REBA ANN MOORE, Psy.S.
NPI 1659546638, individual, Corbin, KY, Psychologist, Intellectual & Developmental Disabilities
- Hours beyond a day in 11 months, but with up to 530 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 96130 ($533 per patient-month) sit in the top 5% of every provider billing that code.
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 2024 | More hours than a day holds, even counting one unit per claim line | 52.9 | 48.1 | 32.1 | 43.2 | 259 | 1 | 90791 90837 96130 96131 H0004 | $100K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 84.6 | 73.8 | 49.2 | 68.0 | 364 | 1 | 90791 90837 96130 96131 H0004 | $144K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 92.9 | 86.8 | 57.9 | 85.4 | 384 | 1 | 90837 96130 96131 H0004 | $180K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 97.1 | 93.7 | 62.5 | 85.2 | 459 | 1 | 90791 90837 96130 96131 H0004 | $188K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 105.9 | 102.2 | 68.1 | 91.8 | 440 | 1 | 90791 90837 96130 96131 | $211K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 115.2 | 112.6 | 75.0 | 112.6 | 530 | 1 | 90791 90837 96130 96131 H0004 | $226K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 124.5 | 122.1 | 81.4 | 109.7 | 517 | 1 | 90791 90837 96130 96131 H0004 | $253K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 111.4 | 110.2 | 73.4 | 103.5 | 462 | 1 | 90791 90837 96130 96131 H0004 | $229K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 105.6 | 105.1 | 70.1 | 100.1 | 480 | 1 | 90791 90837 96130 96131 H0004 | $211K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 75.3 | 74.9 | 50.0 | 67.3 | 373 | 1 | 90791 90837 96130 96131 H0004 | $156K |
| Nov 2024 | More hours than a day holds, even counting one unit per claim line | 43.5 | 44.2 | 29.4 | 42.0 | 314 | 1 | 90791 90837 96130 96131 H0004 | $90K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | REBA ANN MOORE, Psy.S. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | April 29, 2008, last updated April 29, 2008 |
| Practice location | 85 W POINT DR, Corbin, KY 40701-8898, 606-523-9723 |
| Mailing address | 2865 BEE CREEK RD, Corbin, KY 40701-7804 |
| Specialties | Psychologist, Intellectual & Developmental Disabilities (103TM1800X, primary, license 0008 KY) |
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 | |
|---|---|---|---|---|---|---|---|
| 96130 | Evaluation of psychological test, first hour | $1.1M | 53% | $533 | $84 (top 5% from $233) | 99th percentile | |
| 96131 | Evaluation of psychological test, each additional hour | $814K | 40% | $397 | $170 (top 5% from $515) | 90th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $45K | 2% | $238 | $191 (top 5% from $442) | 68th percentile | |
| H0004 | Behavioral health counseling and therapy per 15 minhistory of abuse | $34K | 2% | $212 | $174 (top 5% from $559) | 62nd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $32K | 2% | $103 | $105 (top 5% from $228) | 48th percentile | |
| H0032 | Medicaid service code | $22K | 1% | $74 | $98 (top 5% from $675) | 35th percentile | |
| 90785 | Psychiatric services complicated by communication factor | $7K | 0% | $14 | $15 (top 5% from $35) | 46th percentile |
In this area
4 providers in Whitley County, KY carry an indicator in the public record, with $3.8M at stake between them. The most common is more hours than a day holds, on 4 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | MAZHAR SALIM Corbin, KY, ranked 8734 | $2.0M |
|
| 4 | MELISSA PATTERSON Corbin, KY, ranked 9001 | $967K |
|
| 4 | PAMELA MCGEORGE Corbin, KY, ranked 9262 | $422K |
|
| 4 | DIANE HUGHLETT Corbin, KY, ranked 9276 | $405K |
|
Recent enforcement in KY
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.