LESLIE MARIE STEGALL, APRN
NPI 1356875397, individual, Greenfield, OH, Nurse Practitioner, Psych/Mental Health
- Hours beyond a day in 6 months, but with up to 514 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 69% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 26.0 | 21.7 | 14.4 | 20.6 | 356 | 3 | 90837 99203 99213 99354 | $57K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 26.3 | 19.5 | 13.0 | 17.5 | 377 | 3 | 90791 90837 99213 99214 99354 | $56K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 25.1 | 20.1 | 13.4 | 18.2 | 443 | 3 | 90791 90832 90837 99203 99213 99214 99354 99355 | $57K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 28.0 | 20.9 | 14.0 | 20.6 | 413 | 3 | 90791 90837 99213 99214 99354 | $60K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 30.7 | 24.1 | 16.1 | 21.9 | 514 | 3 | 90791 90832 90834 90837 99203 99213 99214 99354 | $68K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 25.6 | 22.0 | 14.7 | 20.7 | 372 | 3 | 90791 90792 90832 90837 99213 99214 | $62K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | LESLIE MARIE STEGALL, APRN |
| Type | Individual |
| Status | Active |
| NPI issued | April 17, 2017, last updated June 26, 2025 |
| Practice location | 910 SOUTH ST, Greenfield, OH 45123-1249, 740-403-9108 |
| Mailing address | 330 JEFFERSON ST, Greenfield, OH 45123-1369 |
| Specialties | Nurse Practitioner, Family (363LF0000X, license APRN.CNP.020690 OH) Nurse Practitioner, Psych/Mental Health (363LP0808X, primary, license APRN.CNP.020690 OH) |
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 | $917K | 69% | $236 | $191 (top 5% from $442) | 68th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $120K | 9% | $43 | $44 (top 5% from $110) | 49th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $69K | 5% | $106 | $105 (top 5% from $228) | 51st percentile | |
| 90834 | Psychotherapy, 45 minutes | $59K | 4% | $98 | $101 (top 5% from $318) | 48th percentile | |
| 90832 | Psychotherapy, 30 minutes | $50K | 4% | $76 | $59 (top 5% from $239) | 67th percentile | |
| 99354 | Prolonged service outpatient first hour (retired 2023) | $39K | 3% | $137 | $78 (top 5% from $222) | 79th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $34K | 3% | $63 | $60 (top 5% from $133) | 54th percentile | |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | $13K | 1% | $6.01 | $7.86 (top 5% from $34) | 37th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 47 | 14 | $2K | $101 | $72 | 1.4x | 2.2x (90th percentile 3.8x) |
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
2 providers in Highland County, OH carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 1 of them, followed by named in an enforcement record on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | CRESTWOOD RIDGE NURSING AND REHABILITATION, INC. Hillsboro, OH, ranked 2248 | $0 |
|
| 3 | CAROL DAWES-WILLIS Hillsboro, OH, ranked 2406 | $0 |
|
Recent enforcement in OH
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.