VERITY
Providers

JAMES ARTHUR CATES, Ph.D., , HSPP, ABPP

NPI 1407805104, individual, Fort Wayne, IN, Psychologist

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 69 months, but with up to 694 patients a month across 6 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
score 52 of 100, rank 8397, $5.2M 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
Jan 2018More hours than a day holds, even counting one unit per claim line43.743.429.039.0694690791 90832 90834 90837 90846 90847 90853$85K
Feb 2018More hours than a day holds, even counting one unit per claim line42.144.529.739.6637690791 90832 90834 90837 90846 90847 90853 H2014$88K
Mar 2018More hours than a day holds, even counting one unit per claim line38.240.126.735.8633690791 90832 90834 90837 90846 90847 90853 H2014$88K
Apr 2018More hours than a day holds, even counting one unit per claim line32.932.621.731.0570690791 90832 90834 90837 90846 90847 90853$62K
May 2018More hours than a day holds, even counting one unit per claim line36.034.823.231.3590690791 90832 90834 90837 90846 90847 90853$68K
Jun 2018More hours than a day holds, even counting one unit per claim line36.034.723.133.1607690791 90832 90834 90837 90846 90847 90853$65K
Jul 2018More hours than a day holds, even counting one unit per claim line31.029.319.627.6547690791 90832 90834 90837 90846 90847 90853$57K
Aug 2018More hours than a day holds, even counting one unit per claim line37.831.220.828.0631690791 90832 90834 90837 90846 90847 90853$62K
Sep 2018More hours than a day holds, even counting one unit per claim line36.627.518.327.5514690791 90832 90834 90837 90846 90847$52K
Oct 2018More hours than a day holds, even counting one unit per claim line37.730.620.427.5592690791 90832 90834 90837 90846 90847 90853$60K
Nov 2018More hours than a day holds, even counting one unit per claim line35.430.520.427.8575690791 90832 90834 90837 90847 90853$58K
Dec 2018More hours than a day holds, even counting one unit per claim line28.826.017.425.6555690791 90832 90834 90837 90847 90853$51K
Jan 2019More hours than a day holds, even counting one unit per claim line45.536.724.433.0617690791 90832 90834 90837 90847 90853$79K
Feb 2019More hours than a day holds, even counting one unit per claim line44.133.622.431.4613690791 90832 90834 90837 90847 90853$66K
Mar 2019More hours than a day holds, even counting one unit per claim line39.133.022.032.5682690791 90832 90834 90837 90847 90853$71K
Apr 2019More hours than a day holds, even counting one unit per claim line38.532.621.729.7589690791 90832 90834 90837 90847 90853$68K
May 2019More hours than a day holds, even counting one unit per claim line33.230.820.527.6604690791 90832 90834 90837 90847 90853$66K
Jun 2019More hours than a day holds, even counting one unit per claim line30.427.418.327.4548690791 90832 90834 90837 90847 90853$57K
Jul 2019More hours than a day holds, even counting one unit per claim line31.928.719.225.8532690791 90832 90834 90837 90847 90853$63K
Aug 2019More hours than a day holds, even counting one unit per claim line30.829.719.827.9537690791 90832 90834 90837 90847 90853$65K
Sep 2019More hours than a day holds, even counting one unit per claim line34.032.121.430.5593690791 90832 90834 90837 90847 90853$67K
Oct 2019More hours than a day holds, even counting one unit per claim line32.929.619.726.6570590791 90832 90834 90837 90847 90853$64K
Nov 2019More hours than a day holds, even counting one unit per claim line27.324.716.523.5458590791 90832 90834 90837 90847 90853$52K
Jan 2020More hours than a day holds, even counting one unit per claim line33.527.218.124.4570590791 90832 90834 90837 90847 90853$63K
Feb 2020More hours than a day holds, even counting one unit per claim line30.127.118.026.1517590791 90832 90834 90837 90847 90853$59K
Mar 2020More hours than a day holds, even counting one unit per claim line29.426.317.524.7550590791 90832 90834 90837 90847 90853$61K
Apr 2020More hours than a day holds, even counting one unit per claim line27.023.015.320.9368590832 90834 90837 90847$52K
Jun 2020More hours than a day holds, even counting one unit per claim line25.025.016.722.7394590791 90832 90834 90837 90847$56K
Jul 2020More hours than a day holds, even counting one unit per claim line26.926.817.924.1466590791 90832 90834 90837 90847$62K
Aug 2020More hours than a day holds, even counting one unit per claim line25.926.717.826.2441590791 90832 90834 90837 90847$62K
Sep 2020More hours than a day holds, even counting one unit per claim line30.228.919.326.3493590791 90832 90834 90837 90847$65K
Oct 2020More hours than a day holds, even counting one unit per claim line28.527.218.125.6504590791 90832 90834 90837 90847$64K
Nov 2020More hours than a day holds, even counting one unit per claim line26.326.717.825.4466590791 90832 90834 90837 90847 90853$60K
Dec 2020More hours than a day holds, even counting one unit per claim line27.126.717.824.0461590791 90832 90834 90837 90847 90853$62K
