GAIL KRISTINE MCGRATH, LMFT
NPI 1629221247, individual, Lawrence, KS, Marriage & Family Therapist
- Hours beyond a day in 21 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90834 ($1290 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 |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2021 | More hours than a day holds at a conservative unit price | 0.6 | 40.5 | 27.0 | 38.0 | 12 | 1 | 90834 | $12K |
| Oct 2021 | More hours than a day holds at a conservative unit price | 0.6 | 45.7 | 30.5 | 45.0 | 12 | 1 | 90834 | $13K |
| Mar 2022 | More hours than a day holds at a conservative unit price | 0.6 | 55.7 | 37.1 | 50.0 | 12 | 1 | 90834 | $17K |
| Apr 2022 | More hours than a day holds at a conservative unit price | 0.8 | 66.4 | 44.2 | 63.2 | 12 | 1 | 90834 | $19K |
| May 2022 | More hours than a day holds at a conservative unit price | 0.8 | 68.5 | 45.7 | 64.4 | 12 | 1 | 90834 | $20K |
| Jun 2022 | More hours than a day holds at a conservative unit price | 0.7 | 64.2 | 42.8 | 58.3 | 14 | 1 | 90834 | $19K |
| Aug 2022 | More hours than a day holds at a conservative unit price | 0.6 | 53.5 | 35.7 | 48.1 | 12 | 1 | 90834 | $16K |
| Sep 2022 | More hours than a day holds at a conservative unit price | 0.7 | 59.7 | 39.8 | 54.3 | 14 | 1 | 90834 | $17K |
| Nov 2022 | More hours than a day holds at a conservative unit price | 0.6 | 53.1 | 35.4 | 48.3 | 12 | 1 | 90834 | $15K |
| Dec 2022 | More hours than a day holds at a conservative unit price | 0.5 | 47.1 | 31.4 | 44.2 | 13 | 1 | 90834 | $14K |
| Feb 2023 | More hours than a day holds at a conservative unit price | 0.7 | 67.9 | 45.3 | 63.4 | 14 | 1 | 90834 | $18K |
| Mar 2023 | More hours than a day holds at a conservative unit price | 0.6 | 59.1 | 39.4 | 53.1 | 12 | 1 | 90834 | $17K |
| Apr 2023 | More hours than a day holds at a conservative unit price | 0.7 | 68.1 | 45.4 | 68.1 | 14 | 1 | 90834 | $19K |
| May 2023 | More hours than a day holds at a conservative unit price | 0.7 | 65.9 | 43.9 | 59.2 | 15 | 1 | 90834 | $19K |
| Jun 2023 | More hours than a day holds at a conservative unit price | 0.8 | 79.8 | 53.2 | 72.5 | 14 | 1 | 90834 | $22K |
| Jul 2023 | More hours than a day holds at a conservative unit price | 0.5 | 45.4 | 30.3 | 44.7 | 14 | 1 | 90834 | $13K |
| Aug 2023 | More hours than a day holds at a conservative unit price | 0.5 | 47.7 | 31.8 | 42.9 | 12 | 1 | 90834 | $14K |
| Oct 2023 | More hours than a day holds at a conservative unit price | 0.6 | 54.5 | 36.3 | 51.2 | 14 | 1 | 90834 | $16K |
| Nov 2023 | More hours than a day holds at a conservative unit price | 0.6 | 51.6 | 34.4 | 46.9 | 13 | 1 | 90834 | $14K |
| Mar 2024 | More hours than a day holds at a conservative unit price | 0.7 | 45.3 | 30.2 | 44.6 | 13 | 1 | 90834 | $20K |
| Oct 2024 | More hours than a day holds at a conservative unit price | 0.6 | 38.8 | 25.9 | 34.9 | 13 | 1 | 90834 | $17K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | GAIL KRISTINE MCGRATH, LMFT |
| Type | Individual |
| Status | Active |
| NPI issued | October 28, 2008, last updated June 1, 2021 |
| Practice location | 3312 CLINTON PKWY, Lawrence, KS 66047-3624, 785-841-4138 |
| Mailing address | 58150 E 66 RD, Miami, OK 74354-6509 |
| Specialties | Marriage & Family Therapist (106H00000X, primary, license 1010 KS) |
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 | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $352K | 100% | $1K | $101 (top 5% from $318) | 100th percentile |
In this area
4 providers in Douglas County, KS carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 4 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | LAWRENCE MEMORIAL HOSPITAL Lawrence, KS, ranked 3380 | $0 |
|
| 3 | MEDICALODGES, INC. Eudora, KS, ranked 5423 | $0 |
|
| 3 | DOUGLAS COUNTY VISITING NURSES ASSOCIATION, INC. Lawrence, KS, ranked 6904 | $0 |
|
| 3 | DOUGLAS COUNTY VISITING NURSES ASSOCIATION, INC. Lawrence, KS, ranked 6987 | $0 |
|
Recent enforcement in KS
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.