KESHA SMOTHERMAN, LPC-MHSP
NPI 1659867570, individual, Lawrenceburg, TN, Counselor, Professional
- Hours beyond a day in 3 months, but with up to 503 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 32.4 | 63.0 | 42.0 | 62.0 | 456 | 1 | 90791 90832 90834 90837 | $124K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 35.8 | 69.7 | 46.5 | 62.6 | 503 | 1 | 90791 90832 90834 90837 | $137K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 25.4 | 48.6 | 32.4 | 44.2 | 339 | 1 | 90791 90832 90834 90837 | $93K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KESHA SMOTHERMAN, LPC-MHSP |
| Type | Individual |
| Status | Active |
| NPI issued | July 3, 2018, last updated October 3, 2018 |
| Practice location | 1090 OLD FLORENCE RD, Lawrenceburg, TN 38464-8401, 931-762-6505 |
| Specialties | Counselor, Professional (101YP2500X, primary, license 3349 TN) |
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 | $1.4M | 53% | $247 | $191 (top 5% from $442) | 71st percentile | |
| 90834 | Psychotherapy, 45 minutes | $538K | 20% | $132 | $101 (top 5% from $318) | 65th percentile | |
| 90832 | Psychotherapy, 30 minutes | $428K | 16% | $101 | $59 (top 5% from $239) | 81st percentile | |
| 90791 | Psychiatric diagnostic evaluation | $266K | 10% | $167 | $105 (top 5% from $228) | 88th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $2K | 0% | $61 | $60 (top 5% from $332) | too few months to rank | |
| 90847 | Family psychotherapy with patient, 50 minutes | $2K | 0% | $83 | $130 (top 5% from $458) | too few months to rank |
In this area
2 providers in Lawrence County, TN carry an indicator in the public record, with $993K at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | COUNTRYSIDE TN REHAB LLC Lawrenceburg, TN, ranked 4693 | $0 |
|
| 4 | SCHAUNELLE PAGAN Lawrenceburg, TN, ranked 8989 | $993K |
|
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.