KRISTEN HURLEY, PsyD
NPI 1417302209, individual, Columbus, IN, Psychologist, Clinical
- Hours beyond a day in 5 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 96152 ($3467 per patient-month) sit in the top 5% of every provider billing that code.
- 89% of Medicaid dollars are on codes with a history of abuse.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 32.2 | 90.7 | 60.5 | 79.2 | 253 | 1 | 96151 96152 97153 97155 | $435K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 37.6 | 88.4 | 58.9 | 70.5 | 317 | 1 | 96151 96152 97153 97155 97156 | $501K |
| Mar 2019 | More hours than a day holds at a conservative unit price | 32.7 | 87.1 | 58.1 | 65.4 | 278 | 1 | 96151 96152 97153 97155 97156 | $645K |
| Apr 2019 | More hours than a day holds at a conservative unit price | 34.9 | 93.5 | 62.3 | 59.0 | 266 | 1 | 96151 96152 97153 97155 97156 | $747K |
| May 2019 | More hours than a day holds at a conservative unit price | 33.3 | 79.0 | 52.6 | 43.7 | 273 | 1 | 96151 96152 97153 97155 97156 | $726K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KRISTEN HURLEY, PsyD |
| Type | Individual |
| Status | Active |
| NPI issued | April 28, 2016, last updated April 28, 2016 |
| Practice location | 2675 FOX POINTE DR STE A, Columbus, IN 47203-3391, 812-376-0900 |
| Specialties | Psychologist, Clinical (103TC0700X, primary, license 20042922A 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 97153 | Adaptive behavior treatment by protocol by technicianhistory of abuse | $19.5M | 78% | $5K | $2K (top 5% from $6K) | 91st percentile | |
| 97155 | Adaptive behavior treatment with protocol modification by QHPhistory of abuse | $2.7M | 11% | $786 | $512 (top 5% from $1K) | 77th percentile | |
| 96152 | Health and behavior intervention individual each 15 min (pre-2020) | $2.1M | 8% | $3K | $40 (top 5% from $2K) | 98th percentile | |
| 96151 | Health and behavior reassessment each 15 min (pre-2020) | $426K | 2% | $726 | $11 (top 5% from $232) | 98th percentile | |
| 97151 | Behavior identification assessment by professional, each 15 minutes | $210K | 1% | $261 | $389 (top 5% from $1K) | 29th percentile | |
| 97156 | Family adaptive behavior treatment guidance | $94K | 0% | $57 | $210 (top 5% from $547) | 4th percentile | |
| 0373T | Adaptive behavior treatment with protocol modification (2 or more technicians)history of abuse | $52K | 0% | $1K | too few months to rank | ||
| 96155 | Health and behavior intervention family without patient each 15 min (pre-2020) | $9K | 0% | $41 | too few months to rank |
In this area
2 providers in Bartholomew County, IN carry an indicator in the public record, with $185.8M at stake between them. The most common is more hours than a day holds, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | VINITA WATTS Columbus, IN, ranked 7732 | $162.9M |
|
| 4 | BENJAMIN SKLAR Columbus, IN, ranked 8016 | $22.9M |
|
Recent enforcement in IN
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.