VERITY
Providers

CHARLES WHETSELL, Ph.D.

NPI 1518183540, individual, Irondale, AL, Psychologist

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 71 months, but with up to 978 patients a month across 5 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
score 52 of 100, rank 8399, $5.2M 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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Jan 2018More hours than a day holds, even counting one unit per claim line57.351.434.346.2904590791 90832 90834 90837 90846 90847$109K
Feb 2018More hours than a day holds, even counting one unit per claim line60.049.833.246.5844590791 90832 90834 90837 90846 90847$95K
Mar 2018More hours than a day holds, even counting one unit per claim line54.045.230.142.4892490791 90832 90837 90847$96K
Apr 2018More hours than a day holds, even counting one unit per claim line59.247.131.444.8886490791 90832 90834 90837 90847$96K
May 2018More hours than a day holds, even counting one unit per claim line55.450.333.545.2922490791 90832 90834 90837 90847$107K
Jun 2018More hours than a day holds, even counting one unit per claim line51.546.030.643.8875490791 90832 90834 90837 90847$95K
Jul 2018More hours than a day holds, even counting one unit per claim line46.441.827.939.3822490791 90832 90834 90837 90847$88K
Aug 2018More hours than a day holds, even counting one unit per claim line53.449.132.744.1896490791 90832 90834 90837 90846 90847$105K
Sep 2018More hours than a day holds, even counting one unit per claim line50.842.728.542.7837490791 90832 90834 90837 90846 90847$89K
Oct 2018More hours than a day holds, even counting one unit per claim line56.949.032.744.0978490791 90832 90834 90837 90846 90847$105K
Nov 2018More hours than a day holds, even counting one unit per claim line51.443.328.939.4871490791 90837 90846 90847$90K
Dec 2018More hours than a day holds, even counting one unit per claim line41.035.023.334.4792490791 90834 90837 90846 90847$75K
Jan 2019More hours than a day holds, even counting one unit per claim line45.437.324.933.5703490791 90834 90837 90846 90847$85K
Feb 2019More hours than a day holds, even counting one unit per claim line36.932.221.530.0544490791 90834 90837 90846 90847$65K
Mar 2019More hours than a day holds, even counting one unit per claim line40.232.121.431.6626490791 90834 90837 90846 90847$73K
Apr 2019More hours than a day holds, even counting one unit per claim line28.325.917.323.6473390791 90837 90846 90847 96130 96131$58K
Aug 2019More hours than a day holds, even counting one unit per claim line24.218.112.017.0410390791 90837 90846 90847 96130$43K
Sep 2019More hours than a day holds, even counting one unit per claim line27.319.312.918.4427390791 90837 90846 90847 96130$44K
Oct 2019More hours than a day holds, even counting one unit per claim line31.424.616.422.1548390791 90837 90846 90847 96130$59K
Nov 2019More hours than a day holds, even counting one unit per claim line27.522.114.821.1542390791 90837 90846 90847 96130$52K
Dec 2019More hours than a day holds, even counting one unit per claim line28.921.614.420.3614390791 90837 90846 90847 96130 96131$53K
Jan 2020More hours than a day holds, even counting one unit per claim line33.126.217.523.6569390791 90837 90846 90847 96130 96131$64K
Feb 2020More hours than a day holds, even counting one unit per claim line33.825.116.724.2571390791 90832 90837 90846 90847 96130$56K
Mar 2020More hours than a day holds, even counting one unit per claim line25.220.313.519.1461390791 90832 90837 90846 90847 96130$48K
Apr 2020More hours than a day holds, even counting one unit per claim line25.319.813.218.0378390791 90834 90837 90846 90847 96130$45K
May 2020More hours than a day holds, even counting one unit per claim line24.218.312.218.0418390791 90832 90837 90846 90847 96130$44K
Jul 2020More hours than a day holds, even counting one unit per claim line26.922.414.920.1492390791 90832 90834 90837 90846 90847 96130 96136 96137$54K
Aug 2020More hours than a day holds, even counting one unit per claim line33.628.018.627.5713390791 90832 90834 90837 90846 90847 96130$66K
Sep 2020More hours than a day holds, even counting one unit per claim line56.741.627.837.8914390791 90832 90834 90837 90846 90847 96130$94K
Oct 2020More hours than a day holds, even counting one unit per claim line46.437.324.835.0797390791 90832 90834 90837 90846 90847 96130$86K
Nov 2020More hours than a day holds, even counting one unit per claim line46.929.819.928.4737390791 90832 90834 90837 90846 90847 96130 96132$68K
Dec 2020More hours than a day holds, even counting one unit per claim line35.827.918.625.0720390791 90832 90834 90837 90846 90847 96130 96132$65K
Jan 2021More hours than a day holds, even counting one unit per claim line61.134.022.733.5883490791 90832 90834 90837 90846 90847 96130 96131 96132 96136 96137$80K
Feb 2021More hours than a day holds, even counting one unit per claim line47.538.025.335.5787490791 90832 90834 90837 90846 90847 96130$79K
Mar 2021More hours than a day holds, even counting one unit per claim line53.243.929.339.5937490791 90832 90837 90846 90847 96130$102K
Apr 2021More hours than a day holds, even counting one unit per claim line44.337.725.134.3881490791 90832 90837 90846 90847 96130 96136 96137$85K
Jul 2021More hours than a day holds, even counting one unit per claim line28.724.516.323.0611490791 90834 90837 90846 90847 96130 96132 96136 96137$59K
