Providers

DARLA JEANNE HINSHAW, M.D.

NPI 1588612410, individual, Terre Haute, IN, Psychiatry & Neurology, Psychiatry

4
Evidence tier
structure or single-organization volume
  • 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.
score 56 of 100, rank 7504, $3.7M 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
Feb 2019More hours than a day holds, even counting one unit per claim line24.831.921.329.8455290791 90832 99213 99221 99231$54K
Feb 2020More hours than a day holds, even counting one unit per claim line26.026.217.525.4566290791 99213 99221 99231$58K
Mar 2020More hours than a day holds, even counting one unit per claim line28.022.214.820.9569290791 99213 99221 99231$51K
Feb 2024More hours than a day holds, even counting one unit per claim line25.028.018.625.8558290792 99213 99221 99231$75K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameDARLA JEANNE HINSHAW, M.D.
TypeIndividual
StatusActive
NPI issuedMay 4, 2006, last updated June 4, 2018
Practice location4733 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$1.6M43%$79$44 (top 5% from $110)88th percentile
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes$1.1M30%$117$37 (top 5% from $103)97th percentile
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes$623K17%$80$50 (top 5% from $194)82nd percentile
90791Psychiatric diagnostic evaluation$152K4%$114$105 (top 5% from $228)61st percentile
90832Psychotherapy, 30 minutes$103K3%$58$59 (top 5% from $239)49th percentile
90792Psychiatric diagnostic evaluation with medical services$83K2%$116$112 (top 5% from $313)53rd percentile
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse$17K0%$123$88 (top 5% from $210)73rd percentile
90834Psychotherapy, 45 minutes$12K0%$55$101 (top 5% from $318)22nd percentile
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more108108$4K$66$521.3x2.2x (90th percentile 3.8x)
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2521$835$91$462.0x2.4x (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.

tierproviderat stakewhy
3PUTNAM COUNTY HOSPITAL
Terre Haute, IN, ranked 5445
$0
  • Part of provider network D1-00059, ranked 59 nationally.
3PUTNAM COUNTY HOSPITAL
St. Mary Woods, IN, ranked 5492
$0
  • Part of provider network D1-00059, ranked 59 nationally.
3PUTNAM COUNTY HOSPITAL
Terre Haute, IN, ranked 6880
$0
  • Part of provider network D1-00059, ranked 59 nationally.
4SURJIT SINGH
Terre Haute, IN, ranked 7635
$2.4M
  • Hours beyond a day in 1 month, but with up to 1262 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4TYRONE POWELL
Terre Haute, IN, ranked 7998
$29.2M
  • Hours beyond a day in 28 months, but with up to 2518 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4JULIA GADLAGE
Terre Haute, IN, ranked 8264
$18.3M
  • Hours beyond a day in 67 months, but with up to 1911 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4KELLY HUTCHINS
Terre Haute, IN, ranked 8340
$7.0M
  • Hours beyond a day in 42 months, but with up to 1575 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4HEATHER SHELTON
Terre Haute, IN, ranked 8415
$4.9M
  • Hours beyond a day in 41 months, but with up to 1201 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
All 12 in IN

Recent enforcement in IN

All releases

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

DOJSentencedJun 18, 2026
Florida Man Sentenced to 36 Months in Prison
As vice president of a dental practice, he submitted claims to Indiana Medicaid falsely billing for hundreds of dental surgeries that were never performed, used patients' personal identifiers without authorization to support the claims, and committed tax evasion to conceal the income.
DOJSentencedFeb 18, 2026
Highland Physician Sentenced to 97 Months in Prison
Cataldi, sole owner of an otolaryngology practice, billed Medicare and private insurance for thousands of balloon sinuplasty procedures that she did not perform, seeking approximately $50 million and being paid almost $20 million.
DOJCivil settlementJan 28, 2026
Settlement for $1.7 Million With Former Physician Don J. Wagoner and His Business Entity for Fraudulently Billing the Indiana Medicaid Program
Defendants required patients seeking opioid or pain medicine prescriptions to give a single urine sample, tested it with one inexpensive multiplexed screening kit, and billed Indiana Medicaid $171.27 or more per patient by falsely certifying that nine or more separate samples had been collected and analyzed.
DOJSentencedJan 8, 2026
Indiana Woman Sentenced to 84 Months in Prison
Reese falsely claimed to be a licensed clinical psychologist, used forged documents to obtain employment and stole the identities and license numbers of three medical professionals to enroll in Indiana Medicaid and bill for therapy services.
DOJSentencedOct 3, 2024
Merrillville Doctor Sentenced to Prison and Ordered to Pay Restitution
Farley submitted claims to Medicaid and Medicare falsely representing that he had complex, extended visits with patients at his addiction treatment practice, billing for more than 7,000 services he did not provide.

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

Answers come only from the evidence tables, and every sentence cites the record it used.