SOMMER COOKE, LMHC
NPI 1619385960, individual, Lawrenceburg, IN, Counselor, Mental Health
- 75% of Medicaid dollars are on codes with a history of abuse.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SOMMER COOKE, LMHC |
| Type | Individual |
| Status | Active |
| NPI issued | July 31, 2014, last updated July 31, 2014 |
| Practice location | 425 W EADS PKWY, Lawrenceburg, IN 47025-1139, 812-532-3486 |
| Mailing address | 1439 FOREST PINE CT, Hebron, KY 41048-8622 |
| Specialties | Counselor, Mental Health (101YM0800X, primary, license 39002584A 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 | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $314K | 54% | $168 | $191 (top 5% from $442) | 39th percentile | |
| H2014 | Skills training and development per 15 minhistory of abuse | $122K | 21% | $403 | $298 (top 5% from $3K) | 62nd percentile | |
| 90834 | Psychotherapy, 45 minutes | $60K | 10% | $81 | $101 (top 5% from $318) | 37th percentile | |
| 90832 | Psychotherapy, 30 minutes | $40K | 7% | $66 | $59 (top 5% from $239) | 58th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $23K | 4% | $94 | $105 (top 5% from $228) | 40th percentile | |
| T1016 | Case management each 15 min | $17K | 3% | $76 | $98 (top 5% from $507) | 41st percentile | |
| 90853 | Group psychotherapyhistory of abuse | $11K | 2% | $86 | $60 (top 5% from $332) | 66th percentile |
In this area
2 providers in Dearborn County, IN carry an indicator in the public record, with $14.8M at stake between them. The most common is more hours than a day holds, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | SUSAN GEOGHEGAN West Harrison, IN, ranked 8072 | $8.3M |
|
| 5 | SARAH LACEY-HORINE Lawrenceburg, IN, ranked 10488 | $6.5M |
|
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.