DANIEL BRIAN PEARCE, LPC
NPI 1649724907, individual, Tulsa, OK, Counselor, Professional
- Hours beyond a day in 2 months, but with up to 60 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code H0004 ($2320 per patient-month) sit in the top 5% of every provider billing that code.
- 97% 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 2022 | More hours than a day holds at a conservative unit price | 2.3 | 36.7 | 24.5 | 34.5 | 58 | 1 | H0004 | $184K |
| Aug 2022 | More hours than a day holds at a conservative unit price | 2.4 | 37.7 | 25.2 | 33.9 | 56 | 1 | H0004 | $189K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DANIEL BRIAN PEARCE, LPC |
| Type | Individual |
| Status | Active |
| NPI issued | August 4, 2016, last updated April 4, 2022 |
| Practice location | 4930 S SHERIDAN RD, Tulsa, OK 74145-5712, 918-392-4008 |
| Mailing address | 12005 E 470 RD, Claremore, OK 74017-3737 |
| Specialties | Case Manager/Care Coordinator (171M00000X) Counselor, Professional (101YP2500X, primary, license 03936 OK) |
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 | |
|---|---|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy per 15 minhistory of abuse | $2.3M | 97% | $2K | $174 (top 5% from $559) | 99th percentile | |
| T1041 | Medicaid service code | $51K | 2% | $904 | $874 (top 5% from $1K) | too few months to rank | |
| H0032 | Medicaid service code | $9K | 0% | $519 | $98 (top 5% from $675) | too few months to rank |
In this area
22 providers in Tulsa County, OK carry an indicator in the public record, with $7.6M at stake between them. The most common is part of a provider network, on 11 of them, followed by more hours than a day holds on 9. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | LADD ATKINS Tulsa, OK, ranked 27 | $10K |
|
| 1 | MELISSA FIKE Owasso, OK, ranked 622 | $0 |
|
| 3 | SEASONS HOSPICE INC Tulsa, OK, ranked 2525 | $0 |
|
| 3 | TULSA HILLS COMMUNITY INC Tulsa, OK, ranked 3149 | $0 |
|
| 3 | HOSPICE OF NORTHEAST OKLAHOMA, LLC Tulsa, OK, ranked 3203 | $0 |
|
| 3 | HEALTHCARE INNOVATIONS OF OKLAHOMA, LLC Broken Arrow, OK, ranked 3910 | $0 |
|
| 3 | CONHOLD OF OWASSO LLC Owasso, OK, ranked 4471 | $0 |
|
| 3 | CARE PLUS HOME HEALTH CARE INC Tulsa, OK, ranked 4835 | $0 |
|
Recent enforcement in OK
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.