Aug 2021More hours than a day holds, even counting one unit per claim line37.833.222.131.1699490791 90837 90846 90847 96130 96132$77K
Sep 2021More hours than a day holds, even counting one unit per claim line29.424.616.422.3525490791 90837 90846 90847 96130$55K
Oct 2021More hours than a day holds, even counting one unit per claim line37.225.416.925.0547390791 90837 90846 90847 96130$59K
Nov 2021More hours than a day holds, even counting one unit per claim line26.022.715.120.6490390791 90837 90846 90847 96130 96136 96137$52K
May 2022More hours than a day holds, even counting one unit per claim line27.921.814.620.5519290791 90837 90846 90847$49K
Jun 2022More hours than a day holds, even counting one unit per claim line33.126.517.724.1623290791 90837 90846 90847$58K
Jul 2022More hours than a day holds, even counting one unit per claim line34.827.418.327.0715390791 90832 90837 90846 90847$62K
Aug 2022More hours than a day holds, even counting one unit per claim line35.529.019.326.0730390791 90837 90846 90847$67K
Sep 2022More hours than a day holds, even counting one unit per claim line35.529.119.426.4727390791 90837 90846 90847$65K
Oct 2022More hours than a day holds, even counting one unit per claim line37.129.819.929.4796390791 90832 90834 90837 90846 90847$69K
Nov 2022More hours than a day holds, even counting one unit per claim line33.827.318.224.9714390791 90832 90837 90846 90847$61K
Dec 2022More hours than a day holds, even counting one unit per claim line33.726.717.825.0711390791 90832 90837 90846 90847$61K
Jan 2023More hours than a day holds, even counting one unit per claim line36.829.519.727.7721390791 90837 90846 90847$68K
Feb 2023More hours than a day holds, even counting one unit per claim line36.829.619.727.6694390791 90837 90846 90847$61K
Mar 2023More hours than a day holds, even counting one unit per claim line38.531.921.328.7832390791 90832 90837 90846 90847$73K
Apr 2023More hours than a day holds, even counting one unit per claim line39.326.517.726.5657390791 90832 90837 90846 90847$58K
May 2023More hours than a day holds, even counting one unit per claim line49.329.919.926.8758290791 90832 90837 90846 90847$69K
Jun 2023More hours than a day holds, even counting one unit per claim line92.523.115.421.0711290791 90837 90846 90847$51K
Jul 2023More hours than a day holds, even counting one unit per claim line71.021.814.521.4549290837 90846 90847$49K
Aug 2023More hours than a day holds, even counting one unit per claim line75.025.617.023.0602290837 90846 90847$57K
Sep 2023More hours than a day holds, even counting one unit per claim line72.323.715.822.6521290837 90846 90847$51K
Oct 2023More hours than a day holds, even counting one unit per claim line75.825.917.324.3616290791 90837 90846 90847$59K
Nov 2023More hours than a day holds, even counting one unit per claim line64.223.215.521.1516290837 90846 90847$50K
Dec 2023More hours than a day holds, even counting one unit per claim line54.120.413.620.0526290791 90837 90846 90847$46K
Jan 2024More hours than a day holds, even counting one unit per claim line55.922.114.719.9506290791 90837 90846 90847$51K
Feb 2024More hours than a day holds, even counting one unit per claim line33.420.713.819.0426290791 90837 90846 90847$45K
Apr 2024More hours than a day holds, even counting one unit per claim line32.124.916.622.6536390791 90837 90846 90847$56K
May 2024More hours than a day holds, even counting one unit per claim line33.823.115.420.7484390791 90837 90846 90847$53K
Jun 2024More hours than a day holds, even counting one unit per claim line28.419.913.319.9430290791 90837 90846 90847$45K
Jul 2024More hours than a day holds, even counting one unit per claim line32.922.114.719.8469390791 90837 90846 90847$51K
Aug 2024More hours than a day holds, even counting one unit per claim line32.323.915.922.4528390791 90837 90846 90847$55K
Sep 2024More hours than a day holds, even counting one unit per claim line30.024.116.123.0515390791 90837 90846 90847$54K
Oct 2024More hours than a day holds, even counting one unit per claim line30.923.315.520.9503290791 90837 90846 90847$56K
Nov 2024More hours than a day holds, even counting one unit per claim line65.222.014.720.9513290791 90837 90846 90847$50K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameCHARLES WHETSELL, Ph.D.
TypeIndividual, sole proprietor
StatusActive
NPI issuedApril 18, 2007, last updated February 13, 2025
Practice location5748 ANNANADALE LN, Irondale, AL 35210-3401, 205-901-6438
Specialties
Psychologist (103T00000X, primary, license 817 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
codewhat it ispaidshareper patient-monthtypicalrank among providers
90837Psychotherapy, 1 hourhistory of abuse$3.0M57%$124$191 (top 5% from $442)20th percentile
90847Family psychotherapy with patient, 50 minutes$1.4M26%$86$130 (top 5% from $458)22nd percentile
90791Psychiatric diagnostic evaluation$407K8%$87$105 (top 5% from $228)34th percentile
90846Family psychotherapy without patient, 50 minutes$201K4%$57$113 (top 5% from $277)10th percentile
96130Evaluation of psychological test, first hour$110K2%$78$84 (top 5% from $233)45th percentile
96101Medicaid service code$65K1%$164$219 (top 5% from $671)37th percentile
90834Psychotherapy, 45 minutes$39K1%$64$101 (top 5% from $318)26th percentile
90832Psychotherapy, 30 minutes$30K1%$43$59 (top 5% from $239)34th percentile

