THARTA RENA KING
NPI 1366839276, individual, Richmond, VA, Nurse Practitioner, Psych/Mental Health
- Hours beyond a day in 24 months, but with up to 1259 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 26.1 | 17.4 | 11.6 | 15.8 | 994 | 1 | 90833 90853 99204 99214 | $52K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 24.7 | 17.5 | 11.6 | 16.4 | 1054 | 1 | 90833 90853 99204 99214 | $55K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 29.0 | 20.5 | 13.7 | 19.3 | 1259 | 1 | 90833 90853 99204 99214 | $65K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 28.2 | 20.3 | 13.5 | 18.5 | 1162 | 1 | 90833 90853 99204 99214 | $62K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 28.9 | 20.5 | 13.7 | 20.2 | 1194 | 1 | 90833 90853 99204 99214 | $65K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 24.4 | 16.4 | 10.9 | 14.9 | 980 | 1 | 90833 90853 99204 99214 | $50K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 27.1 | 16.2 | 10.8 | 14.6 | 1089 | 1 | 90833 90836 90853 99204 99214 99215 | $51K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 24.8 | 14.9 | 9.9 | 14.7 | 974 | 1 | 90792 90833 90836 90853 99204 99214 99215 | $50K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 26.2 | 14.5 | 9.7 | 13.6 | 949 | 1 | 90833 90836 90853 99204 99214 99215 | $45K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 25.4 | 15.4 | 10.2 | 14.6 | 1086 | 1 | 90792 90833 90836 90853 99204 99214 99215 | $51K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 25.8 | 16.3 | 10.9 | 14.8 | 967 | 1 | 90792 90833 90836 90853 99214 99215 | $53K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 25.4 | 14.8 | 9.8 | 13.3 | 1041 | 1 | 90833 90834 90836 90853 99204 99205 99214 99215 | $54K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 25.1 | 14.9 | 9.9 | 13.4 | 1009 | 1 | 90833 90834 90836 90853 99204 99214 99215 | $54K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 26.9 | 17.6 | 11.7 | 16.5 | 1106 | 1 | 90833 90834 90836 90853 99204 99214 99215 | $63K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 26.7 | 17.1 | 11.4 | 15.5 | 955 | 1 | 90833 90836 90853 99214 99215 | $57K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 32.3 | 25.2 | 16.8 | 22.7 | 1026 | 1 | 90833 90836 90853 99205 99213 99214 99215 | $94K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 30.6 | 24.4 | 16.2 | 22.4 | 971 | 1 | 90833 90836 90853 99205 99214 99215 | $87K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 26.9 | 19.7 | 13.1 | 19.4 | 799 | 1 | 90833 90836 90853 99205 99211 99214 99215 | $71K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 31.4 | 21.9 | 14.6 | 19.9 | 945 | 1 | 90833 90836 90853 99205 99214 99215 | $79K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 26.1 | 19.7 | 13.1 | 17.7 | 854 | 1 | 90833 90836 90853 99205 99214 99215 | $76K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 27.5 | 22.3 | 14.9 | 22.3 | 878 | 1 | 90833 90836 90853 99205 99214 99215 | $81K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 26.8 | 21.5 | 14.3 | 19.3 | 867 | 1 | 90833 90836 90853 99205 99214 99215 | $80K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 24.2 | 19.7 | 13.1 | 18.5 | 796 | 1 | 90833 90836 90853 99204 99214 99215 | $73K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 25.5 | 21.8 | 14.5 | 20.7 | 856 | 1 | 90833 90836 90853 99205 99214 99215 | $79K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | THARTA RENA KING |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | April 17, 2015, last updated March 22, 2022 |
| Practice location | 110 N. ROBINSON STREET, STE 300, Richmond, VA 23220, 804-367-3777 |
| Mailing address | 110 N ROBINSON ST, 300, Richmond, VA 23220-4459 |
| Specialties | Nurse Practitioner, Psych/Mental Health (363LP0808X, primary, license 0024172537 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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.3M | 33% | $46 | $60 (top 5% from $133) | 32nd percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $1.2M | 29% | $39 | $49 (top 5% from $109) | 36th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $555K | 14% | $77 | $88 (top 5% from $210) | 41st percentile | |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | $362K | 9% | $54 | $72 (top 5% from $190) | 32nd percentile | |
| 90853 | Group psychotherapyhistory of abuse | $263K | 6% | $143 | $60 (top 5% from $332) | 83rd percentile | |
| 90785 | Psychiatric services complicated by communication factor | $151K | 4% | $81 | $15 (top 5% from $35) | 100th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $71K | 2% | $80 | $95 (top 5% from $171) | 31st percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $56K | 1% | $86 | $128 (top 5% from $249) | 20th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 965 | 157 | $99K | $342 | $138 | 2.5x | 2.4x (90th percentile 4.1x) |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 978 | 161 | $51K | $179 | $70 | 2.6x | 2.0x (90th percentile 3.2x) |
| 90853 | Group psychotherapy | 2,575 | 34 | $42K | $69 | $21 | 3.3x | 4.0x (90th percentile 7.8x) |
| 90785 | Psychiatric services complicated by communication factor | 2,620 | 34 | $23K | $36 | $11 | 3.2x | 2.4x (90th percentile 7.3x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 314 | 81 | $19K | $265 | $99 | 2.7x | 2.3x (90th percentile 3.8x) |
| 99493 | Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes | 206 | 53 | $17K | $180 | $107 | 1.7x | 2.2x (90th percentile 3.8x) |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 335 | 84 | $13K | $105 | $56 | 1.9x | 2.1x (90th percentile 3.5x) |
| 99494 | Psychiatric collaborative care management per calendar month, each additional 30 minutes | 206 | 53 | $7K | $100 | $45 | 2.2x | 2.8x (90th percentile 4.0x) |
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
5 providers in Richmond city County, VA carry an indicator in the public record, with $8.4M at stake between them. The most common is named in an enforcement record, on 3 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | SALMAN AKBAR Richmond, VA, ranked 81 | $484K |
|
| 3 | ADVANCING COMMUNITIES EVERYWHERE,LLC North Chesterfield, VA, ranked 909 | $7.8M |
|
| 3 | JAWAD BHATTI Richmond, VA, ranked 1459 | $31K |
|
| 3 | CRISTINA SCHASSE Richmond, VA, ranked 4296 | $0 |
|
| 3 | BRISTOL HOSPICE - RICHMOND, L.L.C. Richmond, VA, ranked 4586 | $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.