KEITH FRAZIER, LISW-S, LCSW
NPI 1588027593, individual, Wheelersburg, OH, Social Worker, Clinical
- Hours beyond a day in 2 months, but with up to 451 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 |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 31.4 | 40.5 | 27.0 | 27.8 | 408 | 2 | 90791 90832 90834 90837 H0004 H0036 H2019 | $116K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 31.7 | 41.5 | 27.7 | 27.1 | 360 | 1 | 90791 90832 90834 90837 H0036 H2019 | $115K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KEITH FRAZIER, LISW-S, LCSW |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | March 29, 2016, last updated March 29, 2016 |
| Practice location | 418 CENTER ST, Wheelersburg, OH 45694-1712, 740-776-2785 |
| Mailing address | 1544 WINCHESTER AVE STE 901, Ashland, KY 41101-7932 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license I 8078 - Supv OH) Social Worker, Clinical (1041C0700X, license 0871 KY) |
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 | |
|---|---|---|---|---|---|---|---|
| H2036 | Alcohol/drug treatment program per diem | $7.0M | 72% | $4K | $3K (top 5% from $6K) | 79th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $1.2M | 13% | $231 | $191 (top 5% from $442) | 66th percentile | |
| H2019 | Therapeutic behavioral services per 15 min | $700K | 7% | $320 | $226 (top 5% from $1K) | 68th percentile | |
| H0036 | Community psychiatric supportive treatment face-to-face per 15 minhistory of abuse | $422K | 4% | $260 | $195 (top 5% from $1K) | 60th percentile | |
| H0004 | Behavioral health counseling and therapy per 15 minhistory of abuse | $123K | 1% | $231 | $174 (top 5% from $559) | 66th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $117K | 1% | $95 | $105 (top 5% from $228) | 40th percentile | |
| H0006 | Medicaid service code | $70K | 1% | $344 | $100 (top 5% from $371) | 94th percentile | |
| 90832 | Psychotherapy, 30 minutes | $54K | 1% | $58 | $59 (top 5% from $239) | 50th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 139 | 26 | $11K | $124 | $112 | 1.1x | 1.6x (90th percentile 2.9x) |
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 Scioto County, OH carry an indicator in the public record, with $2.1M at stake between them. The most common is part of a provider network, on 4 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | VOIERS ENTERPRISES, INC Mcdermott, OH, ranked 3645 | $0 |
|
| 3 | BEST CARE HEALTH AND REHABILITATION Wheelersburg, OH, ranked 4684 | $0 |
|
| 3 | MCKENNA HEALTHCARE OF FRANKLIN FURNACE INC. Franklin Furnace, OH, ranked 4872 | $0 |
|
| 3 | MCKENNA HEALTHCARE OF PORTSMOUTH, INC. Portsmouth, OH, ranked 5650 | $0 |
|
| 5 | HOPE MORGAN Portsmouth, OH, ranked 9962 | $2.1M |
|
Recent enforcement in OH
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.