RACHEL LINDSEY MONTGOMERY, LPC
NPI 1356974240, individual, Wytheville, VA, Counselor, Professional
- Hours beyond a day in 2 months under one organization, which can be supervisory billing.
- Records needed.
- 82% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 24.7 | 19.3 | 12.9 | 19.0 | 274 | 1 | 90791 90832 90834 90837 | $64K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 24.4 | 21.9 | 14.6 | 19.9 | 302 | 1 | 90791 90832 90834 90837 | $70K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RACHEL LINDSEY MONTGOMERY, LPC (also RACHEL CARROLL) |
| Type | Individual |
| Status | Active |
| NPI issued | February 19, 2020, last updated February 19, 2020 |
| Practice location | 525 W MONROE ST, Wytheville, VA 24382-2237, 276-227-0489 |
| Mailing address | 770 W RIDGE RD, Wytheville, VA 24382-1187 |
| Specialties | Counselor, Professional (101YP2500X, primary, license 0701008937 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 | $998K | 82% | $262 | $191 (top 5% from $442) | 76th percentile | |
| 90832 | Psychotherapy, 30 minutes | $78K | 6% | $106 | $59 (top 5% from $239) | 82nd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $76K | 6% | $117 | $105 (top 5% from $228) | 64th percentile | |
| 90834 | Psychotherapy, 45 minutes | $63K | 5% | $118 | $101 (top 5% from $318) | 59th percentile |
In this area
2 providers in Wythe 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 | WYTHE VA OPCO LLC Rural Retreat, VA, ranked 1949 | $0 |
|
| 3 | BIRDMONT HEALTH CARE, LLC Wytheville, VA, ranked 2399 | $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.