Providers

THARTA RENA KING

NPI 1366839276, individual, Richmond, VA, Nurse Practitioner, Psych/Mental Health

4
Evidence tier
structure or single-organization volume
  • 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.
score 51 of 100, rank 8602, $2.7M 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
Jun 2021More hours than a day holds, even counting one unit per claim line26.117.411.615.8994190833 90853 99204 99214$52K
Jul 2021More hours than a day holds, even counting one unit per claim line24.717.511.616.41054190833 90853 99204 99214$55K
Aug 2021More hours than a day holds, even counting one unit per claim line29.020.513.719.31259190833 90853 99204 99214$65K
Sep 2021More hours than a day holds, even counting one unit per claim line28.220.313.518.51162190833 90853 99204 99214$62K
Oct 2021More hours than a day holds, even counting one unit per claim line28.920.513.720.21194190833 90853 99204 99214$65K
Nov 2021More hours than a day holds, even counting one unit per claim line24.416.410.914.9980190833 90853 99204 99214$50K
Dec 2021More hours than a day holds, even counting one unit per claim line27.116.210.814.61089190833 90836 90853 99204 99214 99215$51K
Jan 2022More hours than a day holds, even counting one unit per claim line24.814.99.914.7974190792 90833 90836 90853 99204 99214 99215$50K
Feb 2022More hours than a day holds, even counting one unit per claim line26.214.59.713.6949190833 90836 90853 99204 99214 99215$45K
Apr 2022More hours than a day holds, even counting one unit per claim line25.415.410.214.61086190792 90833 90836 90853 99204 99214 99215$51K
Jun 2022More hours than a day holds, even counting one unit per claim line25.816.310.914.8967190792 90833 90836 90853 99214 99215$53K
May 2023More hours than a day holds, even counting one unit per claim line25.414.89.813.31041190833 90834 90836 90853 99204 99205 99214 99215$54K
Aug 2023More hours than a day holds, even counting one unit per claim line25.114.99.913.41009190833 90834 90836 90853 99204 99214 99215$54K
Oct 2023More hours than a day holds, even counting one unit per claim line26.917.611.716.51106190833 90834 90836 90853 99204 99214 99215$63K
Nov 2023More hours than a day holds, even counting one unit per claim line26.717.111.415.5955190833 90836 90853 99214 99215$57K
Jan 2024More hours than a day holds, even counting one unit per claim line32.325.216.822.71026190833 90836 90853 99205 99213 99214 99215$94K
Feb 2024More hours than a day holds, even counting one unit per claim line30.624.416.222.4971190833 90836 90853 99205 99214 99215$87K
Mar 2024More hours than a day holds, even counting one unit per claim line26.919.713.119.4799190833 90836 90853 99205 99211 99214 99215$71K
Apr 2024More hours than a day holds, even counting one unit per claim line31.421.914.619.9945190833 90836 90853 99205 99214 99215$79K
May 2024More hours than a day holds, even counting one unit per claim line26.119.713.117.7854190833 90836 90853 99205 99214 99215$76K
Jun 2024More hours than a day holds, even counting one unit per claim line27.522.314.922.3878190833 90836 90853 99205 99214 99215$81K
Jul 2024More hours than a day holds, even counting one unit per claim line26.821.514.319.3867190833 90836 90853 99205 99214 99215$80K
Aug 2024More hours than a day holds, even counting one unit per claim line24.219.713.118.5796190833 90836 90853 99204 99214 99215$73K
Sep 2024More hours than a day holds, even counting one unit per claim line25.521.814.520.7856190833 90836 90853 99205 99214 99215$79K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameTHARTA RENA KING
TypeIndividual, sole proprietor
StatusActive
NPI issuedApril 17, 2015, last updated March 22, 2022
Practice location110 N. ROBINSON STREET, STE 300, Richmond, VA 23220, 804-367-3777
Mailing address110 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$1.3M33%$46$60 (top 5% from $133)32nd percentile
90833Psychotherapy with evaluation and management visit, 30 minutes$1.2M29%$39$49 (top 5% from $109)36th percentile
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse$555K14%$77$88 (top 5% from $210)41st percentile
90836Psychotherapy with evaluation and management visit, 45 minutes$362K9%$54$72 (top 5% from $190)32nd percentile
90853Group psychotherapyhistory of abuse$263K6%$143$60 (top 5% from $332)83rd percentile
90785Psychiatric services complicated by communication factor$151K4%$81$15 (top 5% from $35)100th percentile
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$71K2%$80$95 (top 5% from $171)31st percentile
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more$56K1%$86$128 (top 5% from $249)20th percentile
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more965157$99K$342$1382.5x2.4x (90th percentile 4.1x)
90836Psychotherapy with evaluation and management visit, 45 minutes978161$51K$179$702.6x2.0x (90th percentile 3.2x)
90853Group psychotherapy2,57534$42K$69$213.3x4.0x (90th percentile 7.8x)
90785Psychiatric services complicated by communication factor2,62034$23K$36$113.2x2.4x (90th percentile 7.3x)
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more31481$19K$265$992.7x2.3x (90th percentile 3.8x)
99493Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes20653$17K$180$1071.7x2.2x (90th percentile 3.8x)
90833Psychotherapy with evaluation and management visit, 30 minutes33584$13K$105$561.9x2.1x (90th percentile 3.5x)
99494Psychiatric collaborative care management per calendar month, each additional 30 minutes20653$7K$100$452.2x2.8x (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.

