Providers

STACEY MARIE DOTSON, LCSW

NPI 1548701808, individual, Watertown, CT, Social Worker, Clinical

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • 67% of Medicaid dollars are on codes with a history of abuse.
score 51 of 100, rank 8887, $13K 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
Mar 2022More hours than a day holds, even counting one unit per claim line25.84.73.24.3122190832 90834 90837 90846$13K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameSTACEY MARIE DOTSON, LCSW (also STACEY SHAIA)
TypeIndividual
StatusActive
NPI issuedMarch 19, 2017, last updated April 29, 2026
Practice location146 LINKFIELD RD, Watertown, CT 06795-1427, 860-465-7812
Specialties
Social Worker, Clinical (1041C0700X, primary, license 009469 CT)

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$344K67%$205$191 (top 5% from $442)56th percentile
90832Psychotherapy, 30 minutes$60K12%$88$59 (top 5% from $239)75th percentile
90847Family psychotherapy with patient, 50 minutes$36K7%$126$130 (top 5% from $458)48th percentile
90834Psychotherapy, 45 minutes$34K7%$95$101 (top 5% from $318)47th percentile
H2019Therapeutic behavioral services per 15 min$24K5%$464$226 (top 5% from $1K)too few months to rank
90846Family psychotherapy without patient, 50 minutes$13K3%$101$113 (top 5% from $277)41st percentile
90853Group psychotherapyhistory of abuse$2K0%$51$60 (top 5% from $332)too few months to rank
90791Psychiatric diagnostic evaluation$9690%$81$105 (top 5% from $228)too few months to rank

In this area

4 providers in Watertown, CT carry an indicator in the public record, with $41K at stake between them. The most common is part of a provider network, on 3 of them, followed by named in an enforcement record on 1. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1PRIMAL MENTAL AND PHYSICAL HEALTH
Oakville, CT, ranked 637
$0
  • Adjudicated (sentenced) per a state attorney general release dated June 20, 2024.
  • No Medicaid payments in the last 12 observed months.
3TORRINGTON CENTER FOR NURSING & REHABILITATION LLC
Torrington, CT, ranked 1443
$41K
  • Part of provider network D1-00091, ranked 91 nationally.
3WOLCOTT HALL NURSING CENTER, INC.
Torrington, CT, ranked 5222
$0
  • Part of provider network D1-00123, ranked 123 nationally.
3WATERBURY EXTENDED CARE FACILITY, INC.
Watertown, CT, ranked 5926
$0
  • Part of provider network D1-00123, ranked 123 nationally.

Recent enforcement in CT

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementJun 23, 2026
Connecticut Lab and its Owner Pay Over $145K to Settle Allegations of Medicaid Enrollment Fraud
Coastal Diagnostics and its owner made material misrepresentations in a Connecticut Medicaid Provider Enrollment Application by denying any relationship to another enrolled provider, Genco Lab, and then submitted claims for laboratory services.
DOJPleaded guiltyJun 23, 2026
Middletown Man Pleads Guilty to Operating Unlawful Money Transmitting Business
Habib registered a company and opened a bank account through which fraudulent claims were submitted to Medicare Advantage plans for durable medical equipment, including orthotics and braces, that beneficiaries did not request, consent to, or receive, and he wired proceeds to Pakistan without a money transmitting license.
DOJComplaint filedMay 22, 2026
APRN Charged with Defrauding Connecticut’s Medicaid Program
An APRN was charged with submitting fraudulent Medicaid claims for medication management services that were not provided, including for patients who had stopped seeing her or who were hospitalized, incarcerated, or deceased.
DOJSentencedApr 30, 2026
Cheshire Nurse Who Illegally Distributed Controlled Substances is Sentenced
An Advanced Practice Registered Nurse enrolled as a Medicare and Medicaid provider unlawfully distributed amphetamines and benzodiazepines to individuals without legitimate medical need, charging $200 cash for office visits, and Medicaid paid $287.58 for prescriptions written for an undercover agent.
DOJSentencedFeb 10, 2026
Bloomfield Man Sentenced to Federal Prison for Health Care Fraud
Tyson and Epps submitted fraudulent Medicaid claims for psychotherapy counseling sessions that were not provided, billed under Tyson's provider number for services purportedly provided by the suspended Epps, and Tyson provided fraudulent patient records during a Medicaid audit.

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.

Ask this case

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