LAWRENCE C KATZ, PH. D.
NPI 1497795645, individual, Enterprise, AL, Psychologist, Counseling
- Hours beyond a day in 20 months, but with up to 774 patients a month across 9 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 75% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 41.2 | 37.0 | 24.7 | 33.3 | 671 | 8 | 90791 90834 90837 90847 | $77K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 40.9 | 37.5 | 25.0 | 35.0 | 625 | 7 | 90791 90834 90837 90846 90847 | $70K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 41.8 | 35.3 | 23.5 | 33.1 | 694 | 8 | 90791 90832 90834 90837 90847 | $74K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 46.5 | 41.1 | 27.4 | 39.2 | 745 | 8 | 90791 90832 90834 90837 90846 90847 | $82K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 41.3 | 36.1 | 24.1 | 32.5 | 701 | 7 | 90791 90832 90834 90837 90846 90847 | $75K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 36.1 | 31.6 | 21.1 | 30.1 | 570 | 6 | 90791 90837 90847 | $64K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 33.6 | 29.6 | 19.7 | 27.8 | 601 | 6 | 90791 90832 90834 90837 90846 90847 | $62K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 48.2 | 41.7 | 27.8 | 37.5 | 774 | 9 | 90791 90832 90834 90837 90846 90847 | $87K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 41.9 | 37.4 | 24.9 | 37.4 | 669 | 8 | 90791 90832 90834 90837 90846 90847 | $75K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 47.0 | 42.8 | 28.5 | 38.5 | 729 | 9 | 90791 90832 90834 90837 90847 | $88K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 43.5 | 38.8 | 25.9 | 35.3 | 654 | 8 | 90791 90834 90837 90847 | $77K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 31.7 | 28.4 | 19.0 | 28.0 | 601 | 7 | 90791 90834 90837 90846 90847 | $59K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 46.2 | 37.3 | 24.8 | 33.5 | 717 | 9 | 90791 90834 90837 90847 | $83K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 44.7 | 34.8 | 23.2 | 32.5 | 636 | 7 | 90791 90834 90837 90846 90847 | $70K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 34.1 | 28.8 | 19.2 | 28.3 | 566 | 6 | 90791 90834 90837 90846 90847 | $65K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 36.8 | 26.4 | 17.6 | 24.0 | 478 | 5 | 90791 90834 90837 90846 90847 | $56K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 30.9 | 22.1 | 14.7 | 19.9 | 393 | 5 | 90791 90834 90837 90846 90847 | $49K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 26.6 | 18.6 | 12.4 | 18.6 | 307 | 5 | 90834 90837 90846 90847 | $40K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 26.5 | 19.2 | 12.8 | 17.2 | 314 | 5 | 90834 90837 90846 90847 | $42K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 30.0 | 17.8 | 11.9 | 16.7 | 294 | 5 | 90834 90837 90846 90847 | $40K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | LAWRENCE C KATZ, PH. D. |
| Type | Individual |
| Status | Active |
| NPI issued | June 7, 2006, last updated September 28, 2009 |
| Practice location | 1275 JAMES DR, SUITE A, Enterprise, AL 36330-2063, 334-308-1940 |
| Mailing address | 105 E MAPLE AVE, Geneva, AL 36340-1615 |
| Specialties | Psychologist, Counseling (103TC1900X, primary, license 962 AL) |
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 | $1.7M | 75% | $124 | $191 (top 5% from $442) | 20th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $313K | 14% | $100 | $130 (top 5% from $458) | 32nd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $132K | 6% | $78 | $105 (top 5% from $228) | 30th percentile | |
| 90834 | Psychotherapy, 45 minutes | $57K | 3% | $53 | $101 (top 5% from $318) | 21st percentile | |
| 90832 | Psychotherapy, 30 minutes | $34K | 2% | $41 | $59 (top 5% from $239) | 32nd percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $32K | 1% | $79 | $113 (top 5% from $277) | 20th percentile |
In this area
75 providers in AL carry an indicator in the public record, with $73.9M at stake between them. The most common is more hours than a day holds, on 48 of them, followed by part of a provider network on 19. 6 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DEBORAH FORD Andalusia, AL, ranked 44 | $37K |
|
| 1 | TOMMIE ROBINSON Owens Cross Roads, AL, ranked 217 | $33K |
|
| 1 | RENITA BROWN Oxford, AL, ranked 295 | $9K |
|
| 1 | CARE COMPLETE MEDICAL CLINIC(CCMC)LLC Birmingham, AL, ranked 313 | $6K |
|
| 1 | HASAN PULLIAM Anniston, AL, ranked 567 | $0 |
|
| 1 | FRANCENE GAYLE Huntsville, AL, ranked 672 | $0 |
|
| 3 | ASERACARE HOSPICE - HAMILITON, LLC Hamilton, AL, ranked 1036 | $1.1M |
|
| 3 | HOMESTEAD HOSPICE OF CAHABA, LLC Selma, AL, ranked 1404 | $60K |
|
Recent enforcement in AL
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.