DEONTRANESE TREVA TAYLOR
NPI 1619211992, individual, Monticello, MS, Nurse Practitioner, Psych/Mental Health
- Hours beyond a day in 1 month, but with up to 957 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 |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2021 | More hours than a day holds at a conservative unit price | 22.7 | 36.5 | 24.3 | 34.2 | 957 | 2 | 99204 99214 | $112K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DEONTRANESE TREVA TAYLOR |
| Type | Individual |
| Status | Active |
| NPI issued | November 27, 2012, last updated November 22, 2023 |
| Practice location | 314 MAIN ST STE D, Monticello, MS 39654-3702, 601-587-4304 |
| Specialties | Nurse Practitioner, Psych/Mental Health (363LP0808X, primary, license R865884 MS) Nurse Practitioner, Family (363LF0000X, license R865884 MS) |
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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $3.3M | 78% | $105 | $60 (top 5% from $133) | 88th percentile | |
| 99392 | Medicaid service code | $132K | 3% | $84 | $78 (top 5% from $124) | 60th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $130K | 3% | $116 | $95 (top 5% from $171) | 69th percentile | |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | $100K | 2% | $13 | $12 (top 5% from $18) | 60th percentile | |
| 99391 | Medicaid service code | $80K | 2% | $81 | $76 (top 5% from $126) | 57th percentile | |
| 99393 | Medicaid service code | $80K | 2% | $82 | $78 (top 5% from $121) | 59th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $78K | 2% | $72 | $44 (top 5% from $110) | 84th percentile | |
| 99394 | Medicaid service code | $58K | 1% | $91 | $83 (top 5% from $128) | 63rd percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 11 | 11 | $1K | $205 | $120 | 1.7x | 2.4x (90th percentile 3.9x) |
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
52 providers in MS carry an indicator in the public record, with $85.9M at stake between them. The most common is more hours than a day holds, on 31 of them, followed by part of a provider network on 11. 7 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MILESTONE COMMUNITY DEVELOPMENT CENTER Greenville, MS, ranked 31 | $415K |
|
| 1 | BRANTLEY NICHOLS Ruleville, MS, ranked 99 | $299K |
|
| 1 | CHRISTA STAPLES Columbia, MS, ranked 222 | $28K |
|
| 1 | BENJAMIN SANFORD Starkville, MS, ranked 320 | $5K |
|
| 1 | MARION LUND Oxford, MS, ranked 399 | $923 |
|
| 1 | FOOT DOCTOR, PLLC Oxford, MS, ranked 400 | $923 |
|
| 1 | MEDIHEALTH MEDICAL SOLUTIONS LLC Amory, MS, ranked 512 | $0 |
|
| 2 | JOHN WILKAITIS Jackson, MS, ranked 697 | $1.6M |
|
Recent enforcement in MS
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.