JOANNA LYON, LCPC
NPI 1639369093, individual, Bozeman, MT, Counselor, Professional
- Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- 63% of Medicaid dollars are on codes with a history of abuse.
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 2019 | More hours than a day holds, even counting one unit per claim line | 60.5 | 3.4 | 2.2 | 3.1 | 34 | 1 | 90837 | $9K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 27.0 | 3.1 | 2.1 | 2.8 | 44 | 1 | 90837 90847 | $8K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 25.0 | 3.1 | 2.1 | 2.9 | 44 | 1 | 90837 90847 | $8K |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 25.9 | 1.9 | 1.3 | 1.7 | 24 | 1 | 90837 | $5K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JOANNA LYON, LCPC |
| Type | Individual |
| Status | Active |
| NPI issued | July 31, 2007, last updated February 10, 2025 |
| Practice location | 2245 W KOCH ST, Bozeman, MT 59718-4010, 406-595-6396 |
| Mailing address | 317 SLOUGH CREEK DR, Bozeman, MT 59718-2002 |
| Specialties | Counselor, Professional (101YP2500X) Counselor, Professional (101YP2500X, primary, license 1278 MT) |
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 | $132K | 63% | $208 | $191 (top 5% from $442) | 57th percentile | |
| 90834 | Psychotherapy, 45 minutes | $45K | 21% | $125 | $101 (top 5% from $318) | 63rd percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $25K | 12% | $112 | $130 (top 5% from $458) | 40th percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $7K | 4% | $98 | $113 (top 5% from $277) | 39th percentile |
In this area
4 providers in Gallatin County, MT carry an indicator in the public record, with $621K at stake between them. The most common is part of a provider network, on 2 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JONATHAN WILHELM Belgrade, MT, ranked 238 | $21K |
|
| 3 | EDEN HOME HEALTH OF BOZEMAN, LLC Bozeman, MT, ranked 2580 | $0 |
|
| 3 | EDEN HOSPICE AT WESTERN MONTANA, LLC Bozeman, MT, ranked 3324 | $0 |
|
| 5 | CHRISTOPHER CROWLEY Bozeman, MT, ranked 10223 | $599K |
|
Recent enforcement in MT
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.