Providers
CLAIRE ALEASE BRADLEY, MD
NPI 1396905477, individual, Amarillo, TX, Psychiatry & Neurology, Psychiatry
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 6 months, but with up to 780 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 9322, $342K 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.
| 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 2018 | More hours than a day holds, even counting one unit per claim line | 30.1 | 4.2 | 2.8 | 4.0 | 653 | 1 | 90792 99213 99214 | $10K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 26.2 | 7.6 | 5.1 | 6.9 | 650 | 1 | 90792 99213 99214 | $19K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 27.8 | 8.4 | 5.6 | 8.0 | 625 | 1 | 90792 99213 99214 | $21K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 30.3 | 9.0 | 6.0 | 8.4 | 741 | 1 | 90792 99213 99214 | $23K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 25.7 | 16.1 | 10.7 | 14.4 | 746 | 1 | 90792 99213 99214 | $42K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 25.4 | 15.3 | 10.2 | 13.7 | 780 | 1 | 90792 99213 99214 | $40K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CLAIRE ALEASE BRADLEY, MD |
| Type | Individual |
| Status | Active |
| NPI issued | June 12, 2008, last updated September 19, 2024 |
| Practice location | 6010 W AMARILLO BLVD, Amarillo, TX 79106-1990, 806-355-9703 |
| Mailing address | 613 BOSTON PL, Amarillo, TX 79107-3019 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 205873 LA) |
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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $425K | 34% | $37 | $44 (top 5% from $110) | 39th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $422K | 34% | $50 | $60 (top 5% from $133) | 36th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $299K | 24% | $53 | $112 (top 5% from $313) | 19th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $57K | 5% | $49 | $67 (top 5% from $121) | 22nd percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $33K | 3% | $73 | $95 (top 5% from $171) | 23rd percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $3K | 0% | $59 | $128 (top 5% from $249) | too few months to rank | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $3K | 0% | $73 | $88 (top 5% from $210) | too few months to rank | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $3K | 0% | $25 | $28 (top 5% from $147) | too few months to rank |
In this area
6 providers in Potter County, TX carry an indicator in the public record, with $660K at stake between them. The most common is part of a provider network, on 4 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | HIGH PLAINS SENIOR CARE, LLC Amarillo, TX, ranked 1377 | $79K |
|
| 3 | STATE OF TEXAS VETERANS LAND BOARD Amarillo, TX, ranked 2083 | $0 |
|
| 3 | HEALTHCARE OF WEST TEXAS LLC Amarillo, TX, ranked 2391 | $0 |
|
| 3 | A P HEALTH AND PALLIATIVE CARE, LLC Amarillo, TX, ranked 2966 | $0 |
|
| 4 | JAMES RUSH Amarillo, TX, ranked 8222 | $538K |
|
| 5 | GEORJANE WOODBURN Amarillo, TX, ranked 11780 | $43K |
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 26, 2026
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
DOJConvictedAug 12, 2026
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
DOJIndictedJun 24, 2026
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
DOJIndictedJun 23, 2026
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
DOJChargedJun 23, 2026
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.
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.