Providers
ANDREW JOSEPH ROZSA, Ph.D
NPI 1497825566, individual, Birmingham, AL, Psychologist, Clinical
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 82 months, but with up to 983 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 52 of 100, rank 8332, $7.3M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 49.4 | 44.3 | 29.5 | 39.8 | 538 | 3 | 90791 90837 90847 | $94K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 49.9 | 45.8 | 30.5 | 42.7 | 520 | 3 | 90791 90837 90847 | $87K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 47.2 | 44.1 | 29.4 | 41.4 | 524 | 3 | 90791 90837 90847 | $92K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 44.5 | 40.7 | 27.1 | 38.7 | 537 | 3 | 90791 90837 90847 | $83K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 49.4 | 45.7 | 30.4 | 41.0 | 556 | 3 | 90791 90837 90847 | $96K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 40.0 | 37.6 | 25.1 | 35.9 | 472 | 3 | 90837 90847 | $76K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 36.2 | 33.8 | 22.5 | 31.7 | 458 | 3 | 90791 90837 90847 | $71K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 38.8 | 35.5 | 23.7 | 31.9 | 452 | 3 | 90791 90837 90847 | $74K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 40.8 | 37.1 | 24.8 | 37.1 | 493 | 3 | 90791 90837 90847 | $75K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 44.3 | 41.4 | 27.6 | 37.2 | 502 | 3 | 90791 90837 90847 | $86K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 40.5 | 37.8 | 25.2 | 34.4 | 473 | 3 | 90791 90837 90847 | $76K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 38.5 | 34.5 | 23.0 | 34.0 | 468 | 3 | 90791 90837 90847 | $72K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 65.2 | 57.1 | 38.1 | 51.3 | 741 | 3 | 90791 90837 90847 96130 96131 96136 96137 | $128K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 63.4 | 55.7 | 37.1 | 52.0 | 708 | 3 | 90791 90837 90847 96130 96131 96136 96137 | $112K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 52.7 | 46.0 | 30.7 | 45.3 | 694 | 3 | 90791 90837 90847 96130 96131 96136 96137 | $103K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 56.7 | 48.9 | 32.6 | 44.4 | 706 | 3 | 90791 90837 90847 96130 96136 96137 | $105K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 50.0 | 43.9 | 29.3 | 39.5 | 712 | 3 | 90791 90837 90847 96130 96136 96137 | $99K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 39.5 | 34.3 | 22.9 | 34.3 | 573 | 3 | 90791 90837 90847 96130 96136 96137 | $74K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 38.5 | 34.1 | 22.7 | 30.6 | 570 | 3 | 90791 90837 90847 96130 96136 96137 | $76K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 46.6 | 41.0 | 27.3 | 38.5 | 652 | 3 | 90791 90837 90847 96130 96136 96137 | $92K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 45.7 | 39.9 | 26.6 | 38.0 | 606 | 3 | 90791 90837 90847 96130 96136 96137 | $86K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 52.1 | 45.3 | 30.2 | 40.7 | 691 | 3 | 90791 90837 90846 90847 96130 96136 96137 | $101K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 51.1 | 44.1 | 29.4 | 42.0 | 746 | 3 | 90791 90837 90846 90847 96130 96136 96137 | $96K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 51.4 | 43.2 | 28.8 | 40.6 | 670 | 3 | 90791 90837 90846 90847 | $96K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 61.9 | 51.3 | 34.2 | 46.1 | 789 | 3 | 90791 90837 90846 90847 96130 96136 96137 | $119K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 55.5 | 46.9 | 31.3 | 45.3 | 730 | 3 | 90791 90837 90846 90847 96130 96136 96137 | $102K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 51.1 | 43.5 | 29.0 | 40.8 | 655 | 3 | 90791 90834 90837 90846 90847 | $99K |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 48.6 | 40.4 | 26.9 | 36.7 | 585 | 3 | 90791 90834 90837 90847 | $89K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 44.2 | 37.8 | 25.2 | 37.2 | 524 | 3 | 90834 90837 90847 | $86K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 46.3 | 40.4 | 26.9 | 36.7 | 550 | 3 | 90834 90837 90846 90847 96130 96136 96137 | $89K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 43.2 | 38.4 | 25.6 | 34.5 | 562 | 3 | 90834 90837 90846 90847 96130 96136 96137 | $88K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 47.1 | 41.4 | 27.6 | 40.7 | 625 | 3 | 90791 90837 90846 90847 96130 96136 96137 | $96K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 48.9 | 42.1 | 28.1 | 38.3 | 642 | 3 | 90791 90834 90837 90846 90847 96130 96136 96137 | $94K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 44.6 | 37.0 | 24.6 | 34.7 | 575 | 3 | 90791 90837 90846 90847 96130 96136 96137 | $85K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 34.5 | 27.9 | 18.6 | 26.6 | 484 | 3 | 90791 90837 90846 90847 | $62K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 34.8 | 29.3 | 19.6 | 26.4 | 510 | 3 | 90791 90837 90846 90847 96130 96136 96137 | $69K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 44.4 | 36.4 | 24.3 | 35.8 | 525 | 3 | 90791 90837 90847 96130 96136 96137 | $83K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 38.4 | 32.0 | 21.3 | 29.9 | 420 | 2 | 90791 90837 90847 | $66K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 37.1 | 32.2 | 21.5 | 29.0 | 427 | 2 | 90791 90837 90847 | $74K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 59.0 | 51.4 | 34.3 | 46.8 | 698 | 3 | 90791 90832 90837 90846 90847 | $114K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 51.1 | 45.0 | 30.0 | 44.2 | 737 | 3 | 90791 90832 90837 90846 90847 | $103K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 55.6 | 48.3 | 32.2 | 43.9 | 739 | 3 | 90791 90832 90834 90837 90846 90847 | $108K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 46.2 | 39.8 | 26.5 | 37.4 | 673 | 2 | 90832 90834 90837 90846 90847 | $91K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 43.4 | 36.4 | 24.2 | 34.2 | 600 | 2 | 90791 90832 90834 90837 90846 90847 | $84K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 43.9 | 36.5 | 24.4 | 33.2 | 585 | 2 | 90832 90834 90837 90846 90847 | $81K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 41.7 | 34.7 | 23.1 | 34.1 | 585 | 3 | 90791 90832 90834 90837 90846 90847 | $80K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 40.1 | 33.1 | 22.1 | 30.1 | 567 | 3 | 90791 90832 90834 90837 90846 90847 | $74K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 36.6 | 28.2 | 18.8 | 25.3 | 519 | 3 | 90791 90832 90834 90837 90846 90847 | $65K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 50.0 | 41.7 | 27.8 | 40.4 | 722 | 3 | 90791 90832 90834 90837 90846 90847 H2011 | $96K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 43.6 | 37.2 | 24.8 | 33.5 | 655 | 3 | 90791 90832 90834 90837 90846 90847 H2011 | $79K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 48.3 | 38.0 | 25.3 | 32.7 | 730 | 3 | 90791 90832 90834 90837 90846 90847 H2011 | $91K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 47.8 | 39.1 | 26.1 | 35.8 | 735 | 3 | 90791 90832 90834 90837 90846 90847 H2011 | $91K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 52.5 | 44.4 | 29.6 | 39.7 | 846 | 3 | 90791 90832 90834 90837 90846 90847 H2011 | $107K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 58.3 | 49.1 | 32.7 | 42.6 | 919 | 2 | 90791 90832 90834 90837 90846 90847 H2011 | $116K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 54.8 | 47.1 | 31.4 | 44.1 | 856 | 2 | 90791 90832 90834 90837 90846 90847 H2011 | $114K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 60.5 | 49.1 | 32.7 | 41.7 | 904 | 2 | 90791 90832 90834 90837 90846 90847 H2011 | $119K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 70.2 | 49.9 | 33.2 | 42.8 | 862 | 2 | 90791 90832 90834 90837 90846 90847 H2011 | $118K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 62.3 | 51.2 | 34.1 | 48.4 | 983 | 2 | 90791 90832 90834 90837 90846 90847 H2011 | $122K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 61.2 | 51.7 | 34.5 | 44.7 | 939 | 2 | 90791 90832 90834 90837 90846 90847 H2011 | $121K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 56.8 | 45.9 | 30.6 | 41.7 | 836 | 2 | 90791 90832 90837 90846 90847 H2011 | $109K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 56.9 | 49.3 | 32.8 | 44.6 | 730 | 2 | 90791 90837 90846 90847 H2011 | $115K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 57.4 | 48.5 | 32.3 | 43.2 | 735 | 2 | 90791 90837 90846 90847 H2011 | $104K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 57.2 | 49.8 | 33.2 | 42.1 | 729 | 2 | 90791 90837 90846 90847 H2011 | $120K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 57.6 | 50.2 | 33.4 | 47.5 | 748 | 2 | 90791 90837 90846 90847 H2011 | $116K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 49.5 | 43.3 | 28.9 | 36.2 | 696 | 2 | 90791 90837 90846 90847 H2011 | $105K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 46.3 | 39.9 | 26.6 | 33.6 | 614 | 2 | 90791 90837 90846 90847 H2011 | $94K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 40.3 | 35.1 | 23.4 | 32.5 | 561 | 2 | 90791 90837 90846 90847 H2011 | $84K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 35.4 | 31.1 | 20.7 | 25.4 | 537 | 2 | 90791 90837 90846 90847 H2011 | $77K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 35.2 | 30.7 | 20.5 | 26.7 | 492 | 2 | 90791 90837 90846 90847 H2011 | $73K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 32.6 | 28.7 | 19.2 | 24.5 | 485 | 2 | 90791 90837 90846 90847 H2011 | $72K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 34.0 | 29.2 | 19.5 | 24.4 | 493 | 2 | 90791 90837 90846 90847 