MARTHA E. COPLEY COLEMAN, LCSW
NPI 1487768990, individual, Pikeville, KY, Social Worker, Clinical
- Hours beyond a day in 1 month, but with up to 619 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 |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 36.3 | 22.7 | 15.1 | 20.4 | 619 | 1 | 90832 90834 90837 99354 | $49K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARTHA E. COPLEY COLEMAN, LCSW |
| Type | Individual |
| Status | Active |
| NPI issued | August 19, 2006, last updated October 21, 2008 |
| Practice location | 118 RIVER DR, Pikeville, KY 41501-1597, 606-432-3143 |
| Mailing address | 104 S FRONT AVE, Prestonsburg, KY 41653-1614 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license 1566 KY) |
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 | $1.1M | 28% | $121 | $191 (top 5% from $442) | 19th percentile | |
| 90887 | Medicaid service code | $919K | 24% | $138 | $98 (top 5% from $270) | 70th percentile | |
| T2023 | Medicaid service code | $478K | 13% | $321 | $332 (top 5% from $1K) | 40th percentile | |
| 90832 | Psychotherapy, 30 minutes | $416K | 11% | $53 | $59 (top 5% from $239) | 43rd percentile | |
| 90834 | Psychotherapy, 45 minutes | $251K | 7% | $65 | $101 (top 5% from $318) | 26th percentile | |
| H2019 | Therapeutic behavioral services per 15 min | $179K | 5% | $688 | $226 (top 5% from $1K) | 87th percentile | |
| H0031 | Medicaid service code | $160K | 4% | $78 | $100 (top 5% from $540) | 40th percentile | |
| H0002 | Medicaid service code | $91K | 2% | $78 | $34 (top 5% from $215) | 74th percentile |
In this area
5 providers in Pike County, KY carry an indicator in the public record, with $14.4M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PHELPS KY OPCO LLC Phelps, KY, ranked 3187 | $0 |
|
| 4 | LOVONNE FLEMING-RICHARDSON Pikeville, KY, ranked 8405 | $5.1M |
|
| 5 | ASHLEY SLONE Pikeville, KY, ranked 9884 | $5.7M |
|
| 5 | WILLIAM FANNIN Pikeville, KY, ranked 10734 | $3.2M | |
| 5 | LESLEY BOW Pikeville, KY, ranked 11253 | $438K |
Recent enforcement in KY
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.