Providers

GINGER GELDREICH JONES, M.A., CCC-SLP

NPI 1356679492, individual, Franklin, TN, Speech-Language Pathologist,

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 24 months, but with up to 628 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
score 51 of 100, rank 8591, $2.8M at stake

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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Jan 2018More hours than a day holds, even counting one unit per claim line40.625.617.123.0555192507 92523 92526$65K
Feb 2018More hours than a day holds, even counting one unit per claim line46.529.519.727.6622292507 92523 92526 96154$69K
Mar 2018More hours than a day holds, even counting one unit per claim line41.827.218.125.5575292507 92523 92526$70K
Apr 2018More hours than a day holds, even counting one unit per claim line41.329.819.828.3581292507 92523 92526$74K
May 2018More hours than a day holds, even counting one unit per claim line36.228.218.825.3550192507 92523 92526$73K
Jun 2018More hours than a day holds, even counting one unit per claim line43.835.423.633.7598192507 92523 92526$88K
Jul 2018More hours than a day holds, even counting one unit per claim line32.931.020.729.1628192507 92523 92526$80K
Aug 2018More hours than a day holds, even counting one unit per claim line32.130.820.527.7595192507 92523 92526$80K
Sep 2018More hours than a day holds, even counting one unit per claim line31.929.619.729.6606192507 92523 92526$75K
Oct 2018More hours than a day holds, even counting one unit per claim line32.131.521.028.3601192507 92523 92526$81K
Nov 2018More hours than a day holds, even counting one unit per claim line28.228.819.226.2580192507 92523 92526$71K
Jan 2019More hours than a day holds, even counting one unit per claim line33.635.223.531.6621192507 92523 92526$90K
Feb 2019More hours than a day holds, even counting one unit per claim line32.533.522.331.2625192507 92523 92526$78K
Mar 2019More hours than a day holds, even counting one unit per claim line30.631.521.031.0622192507 92523 92526$81K
Apr 2019More hours than a day holds, even counting one unit per claim line27.628.118.725.5545192507 92523$69K
May 2019More hours than a day holds, even counting one unit per claim line24.423.515.721.1451192507 92523$59K
Sep 2019More hours than a day holds, even counting one unit per claim line24.926.917.925.6493192507 92522 92523 92526$66K
Oct 2019More hours than a day holds, even counting one unit per claim line29.030.520.427.4515192507 92523 92526$78K
Jan 2020More hours than a day holds, even counting one unit per claim line28.227.918.625.1502192507 92523 92526$72K
Feb 2020More hours than a day holds, even counting one unit per claim line29.530.120.029.1526192507 92523 92526$73K
Jun 2020More hours than a day holds, even counting one unit per claim line27.928.819.226.2474192507 92523 92526$72K
Jul 2020More hours than a day holds, even counting one unit per claim line29.930.320.227.2553192507 92523 92526$79K
Aug 2020More hours than a day holds, even counting one unit per claim line24.625.617.125.2511192507 92523 92526$67K
Sep 2020More hours than a day holds, even counting one unit per claim line25.426.517.624.0443192507 92523$66K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameGINGER GELDREICH JONES, M.A., CCC-SLP
TypeIndividual, sole proprietor
StatusActive
NPI issuedDecember 1, 2009, last updated September 20, 2018
Practice location508 AUTUMN SPRINGS CT STE 1A, Franklin, TN 37067-8274, 615-614-8833
Mailing address205 LONDON LN, Franklin, TN 37067-4421
Specialties
Speech-Language Pathologist, (235Z00000X, primary, license 2933 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
92507Treatment of speech, language, voice, communication, and/or hearing processing disorder$2.5M89%$133$190 (top 5% from $477)30th percentile
92523Evaluation of speech sound production with evaluation of language comprehension and expression$218K8%$109$137 (top 5% from $251)32nd percentile
92526Treatment of swallowing and feeding disorder$110K4%$113$141 (top 5% from $421)35th percentile
92610Evaluation of swallowing function$2K0%$43$61 (top 5% from $209)too few months to rank
92522Evaluation of speech sound production$8770%$63$67 (top 5% from $224)too few months to rank
96154Health and behavior intervention family with patient each 15 min (pre-2020)$250%$0.17$44 (top 5% from $190)too few months to rank

In this area

4 providers in Williamson County, TN carry an indicator in the public record, with $33K at stake between them. The most common is part of a provider network, on 2 of them, followed by paid after a public list action on 1. 2 are tier 1: documented action, then payment.

tierproviderat stakewhy
1DAVID SINCAVAGE
Brentwood, TN, ranked 215
$33K
  • Listed on the KY Medicaid exclusion list since February 7, 2017.
  • Medicaid still paid claims in 2 later months, $33,294 in total.
1HELEN BOERMAN
Franklin, TN, ranked 604
$0
  • Adjudicated (pleaded guilty) per a Department of Justice release dated May 7, 2026.
  • No Medicaid payments in the last 12 observed months.
3SHALOM HOSPICE LLC
Brentwood, TN, ranked 5157
$0
  • Part of provider network D1-00113, ranked 113 nationally.
3CLAIBORNE MANAGEMENT LLC
Franklin, TN, ranked 6677
$0
  • Part of provider network D1-00083, ranked 83 nationally.

Recent enforcement in TN

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementAug 10, 2026
Celina Pharmacy Owner/Two Pharmacies Agree to Pay $450,000 & Receive Ban on Handling Controlled Substances
The defendants knowingly dispensed controlled substances without valid prescriptions and outside the usual course of professional pharmacy practice, and falsely billed Medicare for prescriptions that were not medically necessary or otherwise eligible for reimbursement.
DOJSentencedJul 8, 2026
Memphis Gynecologist Sentenced to 20 Years in Prison for Adulterating Medical Devices and Health Care Fraud
Kumar used adulterated and unlabeled single-use and improperly reprocessed reusable hysteroscopy devices in more than 15,000 hysteroscopy with biopsy procedures and billed Medicare and Medicaid for the procedures.
DOJSentencedJun 24, 2026
Celina Pharmacy Owner Sentenced for Opioid Distribution/Health Care Fraud
The majority owner of two pharmacies conspired to unlawfully dispense controlled substances despite red flags of abuse and diversion, submitted false claims to Medicare Part D and TennCare, and paid patient co-payments, cash, and "Monkey Bucks" to increase prescription volume.
DOJChargedJun 23, 2026
Clarksville Physician Charged with Health Care Fraud Related to Controlled Substance Prescribing Scheme
Aquino owned and operated North Clarksville Medical Center and for more than five years prescribed medically unnecessary controlled substances, totaling more than 1.08 million pills and doses, that were not issued for a legitimate medical purpose in the usual course of professional practice, causing losses of approximately $335,621.73 to health care benefit programs.
DOJIndictedJun 23, 2026
Gordonsville Physician Indicted on Health Care Fraud and Controlled Substance Charges
Moss owned and operated Gordonsville Clinic and prescribed medically unnecessary controlled substances, totaling more than 5.6 million pills and doses over more than eight years, that were not issued for a legitimate medical purpose in the usual course of professional practice.

Referral packet

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