H2011 | $70K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 28.5 | 24.7 | 16.5 | 22.5 | 428 | 2 | 90791 90837 90846 90847 H2011 | $60K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 38.4 | 32.5 | 21.6 | 26.9 | 519 | 2 | 90791 90837 90846 90847 H2011 | $82K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 39.5 | 32.5 | 21.7 | 28.2 | 509 | 2 | 90791 90837 90846 90847 H2011 | $76K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 33.2 | 28.1 | 18.7 | 26.2 | 435 | 2 | 90791 90837 90846 90847 H2011 | $69K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 33.3 | 27.8 | 18.5 | 23.6 | 449 | 2 | 90791 90837 90846 90847 H2011 | $67K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 32.0 | 26.0 | 17.3 | 21.9 | 411 | 2 | 90791 90837 90846 90847 H2011 | $64K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 28.7 | 23.2 | 15.5 | 21.9 | 388 | 2 | 90791 90837 90846 90847 H2011 | $56K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 25.5 | 19.4 | 12.9 | 17.4 | 302 | 2 | 90791 90837 90846 90847 | $45K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 26.9 | 20.3 | 13.5 | 19.1 | 299 | 2 | 90791 90837 90846 90847 | $47K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 27.7 | 21.3 | 14.2 | 20.3 | 312 | 2 | 90791 90837 90846 90847 | $48K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 27.1 | 21.6 | 14.4 | 19.4 | 300 | 2 | 90791 90837 90846 90847 | $51K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ANDREW JOSEPH ROZSA, Ph.D |
| Type | Individual |
| Status | Active |
| NPI issued | November 8, 2006, last updated July 22, 2015 |
| Practice location | 7191 CAHABA VALLEY RD, SUITE 204, Birmingham, AL 35242-6402, 205-995-9967 |
| Mailing address | 170 WILLOW RIDGE DR, Indian Springs, AL 35124-3317 |
| Specialties | Psychologist, Clinical (103TC0700X, primary, license 491 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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $4.1M | 57% | $167 | $191 (top 5% from $442) | 39th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $2.3M | 31% | $149 | $130 (top 5% from $458) | 60th percentile | |
| H2011 | Crisis intervention service per 15 min | $306K | 4% | $139 | $181 (top 5% from $3K) | 43rd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $218K | 3% | $79 | $105 (top 5% from $228) | 30th percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $194K | 3% | $69 | $113 (top 5% from $277) | 15th percentile | |
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | $36K | 0% | $89 | $116 (top 5% from $454) | 37th percentile | |
| 96130 | Evaluation of psychological test, first hour | $34K | 0% | $83 | $84 (top 5% from $233) | 49th percentile | |
| 90834 | Psychotherapy, 45 minutes | $34K | 0% | $63 | $101 (top 5% from $318) | 25th percentile |
In this area
2 providers in Shelby County, AL carry an indicator in the public record, with $767K at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | MID-SOUTH HOME HEALTH, LLC Hoover, AL, ranked 3326 | $0 |
|
| 4 | SHARON WALTZ Pelham, AL, ranked 9070 | $767K |
|
Recent enforcement in AL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementJun 23, 2026
Alabama Provider Pays $300,000 to Resolve False Claims as Part of 2026 National Health Care Fraud Takedown
A Phenix City-based provider billed Alabama Medicaid for Basic Living Skills services for at-risk children that were not actually rendered.
DOJSentencedApr 2, 2026
Former Medicaid Provider Sentenced to Federal Prison for Health Care Fraud and Aggravated Identity Theft
Pulliam, a child and family therapist enrolled as an Alabama Medicaid provider, submitted claims for counseling services that were never provided using beneficiaries' identifying information without consent.
DOJCivil judgmentMar 19, 2026
Mississippi Man Ordered to Pay $31 Million for Role in Healthcare Kickback Scheme
Crites and others referred patients, primarily TRICARE beneficiaries, to Cloverland Pharmacy in exchange for kickbacks paid by the pharmacy for each referral.
DOJCivil settlementFeb 21, 2025
Saad Healthcare Agrees to Pay $3M to Settle False Claims Act Allegations That It Billed Medicare for Ineligible Hospice Patients
Saad submitted, or caused the submission of, false claims to Medicare between 2013 and 2020 for 21 hospice patients who were not terminally ill and thus ineligible for the Medicare hospice benefit.
DOJCivil settlementFeb 21, 2025
Saad Healthcare Agrees to Pay $3M to Settle False Claims Act Allegations That It Billed Medicare for Ineligible Hospice Patients
Saad Healthcare submitted, or caused the submission of, false claims to Medicare between 2013 and 2020 for 21 hospice patients who were not terminally ill and were ineligible for the Medicare hospice benefit.
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.