MARY L BOULDIN, M.D.
NPI 1467512566, individual, Jeffersonville, IN, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 3 months, but with up to 898 patients a month across 8 billing organizations, 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 | 26.1 | 23.1 | 15.4 | 21.0 | 898 | 6 | 90791 90832 90834 90837 99212 99213 | $53K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 26.9 | 13.0 | 8.7 | 11.7 | 653 | 8 | 90791 90832 90834 99212 99213 | $35K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 24.2 | 15.3 | 10.2 | 14.6 | 613 | 8 | 90791 90832 90834 99212 99213 | $39K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARY L BOULDIN, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | December 11, 2006, last updated July 8, 2007 |
| Practice location | 460 SPRING ST, Jeffersonville, IN 47130-3452, 812-280-2080 |
| Mailing address | 1913 DILLON DR, Louisville, KY 40205-2803 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 01040813A 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 | $726K | 31% | $113 | $191 (top 5% from $442) | 17th percentile | |
| 90834 | Psychotherapy, 45 minutes | $507K | 21% | $69 | $101 (top 5% from $318) | 28th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $368K | 16% | $62 | $44 (top 5% from $110) | 73rd percentile | |
| T1015 | Medicaid service code | $329K | 14% | $32 | $182 (top 5% from $488) | 7th percentile | |
| 90832 | Psychotherapy, 30 minutes | $147K | 6% | $46 | $59 (top 5% from $239) | 37th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $82K | 3% | $121 | $105 (top 5% from $228) | 67th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $75K | 3% | $31 | $28 (top 5% from $147) | 57th percentile | |
| G0470 | Medicaid service code | $48K | 2% | $26 | $59 (top 5% from $306) | 38th percentile |
In this area
6 providers in Clark County, IN carry an indicator in the public record, with $80.8M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PULASKI MEMORIAL HOSPITAL Sellersburg, IN, ranked 6350 | $0 |
|
| 4 | IRFAN AFAQ Jeffersonville, IN, ranked 7390 | $8.1M |
|
| 4 | ERIC JAGGERS Jeffersonville, IN, ranked 7912 | $60.4M |
|
| 4 | GENE BAKER Jeffersonvlle, IN, ranked 8061 | $11.6M |
|
| 4 | JANNA JOHNSON Charlestown, IN, ranked 9124 | $643K |
|
| 5 | WILLIAM COLLINS Sellersburg, IN, ranked 11830 | $31K |
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.