In this area

19 providers in Jefferson County, AL carry an indicator in the public record, with $14.0M at stake between them. The most common is more hours than a day holds, on 18 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1CARE COMPLETE MEDICAL CLINIC(CCMC)LLC
Birmingham, AL, ranked 313
$6K
  • Listed on the Medicare revocation list since August 14, 2018.
  • Medicaid still paid claims in 9 later months, $6,105 in total.
4PATRICK TAPIA
Birmingham, AL, ranked 7745
$1.5M
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
4WALDEMAR CARLO
Birmingham, AL, ranked 7796
$1.2M
  • Hours beyond a day in 1 month, but with up to 134 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4SONYA PRITCHARD
Birmingham, AL, ranked 7800
$1.2M
  • Hours beyond a day in 6 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
4LINDY WINTER
Birmingham, AL, ranked 7822
$1.1M
  • Hours beyond a day in 3 months, but with up to 117 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4JOSEPH PHILIPS
Birmingham, AL, ranked 7901
$673K
  • Hours beyond a day in 1 month, but with up to 116 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4JEGEN KANDASAMY
Birmingham, AL, ranked 7937
$505K
  • Hours beyond a day in 1 month, but with up to 116 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4CHARITHARTH LAL
Birmingham, AL, ranked 7945
$485K
  • Hours beyond a day in 1 month, but with up to 113 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
All 19 in AL

Recent enforcement in AL

All releases

Department 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.

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