN HUGHES Cleveland, TN, ranked 8753 | $1.9M |
|
| 4 | REBA TERRY Cleveland, TN, ranked 8940 | $1.2M |
|
| 5 | MEGAN GODBEE Cleveland, TN, ranked 11638 | $94K |
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.