RALPH A. ARNONE, LCSW
NPI 1467535757, individual, North Haven, CT, Social Worker, Clinical
- Hours beyond a day in 8 months under one organization, which can be supervisory billing.
- 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 |
|---|---|---|---|---|---|---|---|---|---|
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 33.3 | 10.9 | 7.3 | 9.9 | 148 | 1 | 90791 90834 90837 90847 | $32K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 24.6 | 11.0 | 7.3 | 10.3 | 115 | 1 | 90834 90837 90847 | $34K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 25.9 | 21.1 | 14.1 | 20.8 | 215 | 1 | 90791 90834 90837 90847 | $58K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 24.7 | 20.5 | 13.7 | 18.4 | 218 | 1 | 90791 90832 90834 90837 90847 | $56K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 36.6 | 29.2 | 19.5 | 27.9 | 244 | 1 | 90832 90834 90837 90847 | $82K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 26.7 | 18.7 | 12.4 | 17.5 | 251 | 1 | 90832 90834 90837 90847 | $53K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 36.4 | 29.4 | 19.6 | 26.7 | 282 | 1 | 90832 90834 90837 90847 | $82K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 33.3 | 27.1 | 18.0 | 26.6 | 274 | 1 | 90832 90834 90837 90847 | $77K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RALPH A. ARNONE, LCSW (also RALPH ARNONE) |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | October 23, 2006, last updated June 17, 2011 |
| Practice location | 59 QUINNIPIAC AVE, North Haven, CT 06473-3904, 203-685-3443 |
| Mailing address | 95 HILLSIDE AVE, Bridgeport, CT 06604-1415 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license 004559 CT) |
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 | $659K | 50% | $311 | $191 (top 5% from $442) | 85th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $349K | 27% | $247 | $130 (top 5% from $458) | 82nd percentile | |
| 90834 | Psychotherapy, 45 minutes | $215K | 16% | $172 | $101 (top 5% from $318) | 79th percentile | |
| 90887 | Medicaid service code | $51K | 4% | $83 | $98 (top 5% from $270) | 41st percentile | |
| 90832 | Psychotherapy, 30 minutes | $29K | 2% | $59 | $59 (top 5% from $239) | 50th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $6K | 0% | $106 | $105 (top 5% from $228) | too few months to rank | |
| 98966 | Telephone medical discussion provided by nonphysician professional, 5-10 minutes | $21 | 0% | $1.77 | $2.13 (top 5% from $62) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 486 | 38 | $39K | $159 | $104 | 1.5x | 1.6x (90th percentile 2.9x) |
| 90832 | Psychotherapy, 30 minutes | 431 | 30 | $18K | $143 | $53 | 2.7x | 2.0x (90th percentile 3.5x) |
| 90834 | Psychotherapy, 45 minutes | 116 | 24 | $7K | $151 | $72 | 2.1x | 2.0x (90th percentile 3.6x) |
| 90847 | Family psychotherapy with patient, 50 minutes | 47 | 16 | $2K | $174 | $77 | 2.3x | 2.2x (90th percentile 4.0x) |
| 98966 | Telephone medical discussion provided by nonphysician professional, 5-10 minutes | 21 | 20 | $146 | $150 | $9 | 17.2x | 2.2x (90th percentile 5.8x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
30 providers in North Haven, CT carry an indicator in the public record, with $17.3M at stake between them. The most common is part of a provider network, on 12 of them, followed by more hours than a day holds on 11. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | KATRIN MOSKOWITZ Waterbury, CT, ranked 169 | $63K |
|
| 1 | ANATOLY BRAYLOVSKY Wallingford, CT, ranked 488 | $0 |
|
| 1 | FAMILY PRACTICE OF GREATER NEW HAVEN, LLC Wallingford, CT, ranked 514 | $0 |
|
| 1 | LP COUNSELING SERVICES, LLC North Haven, CT, ranked 673 | $0 |
|
| 3 | TOTALITY HOME HEALTH CARE AGENCY, LLC Milford, CT, ranked 779 | $2.3M |
|
| 3 | WHITNEY MANOR OPERATING COMPANY LLC Hamden, CT, ranked 1451 | $35K |
|
| 3 | ADVANCED CENTER FOR NURSING & REHABILITATION LLC New Haven, CT, ranked 1471 | $27K |
|
| 3 | NEW HAVEN CENTER FOR NURSING & REHABILITATION, LLC New Haven, CT, ranked 1479 | $24K |
|
Recent enforcement in CT
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.