tierproviderat stakewhy
1SALMAN AKBAR
Richmond, VA, ranked 81
$484K
  • Listed on the Medicare revocation list since July 13, 2022.
  • Medicaid still paid claims in 27 later months, $484,231 in total.
3ADVANCING COMMUNITIES EVERYWHERE,LLC
North Chesterfield, VA, ranked 909
$7.8M
  • Charged (charged) per a Department of Justice release dated June 23, 2026, not adjudicated.
  • Medicaid paid $7,836,123 in the last 12 observed months.
3JAWAD BHATTI
Richmond, VA, ranked 1459
$31K
  • Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated.
  • Medicaid paid $31,331 in the last 12 observed months.
3CRISTINA SCHASSE
Richmond, VA, ranked 4296
$0
  • Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated.
3BRISTOL HOSPICE - RICHMOND, L.L.C.
Richmond, VA, ranked 4586
$0
  • Part of provider network D1-00039, ranked 39 nationally.

Recent enforcement in VA

All releases

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

DOJChargedJun 23, 2026
U.S. Attorney’s Office announces charges against three defendants in the Eastern District of Virginia as part of national health care fraud takedown
Three defendants were charged with fraudulently billing Medicaid for mental health services that were not provided and with submitting false claims to Medicare through a straw-owned durable medical equipment company.
DOJSentencedJun 5, 2026
Medicaid service providers sentenced for false statements resulting in overbilling
Wright and Winfield instructed CCR employees to falsely claim in progress notes that children received therapeutic day treatment services from 2:00pm to 7:00pm, including providing prefilled progress note templates, resulting in overbilling to Medicaid.
DOJCivil settlementApr 27, 2026
Tri-Area Community Health Agrees to Pay $513,000 to Resolve Medicare Billing Allegations
Tri-Area Community Health billed Medicare for Annual Wellness Visits provided by pharmacists without appropriate physician supervision that were billed under the names of physicians not involved with the visits.
DOJSentencedMar 17, 2026
Six Sentenced in Healthcare Fraud Conspiracy that Stole $10 Million from Medicaid Over Six-Year Period
Six defendants conspired to submit false claims to Virginia Medicaid on behalf of 1st Adult N Pediatric Healthcare Services for nursing and personal care services that were not provided, including falsifying records and paying parents or guardians of patients for blank, signed nursing notes.
DOJIndictedMar 11, 2026
Victim Advisory- Divine Youth Case Updates
Divine Youth Counseling submitted more than $11 million in fraudulent Medicaid claims for Crisis Stabilization and Mobile Crisis services by falsely claiming two mental health professionals provided Team Treatment services and paid more than $470,000 in kickbacks in the form of hotel rooms for Medicaid recipients.

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.

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