ANAND P POPLI, MD
NPI 1619964814, individual, Valparaiso, IN, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 59 months, but with up to 2005 patients a month across 6 billing organizations, 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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 31.9 | 34.1 | 22.8 | 21.4 | 959 | 3 | 90791 90792 90834 90853 99211 99213 H0004 H2011 H2014 T1016 | $109K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 52.9 | 40.9 | 27.3 | 20.9 | 1196 | 3 | 90791 90832 90834 90847 90853 99211 99213 99214 H0004 H2011 H2014 T1016 | $148K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 46.0 | 33.4 | 22.2 | 18.9 | 1065 | 3 | 90791 90832 90834 90847 90853 99211 99213 H0004 H2011 H2014 T1016 | $116K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 54.0 | 37.2 | 24.8 | 20.7 | 1182 | 3 | 90791 90832 90834 90847 90853 99211 99213 99214 H0004 H2011 H2014 T1016 | $124K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 52.3 | 34.0 | 22.7 | 20.2 | 1099 | 3 | 90791 90832 90834 90847 90853 99211 99213 H0004 H2011 H2014 T1016 | $105K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 42.2 | 49.0 | 32.7 | 39.4 | 1168 | 3 | 90791 90832 90834 90847 90853 99213 99214 H0004 H2011 H2014 T1016 | $120K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 45.5 | 51.0 | 34.0 | 36.7 | 1308 | 4 | 90791 90832 90834 90847 90853 99213 99214 H0004 H2011 H2014 T1016 | $139K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 69.5 | 70.5 | 47.0 | 53.3 | 1667 | 4 | 90791 90832 90834 90847 90853 99213 99214 H0004 H2011 H2014 T1016 | $176K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 50.0 | 59.9 | 39.9 | 46.7 | 1353 | 4 | 90791 90832 90834 90847 90853 99213 99214 H0004 H2011 H2014 T1016 | $171K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 58.4 | 70.8 | 47.2 | 50.9 | 1366 | 4 | 90791 90832 90834 90847 90853 99213 99214 H0004 H2011 H2014 T1016 | $196K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 53.6 | 66.8 | 44.6 | 46.4 | 1409 | 5 | 90791 90832 90834 90847 90853 96150 99213 99214 H0004 H2011 H2014 T1016 | $195K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 37.5 | 49.9 | 33.3 | 36.3 | 1144 | 5 | 90791 90832 90834 90847 90853 96150 99213 99214 H0004 H2011 H2014 T1016 | $146K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 42.8 | 66.1 | 44.1 | 46.6 | 1469 | 5 | 90791 90832 90834 90847 90853 96150 99211 99213 99214 H0004 H2011 H2014 T1016 | $192K |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 44.5 | 60.3 | 40.2 | 29.3 | 1234 | 5 | 90791 90832 90834 99211 99213 H2011 H2014 T1016 | $210K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 44.3 | 63.9 | 42.6 | 29.7 | 1335 | 5 | 90791 90832 90834 90847 99211 99213 99443 H2011 H2014 T1016 | $242K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 43.0 | 62.5 | 41.6 | 30.6 | 1303 | 5 | 90791 90832 90834 90847 99211 99213 99443 H2011 H2014 T1016 | $220K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 47.8 | 71.9 | 47.9 | 37.1 | 1464 | 5 | 90791 90832 90834 99213 99214 99443 H2011 H2014 T1016 | $245K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 49.5 | 72.2 | 48.1 | 39.1 | 1527 | 5 | 90791 90832 90834 90847 99213 99214 H2011 H2014 T1016 | $268K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 44.4 | 63.9 | 42.6 | 34.3 | 1385 | 5 | 90791 90832 90834 90837 99213 99214 99443 H2011 H2014 T1016 | $233K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 38.9 | 59.5 | 39.7 | 36.4 | 1394 | 4 | 90791 90832 90834 90847 99211 99214 99443 H0004 H2011 H2014 T1016 | $206K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 42.6 | 65.4 | 43.6 | 40.0 | 1400 | 5 | 90791 90832 90834 90847 99211 99213 99214 H0004 H2011 H2014 T1016 | $218K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 39.6 | 62.1 | 41.4 | 39.3 | 1395 | 4 | 90791 90832 90834 99211 99214 H0004 H2011 H2014 T1016 | $216K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 41.3 | 66.3 | 44.2 | 38.9 | 1401 | 3 | 90791 90832 90834 90847 99211 99214 H2011 H2014 T1016 | $220K |
