CINDY LEANNE COTHRAN, MS
NPI 1639207087, individual, Shelbyville, TN, Counselor, Professional
- Hours beyond a day in 43 months, but with up to 990 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 35.1 | 55.1 | 36.7 | 49.5 | 760 | 1 | 90791 90832 90834 90837 90847 | $104K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 46.1 | 72.4 | 48.2 | 67.5 | 914 | 1 | 90791 90832 90834 90837 90846 90847 | $124K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 40.2 | 62.8 | 41.9 | 59.0 | 869 | 1 | 90791 90832 90834 90837 90847 | $119K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 35.7 | 60.2 | 40.1 | 57.3 | 968 | 1 | 90791 90832 90834 90837 90846 90847 | $105K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 31.5 | 58.5 | 39.0 | 52.5 | 821 | 1 | 90791 90832 90834 90837 90846 90847 | $101K |
| Aug 2018 | More hours than a day holds at a conservative unit price | 21.4 | 38.1 | 25.4 | 34.2 | 550 | 1 | 90791 90832 90834 90837 90847 | $65K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 29.7 | 49.1 | 32.7 | 49.1 | 620 | 1 | 90791 90832 90834 90837 90847 | $81K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 29.0 | 54.7 | 36.5 | 49.2 | 669 | 1 | 90791 90832 90834 90837 90846 90847 | $93K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 31.6 | 60.9 | 40.6 | 55.4 | 702 | 1 | 90791 90832 90834 90837 90846 90847 | $99K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 25.9 | 50.3 | 33.5 | 49.5 | 666 | 1 | 90791 90832 90834 90837 90847 | $83K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 32.2 | 60.7 | 40.4 | 54.5 | 704 | 1 | 90791 90832 90834 90837 90847 | $104K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 36.3 | 68.3 | 45.5 | 63.7 | 776 | 1 | 90791 90832 90834 90837 90847 | $107K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 30.0 | 55.5 | 37.0 | 54.6 | 800 | 1 | 90791 90832 90834 90837 90846 90847 | $97K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 34.4 | 64.5 | 43.0 | 58.7 | 780 | 1 | 90791 90832 90834 90837 90846 | $108K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 28.7 | 52.7 | 35.1 | 47.3 | 725 | 1 | 90791 90832 90834 90837 90846 | $92K |
| Nov 2019 | More hours than a day holds at a conservative unit price | 20.8 | 38.2 | 25.4 | 36.3 | 572 | 1 | 90791 90832 90834 90837 90846 90847 | $66K |
| Jan 2020 | More hours than a day holds at a conservative unit price | 23.3 | 41.4 | 27.6 | 37.2 | 579 | 1 | 90791 90832 90834 90837 | $77K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 27.4 | 47.3 | 31.6 | 45.7 | 652 | 1 | 90791 90832 90834 90837 | $82K |
| Oct 2020 | More hours than a day holds at a conservative unit price | 21.9 | 36.6 | 24.4 | 34.4 | 536 | 1 | 90791 90832 90834 90837 90847 | $69K |
| Nov 2020 | More hours than a day holds at a conservative unit price | 21.8 | 36.6 | 24.4 | 34.9 | 535 | 1 | 90791 90832 90834 90837 90847 | $67K |
| Dec 2020 | More hours than a day holds at a conservative unit price | 22.1 | 37.2 | 24.8 | 33.4 | 567 | 1 | 90791 90832 90834 90837 90846 | $71K |
| Apr 2021 | More hours than a day holds at a conservative unit price | 21.4 | 36.4 | 24.3 | 33.1 | 546 | 1 | 90791 90832 90834 90837 | $65K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 25.2 | 25.4 | 17.0 | 23.9 | 385 | 1 | 90832 90834 90837 90847 | $48K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 42.7 | 40.5 | 27.0 | 38.1 | 629 | 1 | 90791 90832 90834 90837 90846 90847 | $76K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 30.4 | 55.2 | 36.8 | 50.2 | 735 | 1 | 90791 90832 90834 90837 90847 | $100K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 33.0 | 49.1 | 32.8 | 48.4 | 735 | 1 | 90791 90832 90834 90837 90846 90847 | $92K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 45.7 | 60.2 | 40.2 | 54.8 | 833 | 1 | 90791 90832 90834 90837 90847 | $108K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 