Jan 2021More hours than a day holds, even counting one unit per claim line29.225.917.325.5476590791 90832 90834 90837 90847 90853$63K
Feb 2021More hours than a day holds, even counting one unit per claim line31.630.720.528.7502590791 90832 90834 90837 90847 90853$67K
Mar 2021More hours than a day holds, even counting one unit per claim line36.335.223.531.6578590791 90832 90834 90837 90847 90853$85K
Apr 2021More hours than a day holds, even counting one unit per claim line38.234.523.031.4546590791 90832 90834 90837 90847 90853$81K
May 2021More hours than a day holds, even counting one unit per claim line40.931.821.231.3591590791 90832 90834 90837 90847 90853$77K
Jun 2021More hours than a day holds, even counting one unit per claim line39.235.523.632.2614590791 90832 90834 90837 90847 90853$84K
Jul 2021More hours than a day holds, even counting one unit per claim line30.530.220.128.3565590791 90832 90834 90837 90847 90853$73K
Aug 2021More hours than a day holds, even counting one unit per claim line31.531.521.029.5560590791 90832 90834 90837 90847 90853$76K
Sep 2021More hours than a day holds, even counting one unit per claim line30.031.020.728.2531590791 90832 90834 90837 90847 90853$72K
Oct 2021More hours than a day holds, even counting one unit per claim line31.131.420.930.9572590791 90832 90834 90837 90847 90853$76K
Nov 2021More hours than a day holds, even counting one unit per claim line30.630.120.127.4521590791 90832 90834 90837 90847 90853$71K
Dec 2021More hours than a day holds, even counting one unit per claim line24.324.516.422.0474590791 90832 90834 90837 90847 90853$59K
Jan 2022More hours than a day holds, even counting one unit per claim line29.828.619.128.2497590791 90832 90834 90837 90847 90853$68K
Feb 2022More hours than a day holds, even counting one unit per claim line31.231.821.229.7516590791 90832 90834 90837 90853$68K
Mar 2022More hours than a day holds, even counting one unit per claim line34.832.922.029.6536590791 90832 90834 90837 90847 90853$78K
Apr 2022More hours than a day holds, even counting one unit per claim line27.127.718.526.4495590791 90832 90834 90837 90847 90853$63K
May 2022More hours than a day holds, even counting one unit per claim line27.428.519.026.8468590791 90832 90834 90837 90847 90853$67K
Jun 2022More hours than a day holds, even counting one unit per claim line30.630.820.628.0505590791 90832 90834 90837 90847 90853$71K
Jul 2022More hours than a day holds, even counting one unit per claim line25.525.416.925.0468590791 90832 90834 90837 90847 90853$60K
Aug 2022More hours than a day holds, even counting one unit per claim line31.431.220.828.0555590791 90832 90834 90837 90847 90853$74K
Sep 2022More hours than a day holds, even counting one unit per claim line29.728.719.126.0477590791 90832 90834 90837 90847 90853$65K
Oct 2022More hours than a day holds, even counting one unit per claim line26.326.517.726.1462590791 90832 90834 90837 90847 90853$63K
Nov 2022More hours than a day holds, even counting one unit per claim line27.328.318.925.8451590791 90832 90834 90837 90847 90853$65K
Jan 2023More hours than a day holds, even counting one unit per claim line33.631.320.829.4526590791 90832 90834 90837 90847 90853$73K
Feb 2023More hours than a day holds, even counting one unit per claim line31.131.521.029.4484590791 90832 90834 90837 90847 90853$66K
Mar 2023More hours than a day holds, even counting one unit per claim line30.831.621.128.4494590791 90832 90834 90837 90847 90853$73K
Apr 2023More hours than a day holds, even counting one unit per claim line31.932.821.932.8490590791 90832 90834 90837 90847 90853$73K
May 2023More hours than a day holds, even counting one unit per claim line33.434.823.231.3513590791 90832 90834 90837 90847 90853$81K
Jun 2023More hours than a day holds, even counting one unit per claim line28.730.120.127.4486590791 90832 90834 90837 90847 90853$67K
Jul 2023More hours than a day holds, even counting one unit per claim line25.226.918.026.5453590791 90832 90834 90837 90847 90853$63K
Aug 2023More hours than a day holds, even counting one unit per claim line29.630.420.227.3443590791 90832 90834 90837 90847 90853$71K
Oct 2023More hours than a day holds, even counting one unit per claim line26.124.916.623.4403590791 90832 90834 90837 90847 90853$58K
Nov 2023More hours than a day holds, even counting one unit per claim line24.025.116.722.8390590791 90832 90834 90837 90847 90853$56K
Jan 2024More hours than a day holds, even counting one unit per claim line24.625.116.822.6415590791 90832 90834 90837 90853$69K
Feb 2024More hours than a day holds, even counting one unit per claim line27.227.318.225.2439590791 90832 90834 90837 90847 90853$70K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameJAMES ARTHUR CATES, Ph.D., , HSPP, ABPP
TypeIndividual
StatusActive
NPI issuedMay 9, 2006, last updated September 29, 2010
Practice location2200 LAKE AVE, SUITE 260, Fort Wayne, IN 46805-5397, 260-493-3980
Mailing addressP.O. BOX 5391, Fort Wayne, IN 46895-5391
Specialties
Psychologist (103T00000X, primary, license 20040888A IN)

