DARLA JEANNE HINSHAW, M.D.
NPI 1588612410, individual, Terre Haute, IN, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 4 months, but with up to 721 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99231 ($117 per patient-month) sit in the top 5% of every provider billing that code.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 24.8 | 31.9 | 21.3 | 29.8 | 455 | 2 | 90791 90832 99213 99221 99231 | $54K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 26.0 | 26.2 | 17.5 | 25.4 | 566 | 2 | 90791 99213 99221 99231 | $58K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 28.0 | 22.2 | 14.8 | 20.9 | 569 | 2 | 90791 99213 99221 99231 | $51K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 25.0 | 28.0 | 18.6 | 25.8 | 558 | 2 | 90792 99213 99221 99231 | $75K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DARLA JEANNE HINSHAW, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | May 4, 2006, last updated June 4, 2018 |
| Practice location | 4733 S 7TH ST, Terre Haute, IN 47802, 812-234-4899 |
| Specialties | Psychiatry & Neurology, Addiction Psychiatry (2084P0802X, license 01058369 IN) Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 01058369A 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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.6M | 43% | $79 | $44 (top 5% from $110) | 88th percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $1.1M | 30% | $117 | $37 (top 5% from $103) | 97th percentile | |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | $623K | 17% | $80 | $50 (top 5% from $194) | 82nd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $152K | 4% | $114 | $105 (top 5% from $228) | 61st percentile | |
| 90832 | Psychotherapy, 30 minutes | $103K | 3% | $58 | $59 (top 5% from $239) | 49th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $83K | 2% | $116 | $112 (top 5% from $313) | 53rd percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $17K | 0% | $123 | $88 (top 5% from $210) | 73rd percentile | |
| 90834 | Psychotherapy, 45 minutes | $12K | 0% | $55 | $101 (top 5% from $318) | 22nd percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 108 | 108 | $4K | $66 | $52 | 1.3x | 2.2x (90th percentile 3.8x) |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 25 | 21 | $835 | $91 | $46 | 2.0x | 2.4x (90th percentile 4.0x) |
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
12 providers in Vigo County, IN carry an indicator in the public record, with $84.6M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by part of a provider network on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PUTNAM COUNTY HOSPITAL Terre Haute, IN, ranked 5445 | $0 |
|
| 3 | PUTNAM COUNTY HOSPITAL St. Mary Woods, IN, ranked 5492 | $0 |
|
| 3 | PUTNAM COUNTY HOSPITAL Terre Haute, IN, ranked 6880 | $0 |
|
| 4 | SURJIT SINGH Terre Haute, IN, ranked 7635 | $2.4M |
|
| 4 | TYRONE POWELL Terre Haute, IN, ranked 7998 | $29.2M |
|
| 4 | JULIA GADLAGE Terre Haute, IN, ranked 8264 | $18.3M |
|
| 4 | KELLY HUTCHINS Terre Haute, IN, ranked 8340 | $7.0M |
|
| 4 | HEATHER SHELTON Terre Haute, IN, ranked 8415 | $4.9M |
|
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.