Providers
All 338 in NV
COURTNEY DANDY FRALICK, LMFT, LCADC-Intern
NPI 1629360433, individual, Las Vegas, NV, Marriage & Family Therapist
2
Evidence tier
impossible volume with concurrency
- Billed more hands-on hours than a day holds in 8 months, peaking at 12.9 hours per day across 3 billing organizations.
- 63% of Medicaid dollars are on codes with a history of abuse.
score 82 of 100, rank 719, $275K 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.
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 26.8 | 9.6 | 6.4 | 8.6 | 117 | 1 | 90837 | $28K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 31.8 | 12.5 | 8.4 | 12.3 | 155 | 1 | 90837 | $37K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 41.9 | 18.6 | 12.4 | 16.9 | 190 | 1 | 90837 | $53K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 70.7 | 19.3 | 12.9 | 17.4 | 251 | 1 | 90837 | $57K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 51.8 | 11.5 | 7.7 | 11.5 | 222 | 1 | 90837 | $33K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 54.8 | 9.8 | 6.6 | 8.8 | 296 | 3 | 90791 90832 90837 H0004 | $30K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 66.9 | 8.1 | 5.4 | 7.6 | 272 | 2 | 90837 90847 | $24K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 25.7 | 4.1 | 2.7 | 3.9 | 181 | 2 | 90837 90847 90853 | $12K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | COURTNEY DANDY FRALICK, LMFT, LCADC-Intern |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | May 12, 2011, last updated November 1, 2022 |
| Practice location | 6871 W CHARLESTON BLVD, Las Vegas, NV 89117, 702-489-2117 |
| Mailing address | 8140 LEGER DR # 2347, Las Vegas, NV 89145-4742 |
| Specialties | Counselor, Addiction (Substance Use Disorder) (101YA0400X, license 00292-LCIntern NV) Marriage & Family Therapist (106H00000X, primary, license 01525 NV) |
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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $403K | 63% | $178 | $191 (top 5% from $442) | 44th percentile | |
| H0031 | Medicaid service code | $97K | 15% | $49 | $100 (top 5% from $540) | 25th percentile | |
| H2011 | Crisis intervention service per 15 min | $65K | 10% | $1K | $181 (top 5% from $3K) | too few months to rank | |
| H0002 | Medicaid service code | $57K | 9% | $32 | $34 (top 5% from $215) | 49th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $5K | 1% | $199 | $130 (top 5% from $458) | too few months to rank | |
| 90853 | Group psychotherapyhistory of abuse | $3K | 0% | $40 | $60 (top 5% from $332) | too few months to rank | |
| 90876 | Psychophysiological therapy with biofeedback 45 min | $2K | 0% | $206 | $392 (top 5% from $816) | too few months to rank | |
| Q3014 | Telehealth originating site facility fee | $2K | 0% | $46 | $21 (top 5% from $84) | too few months to rank |
In this area
338 providers in Clark County, NV carry an indicator in the public record, with $276.0M at stake between them. The most common is part of a provider network, on 167 of them, followed by more hours than a day holds on 151. 17 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TIMOTHY WILSON Las Vegas, NV, ranked 113 | $192K |
|
| 1 | DEVONTE' CHRISTOPHER North Las Vegas, NV, ranked 175 | $59K |
|
| 1 | MANE SHAH Las Vegas, NV, ranked 205 | $40K |
|
| 1 | JOHN MARIUS TOLENTINO Las Vegas, NV, ranked 254 | $16K |
|
| 1 | DAVID ADAMS Las Vegas, NV, ranked 345 | $3K |
|
| 1 | VICTOR BRUCE Las Vegas, NV, ranked 361 | $2K |
|
| 1 | AMARA MEDICAL CENTER LLC Las Vegas, NV, ranked 457 | $9 |
|
| 1 | RODNESHIA CARTER North Las Vegas, NV, ranked 479 | $0 |
|
Recent enforcement in NV
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedSep 24, 2025
Reno Doctor Arrested And Indicted For Health Care Fraud
An OB-GYN allegedly submitted false claims to Medicaid and private health plans for gynecologic tests and surgical procedures that were not medically necessary and falsified patients' medical records.
DOJPleaded guiltyJul 16, 2025
Nevada Nurse Practitioner Pleads Guilty To Fraudulent Medicare Wound Care Billing
A nurse practitioner admitted conspiring to fraudulently bill Medicare approximately $14,333,550 for amniotic wound allografts that were medically unnecessary and were procured through illegal kickbacks and bribes.
DOJChargedJun 30, 2025
U.S. Attorney's Office Participates In Record-Setting National Health Care Fraud Takedown
Two Las Vegas nurses were charged by information with conspiracy to defraud the United States and to pay and receive kickbacks for applying medically unnecessary amniotic wound allografts to Medicare beneficiaries and receiving kickbacks, with wound care companies billing Medicare over $94 million and approximately $14.3 million respectively.
DOJSentencedMay 1, 2024
Las Vegas Woman Sentenced To Prison For $1 Million Medicaid Fraud Scheme
Binford failed to disclose her criminal history to enroll her company Shepherd's Heart Services as a Nevada Medicaid provider and then submitted false bills for counseling services and training not rendered.
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.