DAVID C CERLING, Ph.D.
NPI 1568535904, individual, Evansville, IN, Psychologist, Clinical
- Hours beyond a day in 9 months, but with up to 821 patients a month, 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 |
|---|---|---|---|---|---|---|---|---|---|
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 29.0 | 38.0 | 25.3 | 23.3 | 667 | 2 | 90791 90834 90837 90853 H0038 | $81K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 29.9 | 42.4 | 28.2 | 24.3 | 659 | 2 | 90791 90834 90837 90853 H0038 | $85K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 32.8 | 43.3 | 28.8 | 28.1 | 772 | 2 | 90791 90832 90834 90837 90853 H0038 | $91K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 37.7 | 48.4 | 32.3 | 29.0 | 795 | 2 | 90791 90832 90834 90837 90853 H0038 | $98K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 35.1 | 49.8 | 33.2 | 29.1 | 793 | 2 | 90791 90832 90834 90837 90853 H0038 | $102K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 34.7 | 48.6 | 32.4 | 30.5 | 821 | 2 | 90791 90832 90834 90837 90853 H0038 | $102K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 38.7 | 52.3 | 34.8 | 32.1 | 814 | 2 | 90791 90834 90837 90853 H0038 | $107K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 32.6 | 45.9 | 30.6 | 28.9 | 790 | 2 | 90791 90832 90834 90837 90853 H0038 | $95K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 31.6 | 42.8 | 28.5 | 25.2 | 744 | 2 | 90791 90832 90834 90837 90853 H0038 | $86K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DAVID C CERLING, Ph.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | November 15, 2006, last updated July 9, 2007 |
| Practice location | 6221 PHYSICIANS CT, Evansville, IN 47715-4031, 812-491-7739 |
| Specialties | Psychologist, Clinical (103TC0700X, primary, license 20010406A 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 | |
|---|---|---|---|---|---|---|---|
| H0015 | Alcohol/drug intensive outpatient per diemhistory of abuse | $2.4M | 23% | $668 | $666 (top 5% from $2K) | 50th percentile | |
| H0010 | Alcohol/drug sub-acute detox residential per diem | $2.3M | 22% | $4K | $3K (top 5% from $6K) | 69th percentile | |
| H0035 | Mental health partial hospitalization less than 24 hours | $2.3M | 22% | $2K | $1K (top 5% from $3K) | 73rd percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $1.1M | 11% | $173 | $191 (top 5% from $442) | 42nd percentile | |
| H2034 | Alcohol/drug halfway house services per diem | $944K | 9% | $1K | $2K (top 5% from $4K) | 32nd percentile | |
| H0038 | Self-help/peer services per 15 min | $592K | 6% | $98 | $147 (top 5% from $2K) | 40th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $333K | 3% | $71 | $60 (top 5% from $332) | 58th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $315K | 3% | $110 | $105 (top 5% from $228) | 56th percentile |
In this area
8 providers in Vanderburgh County, IN carry an indicator in the public record, with $45.4M at stake between them. The most common is more hours than a day holds, on 6 of them, followed by part of a provider network on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PULASKI MEMORIAL HOSPITAL Evansville, IN, ranked 2200 | $0 |
|
| 3 | PULASKI MEMORIAL HOSPITAL Evansville, IN, ranked 6968 | $0 |
|
| 4 | BACHAR MALEK Evansville, IN, ranked 7354 | $16.5M |
|
| 4 | WILLARD WHITEHEAD Evansville, IN, ranked 8037 | $19.2M |
|
| 4 | MELISSA JONES Evansville, IN, ranked 8790 | $1.7M |
|
| 5 | ROBERT ALLEY Evansville, IN, ranked 10487 | $6.7M |
|
| 5 | SHANNON JONES Evansville, IN, ranked 10949 | $1.2M | |
| 5 | MEREDITH BEAN Evansville, IN, ranked 11523 | $156K |
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.