Providers
MARSHA STAPLETON, FNP-C, PMHNP-BC
NPI 1497138887, individual, Alexandria, LA, Nurse Practitioner, Psych/Mental Health
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 4 months, but with up to 211 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 50 of 100, rank 9613, $64K at stake
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 |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 66.0 | 8.9 | 5.9 | 8.0 | 180 | 1 | 90833 99214 99215 99223 99232 99233 | $20K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 50.5 | 7.8 | 5.2 | 7.1 | 179 | 1 | 90833 99205 99214 99215 99223 99232 99233 | $18K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 30.9 | 4.6 | 3.1 | 4.5 | 139 | 1 | 90833 99205 99214 99232 99233 | $11K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 29.1 | 7.5 | 5.0 | 7.0 | 160 | 1 | 90833 99214 99223 99233 | $15K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARSHA STAPLETON, FNP-C, PMHNP-BC (also MARSHA DECESS) |
| Type | Individual |
| Status | Active |
| NPI issued | July 2, 2015, last updated October 31, 2024 |
| Practice location | 211 4TH ST, Alexandria, LA 71301-8421, 318-992-3108 |
| Mailing address | PO BOX 194, 185 LUTRICK LANE, Jena, LA 71342-0194 |
| Specialties | Nurse Practitioner, Family (363LF0000X, license AP08411 LA) Nurse Practitioner, Psych/Mental Health (363LP0808X, primary, license AP08411 LA) |
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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| H2020 | Therapeutic behavioral services per diem | $203K | 30% | $95 | $455 (top 5% from $2K) | 2nd percentile | |
| T1015 | Medicaid service code | $175K | 26% | $95 | $182 (top 5% from $488) | 21st percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $135K | 20% | $96 | $96 (top 5% from $249) | 50th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $47K | 7% | $14 | $49 (top 5% from $109) | 12th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $43K | 6% | $84 | $81 (top 5% from $170) | 52nd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $33K | 5% | $32 | $60 (top 5% from $133) | 17th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $20K | 3% | $59 | $67 (top 5% from $174) | 41st percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $19K | 3% | $138 | $88 (top 5% from $210) | 80th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 205 | 43 | $15K | $265 | $94 | 2.8x | 2.6x (90th percentile 4.7x) |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 270 | 71 | $12K | $184 | $57 | 3.2x | 2.7x (90th percentile 3.4x) |
| G0408 | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth | 162 | 71 | $11K | $264 | $84 | 3.2x | 2.6x (90th percentile 3.3x) |
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 56 | 52 | $6K | $514 | $148 | 3.5x | 2.9x (90th percentile 4.3x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 55 | 25 | $3K | $186 | $63 | 3.0x | 2.6x (90th percentile 4.3x) |
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
8 providers in Rapides Parish County, LA carry an indicator in the public record, with $11.5M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by named in an enforcement record on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ROBERT HARVEY Alexandria, LA, ranked 105 | $251K |
|
| 3 | RIVERSIDE HOSPITAL OF LOUISIANA, INC. Alexandria, LA, ranked 1954 | $0 |
|
| 3 | MICHAEL DOLE Alexandria, LA, ranked 2835 | $0 |
|
| 3 | TRUCARE HOME HEALTH CENTRAL LLC Alexandria, LA, ranked 5352 | $0 |
|
| 4 | JERALD BAMBURG Pineville, LA, ranked 8065 | $10.8M |
|
| 4 | RAJAT GULATI Alexandria, LA, ranked 9311 | $358K |
|
| 4 | GEORGE KING Deville, LA, ranked 9605 | $67K |
|
| 4 | LAURI HALLER Alexandria, LA, ranked 9711 | $18K |
|
Recent enforcement in LA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJOtherJul 30, 2026
Louisiana U.S. Attorneys Highlight Nine Recent Fraud Prosecutions Across the State
A nurse practitioner was sentenced for a health care fraud scheme involving over $12 million in fraudulent Medicare claims for medically unnecessary cancer genetic tests and receipt of kickbacks, and a New Orleans physician was charged with health care fraud for allegedly submitting $5.9 million in fraudulent claims to Medicare, Medicaid, and Humana for care not provided, in-person care for patients outside the state, and claims using other providers' identities.
DOJChargedJun 23, 2026
National Health Care Fraud Takedown Results in 455 Defendants Charged in Fraud Scheme Totaling Over $6.5 Billion
Defendants were charged in connection with schemes to submit claims for medically unnecessary respiratory pathogen panel testing, claims for care a physician did not provide, and false Medicaid claims for personal care services not rendered.
DOJSentencedJun 17, 2026
Nurse Practitioner Sentenced to 87 Months in Prison for $12M Medicare Fraud
A nurse practitioner received kickbacks for signing hundreds of orders for medically unnecessary cancer genetic tests after brief phone calls with patients without examining them, causing over $12.1 million in false and fraudulent claims to Medicare.
DOJSentencedApr 10, 2026
Slidell Doctor Sentenced For $6.6 Million In Health Care Fraud
Tassin, working through purported telemedicine companies, signed doctors' orders for cancer genetic tests for Medicare beneficiaries he never saw, spoke to, or treated, falsely certifying medical necessity in exchange for a set fee of typically $30 per order.
DOJSentencedJan 28, 2026
Slidell Chiropractor Sentenced For Health Care Fraud
Peyroux conspired with others to purchase Medicare beneficiary information and fabricated recordings and billed Medicare through his chiropractic clinic for over-the-counter COVID-19 test kits that were not requested or were otherwise ineligible for reimbursement, falsely listing a former nurse practitioner as the referring provider.
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.