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
90837Psychotherapy, 1 hourhistory of abuse$2.9M54%$167$191 (top 5% from $442)39th percentile
90834Psychotherapy, 45 minutes$1.2M22%$101$101 (top 5% from $318)50th percentile
90847Family psychotherapy with patient, 50 minutes$398K7%$127$130 (top 5% from $458)48th percentile
90832Psychotherapy, 30 minutes$315K6%$104$59 (top 5% from $239)82nd percentile
90791Psychiatric diagnostic evaluation$298K5%$88$105 (top 5% from $228)35th percentile
T2022Case management per month$178K3%$787$286 (top 5% from $657)98th percentile
90853Group psychotherapyhistory of abuse$76K1%$45$60 (top 5% from $332)37th percentile
H2014Skills training and development per 15 minhistory of abuse$27K0%$1K$298 (top 5% from $3K)too few months to rank

In this area

27 providers in Allen County, IN carry an indicator in the public record, with $85.3M at stake between them. The most common is part of a provider network, on 14 of them, followed by more hours than a day holds on 13.

tierproviderat stakewhy
2ANDREW MILLER
Fort Wayne, IN, ranked 711
$1.8M
  • Billed more hands-on hours than a day holds in 1 month, peaking at 21.8 hours per day across 3 billing organizations.
  • 85% of Medicaid dollars are on codes with a history of abuse.
3THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Fort Wayne, IN, ranked 2139
$0
  • Part of provider network D1-00008, ranked 8 nationally.
3LUMINARY HOSPICE OF FORT WAYNE, LLC
Fort Wayne, IN, ranked 2237
$0
  • Part of provider network D1-00008, ranked 8 nationally.
3ADAMS COUNTY MEMORIAL HOSPITAL
Fort Wayne, IN, ranked 2503
$0
  • Part of provider network D1-00059, ranked 59 nationally.
3PULASKI MEMORIAL HOSPITAL
Fort Wayne, IN, ranked 4486
$0
  • Part of provider network D1-00059, ranked 59 nationally.
3ADAMS COUNTY MEMORIAL HOSPITAL
Monroeville, IN, ranked 4530
$0
  • Part of provider network D1-00059, ranked 59 nationally.
3ADAMS COUNTY MEMORIAL HOSPITAL
Fort Wayne, IN, ranked 4534
$0
  • Part of provider network D1-00059, ranked 59 nationally.
3PULASKI MEMORIAL HOSPITAL
Fort Wayne, IN, ranked 4848
$0
  • Part of provider network D1-00059, ranked 59 nationally.
All 27 in IN

Recent enforcement in IN

All releases

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

DOJSentencedJun 18, 2026
Florida Man Sentenced to 36 Months in Prison
As vice president of a dental practice, he submitted claims to Indiana Medicaid falsely billing for hundreds of dental surgeries that were never performed, used patients' personal identifiers without authorization to support the claims, and committed tax evasion to conceal the income.
DOJSentencedFeb 18, 2026
Highland Physician Sentenced to 97 Months in Prison
Cataldi, sole owner of an otolaryngology practice, billed Medicare and private insurance for thousands of balloon sinuplasty procedures that she did not perform, seeking approximately $50 million and being paid almost $20 million.
DOJCivil settlementJan 28, 2026
Settlement for $1.7 Million With Former Physician Don J. Wagoner and His Business Entity for Fraudulently Billing the Indiana Medicaid Program
Defendants required patients seeking opioid or pain medicine prescriptions to give a single urine sample, tested it with one inexpensive multiplexed screening kit, and billed Indiana Medicaid $171.27 or more per patient by falsely certifying that nine or more separate samples had been collected and analyzed.
DOJSentencedJan 8, 2026
Indiana Woman Sentenced to 84 Months in Prison
Reese falsely claimed to be a licensed clinical psychologist, used forged documents to obtain employment and stole the identities and license numbers of three medical professionals to enroll in Indiana Medicaid and bill for therapy services.
DOJSentencedOct 3, 2024
Merrillville Doctor Sentenced to Prison and Ordered to Pay Restitution
Farley submitted claims to Medicaid and Medicare falsely representing that he had complex, extended visits with patients at his addiction treatment practice, billing for more than 7,000 services he did not provide.

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.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.