EMILY M ZARSE, MD
NPI 1558621060, individual, Greenwood, IN, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 23 months, but with up to 1083 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2020 | More hours than a day holds at a conservative unit price | 25.3 | 39.8 | 26.6 | 34.3 | 837 | 3 | 90792 90832 90834 90853 99213 99214 H2014 T1016 | $100K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 26.3 | 43.1 | 28.7 | 37.2 | 940 | 3 | 90792 90832 90834 90853 99213 99214 H2014 T1016 | $108K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 27.5 | 51.5 | 34.3 | 48.6 | 939 | 3 | 90792 90832 90834 90853 99213 99214 H2014 T1016 | $129K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 32.4 | 63.0 | 42.0 | 55.3 | 994 | 3 | 90792 90832 90834 90853 99213 99214 H2014 T1016 | $154K |
| Oct 2020 | More hours than a day holds at a conservative unit price | 23.5 | 44.3 | 29.5 | 39.8 | 901 | 3 | 90832 90834 90853 99213 99214 H2014 T1016 | $114K |
| Nov 2020 | More hours than a day holds at a conservative unit price | 25.6 | 48.5 | 32.3 | 43.5 | 921 | 3 | 90832 90834 90853 99213 99214 H2014 T1016 | $118K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 32.7 | 58.6 | 39.1 | 48.8 | 1046 | 3 | 90832 90834 90853 99213 99214 H2014 T1016 | $155K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 31.2 | 55.9 | 37.2 | 51.3 | 1083 | 3 | 90832 90834 90853 99213 99214 H2014 T1016 | $156K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 30.9 | 54.5 | 36.3 | 47.8 | 949 | 3 | 90832 90834 90853 99213 99214 H2014 T1016 | $133K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 29.1 | 52.7 | 35.1 | 44.1 | 934 | 3 | 90832 90834 90853 99213 99214 99215 H2014 T1016 | $142K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 28.7 | 52.0 | 34.7 | 44.4 | 934 | 3 | 90832 90834 90837 90853 99213 99214 99215 H2014 T1016 | $135K |
| May 2021 | More hours than a day holds at a conservative unit price | 22.4 | 41.3 | 27.5 | 38.5 | 793 | 3 | 90832 90834 90853 99213 99214 99215 H2014 T1016 | $111K |
| Jun 2021 | More hours than a day holds at a conservative unit price | 23.7 | 42.9 | 28.6 | 36.8 | 771 | 3 | 90832 90834 90853 99214 H2014 T1016 | $110K |
| Jul 2021 | More hours than a day holds at a conservative unit price | 22.4 | 41.0 | 27.4 | 36.4 | 783 | 3 | 90832 90834 90853 99213 99214 99215 H2014 T1016 | $109K |
| Aug 2021 | More hours than a day holds at a conservative unit price | 24.7 | 43.8 | 29.2 | 39.2 | 771 | 3 | 90832 90834 90837 90853 99214 H2014 T1016 | $112K |
| Sep 2021 | More hours than a day holds at a conservative unit price | 24.3 | 42.9 | 28.6 | 37.7 | 718 | 3 | 90832 90834 90837 90853 99214 H2014 T1016 | $103K |
| Oct 2021 | More hours than a day holds at a conservative unit price | 24.0 | 44.3 | 29.5 | 41.7 | 720 | 3 | 90832 90834 90837 90853 99214 H2014 T1016 | $111K |
| Nov 2021 | More hours than a day holds at a conservative unit price | 22.9 | 42.4 | 28.3 | 37.4 | 648 | 3 | 90832 90834 90853 99214 H2014 T1016 | $100K |
| Dec 2021 | More hours than a day holds at a conservative unit price | 20.9 | 39.3 | 26.2 | 33.9 | 677 | 3 | 90832 90834 90853 99213 99214 H2014 T1016 | $98K |
| Jan 2022 | More hours than a day holds at a conservative unit price | 23.1 | 43.6 | 29.1 | 41.8 | 728 | 3 | 90832 90834 90837 90853 99213 99214 H2014 T1016 | $105K |
| Feb 2022 | More hours than a day holds at a conservative unit price | 23.7 | 43.4 | 28.9 | 39.2 | 672 | 3 | 90832 90834 90853 99213 99214 H2014 T1016 | $92K |
| Mar 2022 | More hours than a day holds at a conservative unit price | 21.9 | 41.7 | 27.8 | 36.5 | 668 | 3 | 90832 90834 90853 99214 H2014 T1016 | $98K |
| May 2022 | More hours than a day holds at a conservative unit price | 21.8 | 41.4 | 27.6 | 37.4 | 710 | 3 | 90832 90834 90853 99213 99214 H2014 T1016 | $97K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | EMILY M ZARSE, MD (also EMILY MCKILLIP) |
| Type | Individual |
| Status | Active |
| NPI issued | May 18, 2012, last updated November 27, 2023 |
| Practice location | 3000 N STATE RD 135, STE 230, Greenwood, IN 46143, 317-497-6250 |
| Mailing address | 6626 E 75TH ST STE 500, Indianapolis, IN 46250-2890 |
| Specialties | Student in an Organized Health Care Education/Training Program (390200000X, license 01074013A IN) Student in an Organized Health Care Education/Training Program (390200000X) Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 01074013A IN) |
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 | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $1.7M | 34% | $135 | $101 (top 5% from $318) | 67th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $724K | 15% | $112 | $60 (top 5% from $133) | 90th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $649K | 13% | $107 | $60 (top 5% from $332) | 75th percentile | |
| H2014 | Skills training and development per 15 minhistory of abuse | $542K | 11% | $252 | $298 (top 5% from $3K) | 44th percentile | |
| 90832 | Psychotherapy, 30 minutes | $436K | 9% | $99 | $59 (top 5% from $239) | 80th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $168K | 3% | $96 | $44 (top 5% from $110) | 93rd percentile | |
| T1016 | Case management each 15 min | $154K | 3% | $54 | $98 (top 5% from $507) | 31st percentile | |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $104K | 2% | $107 | $16 (top 5% from $128) | 93rd percentile |
| 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 | 99 | 16 | $6K | $181 | $81 | 2.2x | 2.3x (90th percentile 3.8x) |
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
5 providers in Johnson County, IN carry an indicator in the public record, with $5.6M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | INDIANA MASONIC HOME, INC. Franklin, IN, ranked 3015 | $0 |
|
| 3 | JOHNSON MEMORIAL HOSPITAL Franklin, IN, ranked 5513 | $0 |
|
| 4 | BENJAMIN COPLAN Greenwood, IN, ranked 8595 | $2.8M |
|
| 5 | JENNIFER COMER Greenwood, IN, ranked 9955 | $2.2M |
|
| 5 | THOMAS SMALL Franklin, IN, ranked 11153 | $657K |
Recent enforcement in IN
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.