STACY ROBERTSON HILLENBRAND, LCSW
NPI 1447692173, individual, Maryville, TN, Social Worker, Clinical
- Hours beyond a day in 4 months, but with up to 500 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 2020 | More hours than a day holds, even counting one unit per claim line | 24.3 | 28.3 | 18.9 | 25.8 | 402 | 1 | 90791 90832 90834 90846 90847 | $51K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 29.0 | 31.0 | 20.7 | 28.2 | 379 | 1 | 90791 90832 90834 90846 90847 | $55K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 25.6 | 30.6 | 20.4 | 27.5 | 363 | 1 | 90791 90832 90834 90846 90847 | $56K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 24.3 | 33.5 | 22.3 | 30.4 | 500 | 1 | 90791 90832 90834 90846 90847 90853 | $60K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | STACY ROBERTSON HILLENBRAND, LCSW |
| Type | Individual |
| Status | Active |
| NPI issued | July 23, 2013, last updated July 23, 2020 |
| Practice location | 1704 E BROADWAY AVE, Maryville, TN 37804-2916, 865-681-6990 |
| Mailing address | 201 W SPRINGDALE AVE, Knoxville, TN 37917-5158 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license 6427 TN) |
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 | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $825K | 74% | $139 | $101 (top 5% from $318) | 68th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $111K | 10% | $94 | $105 (top 5% from $228) | 39th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $84K | 8% | $93 | $130 (top 5% from $458) | 27th percentile | |
| 90832 | Psychotherapy, 30 minutes | $46K | 4% | $57 | $59 (top 5% from $239) | 48th percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $37K | 3% | $99 | $113 (top 5% from $277) | 39th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $8K | 1% | $51 | $60 (top 5% from $332) | 42nd percentile |
In this area
3 providers in Blount County, TN carry an indicator in the public record, with $2.0M at stake between them. The most common is more hours than a day holds, on 2 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | COVENANT LIVING AT SHANNONDALE Maryville, TN, ranked 2388 | $0 |
|
| 4 | SHANNON DOW Maryville, TN, ranked 8785 | $1.7M |
|
| 5 | CORTNAY SCOTT-DENHAM Maryville, TN, ranked 11383 | $282K |
Recent enforcement in TN
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.