SHANNON M ELLER, LPC, CCADC, NCC, CSS
NPI 1679809016, individual, Griffin, GA, Marriage & Family Therapist
- Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- 80% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 26.9 | 16.8 | 11.2 | 15.1 | 214 | 1 | 90791 90837 96130 96131 | $46K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 30.7 | 18.6 | 12.4 | 17.7 | 211 | 1 | 90791 90837 96130 96131 | $50K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 33.6 | 13.7 | 9.2 | 12.3 | 433 | 1 | 90791 90832 90834 90837 96130 96131 | $38K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 27.0 | 14.7 | 9.8 | 14.3 | 385 | 1 | 90791 90834 90837 96130 96131 | $39K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SHANNON M ELLER, LPC, CCADC, NCC, CSS |
| Type | Individual |
| Status | Active |
| NPI issued | October 20, 2009, last updated April 3, 2019 |
| Practice location | 1815 N EXPRESSWAY STE B, Griffin, GA 30223-1185, 678-408-4622 |
| Specialties | Counselor, Professional (101YP2500X, license PC005894 GA) Marriage & Family Therapist (106H00000X, primary, license MFT001231 GA) |
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 | $2.1M | 80% | $209 | $191 (top 5% from $442) | 58th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $156K | 6% | $123 | $105 (top 5% from $228) | 69th percentile | |
| 96130 | Evaluation of psychological test, first hour | $101K | 4% | $144 | $84 (top 5% from $233) | 85th percentile | |
| 96131 | Evaluation of psychological test, each additional hour | $77K | 3% | $113 | $170 (top 5% from $515) | 31st percentile | |
| 96151 | Health and behavior reassessment each 15 min (pre-2020) | $64K | 2% | $298 | $11 (top 5% from $232) | 95th percentile | |
| 90834 | Psychotherapy, 45 minutes | $62K | 2% | $115 | $101 (top 5% from $318) | 58th percentile | |
| 90785 | Psychiatric services complicated by communication factor | $49K | 2% | $6.38 | $15 (top 5% from $35) | 22nd percentile | |
| 90832 | Psychotherapy, 30 minutes | $1K | 0% | $46 | $59 (top 5% from $239) | too few months to rank |
In this area
2 providers in Spalding County, GA carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | BRIGHTMOOR HOSPICE, LLC Griffin, GA, ranked 1533 | $0 |
|
| 3 | BRIGHTMOOR NURSING CENTER, LLC Griffin, GA, ranked 5889 | $0 |
|
Recent enforcement in GA
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.