ELIZABETH MYERS, LCAT, LCMHC
NPI 1639477870, individual, Shelburne, VT, Counselor, Mental Health
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- 96% 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 |
|---|---|---|---|---|---|---|---|---|---|
| May 2021 | More hours than a day holds, even counting one unit per claim line | 39.7 | 2.4 | 1.6 | 2.4 | 18 | 1 | 90837 | $6K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ELIZABETH MYERS, LCAT, LCMHC |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | March 12, 2011, last updated March 12, 2011 |
| Practice location | 1141 FALLS RD, Shelburne, VT 05482-7003, 802-598-2692 |
| Specialties | Counselor, Mental Health (101YM0800X, primary, license 068.0057664 VT) |
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 | $122K | 96% | $278 | $191 (top 5% from $442) | 80th percentile | |
| 90785 | Psychiatric services complicated by communication factor | $5K | 4% | $23 | $15 (top 5% from $35) | 76th percentile |
In this area
9 providers in Chittenden County, VT carry an indicator in the public record, with $15.1M at stake between them. The most common is more hours than a day holds, on 7 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | 98 STARR FARM ROAD OPERATING COMPANY, LLC Burlington, VT, ranked 2718 | $0 |
|
| 3 | AMY SIEGEL Burlington, VT, ranked 6651 | $0 |
|
| 4 | CALLIA ZIMMERMAN South Burlington, VT, ranked 8606 | $27K |
|
| 4 | BRIAN ASHLEY Williston, VT, ranked 8716 | $21K |
|
| 4 | BENJAMIN HOUCHEN South Burlington, VT, ranked 8828 | $15K |
|
| 4 | LINDSAY JERNIGAN South Burlington, VT, ranked 8865 | $14K |
|
| 4 | NICHOLAS HUNTER Colchester, VT, ranked 9089 | $7K |
|
| 4 | CYRUS PATTEN Burlington, VT, ranked 9131 | $6K |
|
Recent enforcement in VT
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.