THAD MATTHEW MAKOWSKI, MD
NPI 1508945031, individual, Greeley, CO, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 4 months, but with up to 1040 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99214 ($323 per patient-month) sit in the top 5% of every provider billing that code.
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 at a conservative unit price | 21.6 | 41.3 | 27.5 | 37.1 | 1040 | 1 | 90792 90833 90836 99205 99213 99214 | $132K |
| Apr 2023 | More hours than a day holds at a conservative unit price | 19.3 | 49.6 | 33.1 | 49.6 | 884 | 1 | 90792 90833 90836 99205 99213 99214 | $146K |
| May 2023 | More hours than a day holds at a conservative unit price | 20.0 | 59.7 | 39.8 | 53.7 | 907 | 1 | 90792 90833 90836 99205 99213 99214 | $180K |
| Jun 2023 | More hours than a day holds at a conservative unit price | 13.5 | 39.9 | 26.6 | 36.3 | 651 | 1 | 90792 90833 90836 99213 99214 | $119K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | THAD MATTHEW MAKOWSKI, MD |
| Type | Individual |
| Status | Active |
| NPI issued | November 3, 2006, last updated May 29, 2015 |
| Practice location | 1300 N 17TH AVE, Greeley, CO 80631-9584, 970-347-2120 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license DR.0048467 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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $2.3M | 65% | $171 | $60 (top 5% from $133) | 98th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $364K | 10% | $69 | $49 (top 5% from $109) | 77th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $343K | 9% | $92 | $44 (top 5% from $110) | 92nd percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $323K | 9% | $148 | $112 (top 5% from $313) | 70th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $137K | 4% | $323 | $128 (top 5% from $249) | 98th percentile | |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | $77K | 2% | $76 | $72 (top 5% from $190) | 54th percentile | |
| J2315 | Injection, naltrexone, depot form, 1 mg | $17K | 0% | $1K | $1K (top 5% from $2K) | too few months to rank | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $9K | 0% | $331 | $88 (top 5% from $210) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 255 | 52 | $24K | $287 | $136 | 2.1x | 2.3x (90th percentile 3.8x) |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 192 | 52 | $10K | $145 | $74 | 1.9x | 2.1x (90th percentile 3.5x) |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 83 | 21 | $6K | $250 | $95 | 2.6x | 2.0x (90th percentile 3.2x) |
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
6 providers in Weld County, CO carry an indicator in the public record, with $12.6M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | CENTER AT CENTERPLACE, LLC Greeley, CO, ranked 4655 | $0 |
|
| 4 | MICHAEL MULLIN Greeley, CO, ranked 7454 | $5.0M |
|
| 4 | NICHOLAS BERGER Longmont, CO, ranked 7758 | $1.4M |
|
| 4 | SARAH POFAHL Greeley, CO, ranked 8421 | $4.7M |
|
| 5 | HEATHER DAIGLE Greeley, CO, ranked 10224 | $598K |
|
| 5 | SARAH WILLIAMSON Greeley, CO, ranked 10584 | $884K |
|
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.