| Dec 2021 | More hours than a day holds at a conservative unit price | 32.9 | 57.3 | 38.2 | 33.4 | 1292 | 3 | 90791 90832 90834 90847 99211 99214 H0004 H2011 H2014 T1016 | $201K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 39.0 | 68.4 | 45.6 | 45.3 | 1401 | 4 | 90791 90832 90834 90847 99211 99213 99214 99443 H2011 H2014 T1016 | $220K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 41.3 | 72.8 | 48.5 | 46.6 | 1428 | 3 | 90791 90832 90834 90847 99211 99214 H2011 H2014 T1016 | $213K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 46.2 | 80.5 | 53.7 | 51.7 | 1581 | 4 | 90791 90832 90834 90847 99211 99213 99214 H0004 H2011 H2014 T1016 | $263K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 40.0 | 69.8 | 46.5 | 46.5 | 1422 | 4 | 90791 90832 90834 90847 99211 99213 99214 H0004 H2011 H2014 T1016 | $220K |
| May 2022 | More hours than a day holds at a conservative unit price | 36.4 | 63.8 | 42.5 | 42.0 | 1429 | 4 | 90791 90832 90834 90847 99211 99213 99214 H0004 H2011 H2014 T1016 | $208K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 33.8 | 57.9 | 38.6 | 38.2 | 1127 | 3 | 90791 90832 90834 90847 99211 99214 H0004 H2011 H2014 T1016 | $184K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 36.0 | 58.0 | 38.7 | 43.8 | 1224 | 4 | 90791 90832 90834 90847 99211 99213 99214 H0004 H2011 H2014 T1016 | $186K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 51.9 | 81.5 | 54.3 | 57.3 | 1633 | 3 | 90791 90832 90834 90847 99211 99214 H0004 H2011 H2014 T1016 | $240K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 47.9 | 81.7 | 54.5 | 56.9 | 1538 | 4 | 90791 90832 90834 90847 90853 99211 99213 99214 H2011 H2014 T1016 | $243K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 61.7 | 94.7 | 63.1 | 75.3 | 1711 | 4 | 90791 90832 90834 90847 90853 99211 99213 99214 H2011 H2014 T1016 | $273K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 51.5 | 83.8 | 55.9 | 59.7 | 1598 | 3 | 90791 90832 90834 90847 90853 99211 99214 H2011 H2014 T1016 | $243K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 46.9 | 77.6 | 51.8 | 57.6 | 1561 | 3 | 90791 90832 90834 90847 90853 99214 H2011 H2014 T1016 | $225K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 54.9 | 97.2 | 64.8 | 69.1 | 1813 | 4 | 90791 90832 90834 90847 99211 99213 99214 H2011 H2014 T1016 | $284K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 54.0 | 94.0 | 62.7 | 64.5 | 1754 | 3 | 90791 90832 90834 90847 99211 99214 H2011 H2014 T1016 | $258K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 58.7 | 104.9 | 69.9 | 70.6 | 2005 | 4 | 90791 90832 90834 90837 90847 90853 99211 99213 99214 H2011 H2014 T1016 | $318K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 56.9 | 100.3 | 66.9 | 72.2 | 1951 | 4 | 90791 90832 90834 90837 90847 90853 99211 99213 99214 H0004 H2011 H2014 T1016 | $310K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 56.7 | 101.3 | 67.5 | 63.6 | 1873 | 3 | 90791 90832 90834 90847 90853 99211 99214 H0004 H2011 H2014 T1016 | $321K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 48.6 | 93.9 | 62.6 | 62.3 | 1712 | 4 | 90791 90832 90834 90847 90853 99211 99213 99214 H0004 H2011 H2014 T1016 | $286K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 43.7 | 81.9 | 54.6 | 58.4 | 1609 | 4 | 90791 90832 90834 90847 90853 99211 99213 99214 H0004 H2011 H2014 T1016 | $261K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 54.5 | 96.7 | 64.5 | 62.6 | 1913 | 4 | 90791 90832 90834 90837 90847 90853 99211 99213 99214 H2011 H2014 T1016 | $299K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 61.5 | 98.8 | 65.9 | 67.1 | 1843 | 4 | 90791 90832 90834 90837 90847 90853 99211 99213 99214 H2011 H2014 T1016 | $296K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 56.6 | 100.4 | 67.0 | 67.5 | 1982 | 3 | 90791 90832 90834 90837 90847 99211 99214 H2011 H2014 T1016 | $314K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 56.0 | 102.2 | 68.2 | 67.8 | 1915 | 3 | 90791 90832 90834 90847 99211 99214 H2011 H2014 T1016 | $306K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 42.8 | 76.6 | 51.1 | 53.2 | 1622 | 3 | 90791 90832 90834 90837 90847 99211 99214 H2011 H2014 T1016 | $243K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 47.9 | 88.2 | 58.8 | 46.3 | 1658 | 3 | 90791 90832 90834 90837 90847 99214 H2011 H2014 T1016 | $273K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 57.1 | 104.5 | 69.7 | 53.4 | 1863 | 3 | 90791 90832 90834 90837 90847 90853 99211 99214 H2011 H2014 T1016 | $315K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 47.2 | 92.0 | 61.3 | 49.2 | 1755 | 3 | 90791 90832 90834 90837 90847 90853 99211 99214 H2011 H2014 T1016 | $298K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 37.0 | 53.8 | 35.9 | 45.8 | 1132 | 3 | 90791 90832 90834 90837 90853 99211 99214 H2011 H2014 T1016 | $138K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 27.7 | 46.2 | 30.8 | 38.6 | 966 | 3 | 90791 90832 90834 90853 99211 99214 H2011 H2014 T1016 | $121K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 26.9 | 48.2 | 32.1 | 45.7 | 913 | 3 | 90791 90832 90834 90853 99211 99214 H2011 H2014 T1016 | $123K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 32.8 | 60.0 | 40.0 | 51.0 | 1065 | 4 | 90791 90832 90834 90853 99211 99214 H2011 H2014 T1016 | $156K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 32.2 | 56.4 | 37.6 | 50.7 | 1113 | 4 | 90791 90832 90834 90853 99211 99214 H2011 H2014 T1016 | $149K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 31.5 | 59.2 | 39.5 | 47.1 | 1217 | 3 | 90791 90832 90834 90853 99214 H2011 H2014 T1016 | $157K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 53.9 | 105.7 | 70.5 | 55.7 | 1881 | 3 | 90791 90832 90834 90853 99211 99214 H2011 H2014 T1016 | $333K |
| Nov 2024 | More hours than a day holds, even counting one unit per claim line | 49.3 | 95.1 | 63.4 | 56.7 | 1819 | 3 | 90791 90832 90834 90837 90847 90853 99211 99214 H2011 H2014 T1016 | $287K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ANAND P POPLI, MD |
| Type | Individual |
| Status | Active |
| NPI issued | October 3, 2005, last updated January 12, 2009 |
| Practice location | 601 WALL ST., Valparaiso, IN 46383-2512, 219-531-3662 |
| Mailing address | 601 WALL ST, Valparaiso, IN 46383-2512 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 01046117A IN) (2084P0805X, license 01046117A 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 | |
|---|---|---|---|---|---|---|---|
| H2014 | Skills training and development per 15 minhistory of abuse | $7.5M | 42% | $350 | $298 (top 5% from $3K) | 57th percentile | |
| 90834 | Psychotherapy, 45 minutes | $5.9M | 32% | $133 | $101 (top 5% from $318) | 66th percentile | |
| T1016 | Case management each 15 min | $1.5M | 8% | $72 | $98 (top 5% from $507) | 39th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $804K | 4% | $108 | $105 (top 5% from $228) | 54th percentile | |
| 90832 | Psychotherapy, 30 minutes | $638K | 4% | $101 | $59 (top 5% from $239) | 81st percentile | |
| H2011 | Crisis intervention service per 15 min | $417K | 2% | $138 | $181 (top 5% from $3K) | 43rd percentile | |
| H0031 | Medicaid service code | $319K | 2% | $47 | $100 (top 5% from $540) | 24th percentile | |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $231K | 1% | $88 | $16 (top 5% from $128) | 90th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 413 | 149 | $24K | $102 | $92 | 1.1x | 2.3x (90th percentile 3.8x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 29 | 16 | $808 | $63 | $62 | 1.0x | 2.2x (90th percentile 3.8x) |
| 96372 | Injection of drug or substance under skin or into muscle | 103 | 12 | $492 | $20 | $13 | 1.5x | 3.6x (90th percentile 6.4x) |
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
8 providers in Porter County, IN carry an indicator in the public record, with $15.4M at stake between them. The most common is more hours than a day holds, on 6 of them, followed by part of a provider network on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | TOGETHER HOMECARE OF NORTHWEST INDIANA LLC Valparaiso, IN, ranked 3025 | $0 |
|
| 3 | VALPARAISO HOME CARE SERVICES, LLC Valparaiso, IN, ranked 6367 | $0 |
|
| 4 | CATHLEEN AMADOR Valparaiso, IN, ranked 8082 | $5.7M |
|
| 4 | ANDI ARNAUTOVIC Portage, IN, ranked 8556 | $3.0M |
|
| 4 | SAMIR GUPTA Valparaiso, IN, ranked 8611 | $2.6M |
|
| 5 | SAJIV JOHN Valparaiso, IN, ranked 9956 | $2.2M |
|
| 5 | MARCIA BRIGGS Valparaiso, IN, ranked 10544 | $1.7M |
|
| 5 | JAMES BROWN Valparaiso, IN, ranked 11554 | $140K |
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.