KARILYN VAUGHAN RICHARDS, PsyD, LMFT
NPI 1467603852, individual, Englewood, CO, Marriage & Family Therapist
- Hours beyond a day in 3 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90791 ($298 per patient-month) sit in the top 5% of every provider billing that code.
- 95% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 25.1 | 32.9 | 21.9 | 32.4 | 109 | 1 | 90791 90837 | $95K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 27.5 | 32.7 | 21.8 | 29.4 | 155 | 1 | 90791 90837 | $105K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 25.5 | 29.8 | 19.8 | 27.1 | 162 | 1 | 90837 | $92K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KARILYN VAUGHAN RICHARDS, PsyD, LMFT |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | October 3, 2008, last updated October 1, 2025 |
| Practice location | 327 INVERNESS DR S STE 201, Englewood, CO 80112-6012, 303-954-9809 |
| Specialties | Marriage & Family Therapist (106H00000X, primary, license MFT.0001973 CO) |
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 | $1.5M | 95% | $433 | $191 (top 5% from $442) | 95th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $76K | 5% | $298 | $105 (top 5% from $228) | 98th percentile | |
| H0031 | Medicaid service code | $914 | 0% | $76 | $100 (top 5% from $540) | too few months to rank | |
| H0002 | Medicaid service code | $252 | 0% | $21 | $34 (top 5% from $215) | too few months to rank |
In this area
46 providers in Arapahoe County, CO carry an indicator in the public record, with $48.2M at stake between them. The most common is part of a provider network, on 29 of them, followed by more hours than a day holds on 14.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | HOME CARE OF DENVER, LLC Englewood, CO, ranked 754 | $1.5M |
|
| 3 | H-SHALOM HOME HEALTH CARE LLC Aurora, CO, ranked 778 | $2.4M |
|
| 3 | AMAZING CARE HOME HEALTH SERVICES, LLC Aurora, CO, ranked 780 | $2.2M |
|
| 3 | TEAMSELECT HOME CARE OF COLORADO, LLC Aurora, CO, ranked 898 | $9.4M |
|
| 3 | ATLAS HOME HEALTH, INC. Aurora, CO, ranked 907 | $8.1M |
|
| 3 | QUICKSPEX LLC Aurora, CO, ranked 941 | $3.2M |
|
| 3 | ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO, LLC. Aurora, CO, ranked 1067 | $863K |
|
| 3 | SWEETWATER AURORA OPCO LLC Aurora, CO, ranked 1124 | $581K |
|
Recent enforcement in CO
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.