MARILYN STEPHENS, LCSW
NPI 1407041775, individual, Beaverton, OR, Social Worker, Clinical
- Hours beyond a day in 2 months, but with up to 1009 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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 36.2 | 56.3 | 37.6 | 36.9 | 1009 | 1 | 90791 90832 90834 90837 99212 H0034 H2010 H2014 | $143K |
| May 2024 | More hours than a day holds at a conservative unit price | 34.0 | 54.4 | 36.2 | 35.1 | 886 | 1 | 90791 90832 90834 90837 99212 H0034 H2014 | $141K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARILYN STEPHENS, LCSW |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | September 10, 2007, last updated April 28, 2026 |
| Practice location | 15200 SW SPARROW LOOP UNIT 102, Beaverton, OR 97007-9358, 808-463-4287 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license L7646 OR) |
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 | $1.1M | 43% | $330 | $191 (top 5% from $442) | 88th percentile | |
| H0031 | Medicaid service code | $827K | 31% | $249 | $100 (top 5% from $540) | 83rd percentile | |
| H0032 | Medicaid service code | $160K | 6% | $131 | $98 (top 5% from $675) | 59th percentile | |
| Q3014 | Telehealth originating site facility fee | $153K | 6% | $38 | $21 (top 5% from $84) | 83rd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $91K | 3% | $140 | $105 (top 5% from $228) | 79th percentile | |
| H0034 | Medication training and support per 15 min | $64K | 2% | $47 | $143 (top 5% from $830) | 30th percentile | |
| T1023 | Medicaid service code | $56K | 2% | $99 | $103 (top 5% from $499) | 47th percentile | |
| H2014 | Skills training and development per 15 minhistory of abuse | $55K | 2% | $38 | $298 (top 5% from $3K) | 12th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 458 | 61 | $41K | $386 | $115 | 3.4x | 1.6x (90th percentile 2.9x) |
| 96156 | Assessment of health behavior | 435 | 67 | $26K | $161 | $75 | 2.1x | 3.3x (90th percentile 6.3x) |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 44 | 43 | $7K | $197 | $194 | 1.0x | 1.8x (90th percentile 3.2x) |
| Q3014 | Telehealth originating site facility fee | 277 | 46 | $6K | $39 | $29 | 1.3x | 1.5x (90th percentile 3.1x) |
| 90785 | Psychiatric services complicated by communication factor | 372 | 52 | $3K | $23 | $11 | 2.1x | 2.4x (90th percentile 7.3x) |
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
3 providers in Washington County, OR carry an indicator in the public record, with $5.3M at stake between them. The most common is part of a provider network, on 3 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | AIDEN HEALTHCARE LLC Portland, OR, ranked 935 | $3.8M |
|
| 3 | AGAPE HOSPICE & PALLIATIVE CARE NW, LLC Portland, OR, ranked 999 | $1.5M |
|
| 3 | OREGON CONTINENTAL HOME HEALTH CARE, INC Hillsboro, OR, ranked 1741 | $1 |
|
Recent enforcement in OR
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.