JOEY ALLEN GRAHAM, Psy.D. HSPP
NPI 1437396264, individual, Warsaw, IN, Psychologist, Clinical
- Hours beyond a day in 6 months under one organization, which can be supervisory billing.
- Records needed.
- 96% 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 2024 | More hours than a day holds, even counting one unit per claim line | 24.7 | 5.3 | 3.6 | 4.8 | 110 | 1 | 90837 90847 90853 | $14K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 25.9 | 5.9 | 3.9 | 5.4 | 131 | 1 | 90832 90837 90847 90853 | $15K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 28.2 | 3.8 | 2.6 | 3.8 | 127 | 1 | 90832 90837 90847 90853 | $10K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 31.0 | 5.2 | 3.5 | 4.8 | 135 | 1 | 90832 90837 90847 90853 | $13K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 27.8 | 8.9 | 5.9 | 8.0 | 116 | 1 | 90837 90847 90853 | $24K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 25.8 | 7.8 | 5.2 | 7.8 | 104 | 1 | 90837 90847 90853 | $20K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JOEY ALLEN GRAHAM, Psy.D. HSPP |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | January 15, 2009, last updated January 15, 2009 |
| Practice location | 1165 S SUMMER BREEZE CT, Warsaw, IN 46580-6115, 574-268-2649 |
| Specialties | Psychologist, Clinical (103TC0700X, primary, license 20041955A 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 | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $1.0M | 83% | $380 | $191 (top 5% from $442) | 92nd percentile | |
| 90853 | Group psychotherapyhistory of abuse | $158K | 13% | $81 | $60 (top 5% from $332) | 64th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $43K | 4% | $75 | $130 (top 5% from $458) | 15th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $2K | 0% | $155 | $105 (top 5% from $228) | too few months to rank | |
| 90832 | Psychotherapy, 30 minutes | $1K | 0% | $31 | $59 (top 5% from $239) | too few months to rank |
In this area
3 providers in Kosciusko County, IN carry an indicator in the public record, with $496.3M at stake between them. The most common is more hours than a day holds, on 3 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | KISHORE SRIRAM Warsaw, IN, ranked 7327 | $89.3M |
|
| 4 | RICHARD RUHROLD Warsaw, IN, ranked 7548 | $314.1M |
|
| 4 | HESTER LIEBETRAU Warsaw, IN, ranked 7846 | $92.9M |
|
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.