43.6 | 48.6 | 32.4 | 43.7 | 753 | 1 | 90791 90832 90834 90837 90846 90847 | $91K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 29.1 | 46.3 | 30.9 | 45.6 | 727 | 1 | 90791 90832 90834 90837 90847 | $89K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 34.8 | 60.1 | 40.1 | 56.1 | 832 | 1 | 90791 90832 90834 90837 90847 | $103K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 34.7 | 59.1 | 39.4 | 53.1 | 951 | 1 | 90791 90832 90834 90837 90846 90847 | $113K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 32.0 | 55.6 | 37.0 | 52.9 | 883 | 1 | 90791 90832 90834 90837 90846 90847 | $103K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 28.2 | 50.2 | 33.4 | 47.1 | 819 | 1 | 90791 90832 90834 90837 90847 | $95K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 43.6 | 81.7 | 54.4 | 73.4 | 536 | 1 | 90791 90832 90834 90837 90846 90847 | $157K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 49.4 | 92.8 | 61.8 | 84.3 | 525 | 1 | 90791 90832 90834 90837 90846 90847 | $172K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 39.6 | 72.0 | 48.0 | 70.9 | 539 | 1 | 90791 90832 90834 90837 90847 | $139K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 41.0 | 76.0 | 50.7 | 69.1 | 574 | 1 | 90791 90832 90834 90837 90846 | $140K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 31.4 | 58.8 | 39.2 | 55.3 | 534 | 1 | 90791 90832 90834 90837 90846 90847 | $114K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 38.0 | 70.3 | 46.9 | 66.1 | 716 | 1 | 90791 90832 90834 90837 90847 | $138K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 44.5 | 85.3 | 56.9 | 79.7 | 800 | 1 | 90791 90832 90834 90837 90846 90847 | $153K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 34.7 | 67.0 | 44.7 | 60.2 | 967 | 1 | 90791 90832 90834 90837 90846 90847 | $133K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 34.4 | 66.9 | 44.6 | 66.9 | 969 | 1 | 90791 90832 90834 90837 90846 90847 | $128K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 37.3 | 69.3 | 46.2 | 62.3 | 990 | 1 | 90791 90832 90834 90837 90846 90847 | $137K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CINDY LEANNE COTHRAN, MS |
| Type | Individual |
| Status | Active |
| NPI issued | February 28, 2007, last updated March 23, 2023 |
| Practice location | 712 N MAIN ST, Shelbyville, TN 37160-2828, 931-684-0522 |
| Mailing address | 1013 SLEEPY HOLLOW RD, Paso Robles, CA 93446-4833 |
| Specialties | Counselor, Professional (101YP2500X, primary, license 2767 TN) Counselor, Professional (101YP2500X, license 13358 CA) |
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 | $2.9M | 50% | $153 | $101 (top 5% from $318) | 73rd percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $1.2M | 21% | $178 | $191 (top 5% from $442) | 44th percentile | |
| 90832 | Psychotherapy, 30 minutes | $915K | 16% | $91 | $59 (top 5% from $239) | 76th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $329K | 6% | $144 | $105 (top 5% from $228) | 80th percentile | |
| H0037 | Community psychiatric supportive treatment program per diem | $262K | 5% | $1K | $419 (top 5% from $5K) | 82nd percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $107K | 2% | $103 | $130 (top 5% from $458) | 34th percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $30K | 1% | $76 | $113 (top 5% from $277) | 17th percentile |
In this area
3 providers in Bedford County, TN carry an indicator in the public record, with $9.9M at stake between them. The most common is more hours than a day holds, on 3 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | JOSEPH RUPARD Shelbyville, TN, ranked 7670 | $2.2M |
|
| 4 | ANN BLANKENSHIP Shelbyville, TN, ranked 8422 | $4.7M |
|
| 4 | PETER WERNER Shelbyville, TN, ranked 8550 | $3.0M |
|
Recent enforcement in TN
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.