Providers

CINDY GAIL HERZBERG, LPCC-S

NPI 1700244001, individual, Westerville, OH, Counselor, Mental Health

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 25 months under one organization, which can be supervisory billing.
  • Records needed.
  • 87% of Medicaid dollars are on codes with a history of abuse.
score 53 of 100, rank 8128, $2.4M at stake

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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Mar 2022More hours than a day holds, even counting one unit per claim line24.520.113.418.0321190791 90832 90837$58K
May 2022More hours than a day holds, even counting one unit per claim line26.721.314.220.0350190791 90832 90834 90837$61K
Jun 2022More hours than a day holds, even counting one unit per claim line29.324.216.122.0406190791 90832 90834 90837$68K
Jul 2022More hours than a day holds, even counting one unit per claim line26.120.914.020.6388190791 90832 90834 90837$60K
Aug 2022More hours than a day holds, even counting one unit per claim line32.626.717.824.0442190791 90832 90834 90837$77K
Sep 2022More hours than a day holds, even counting one unit per claim line30.224.616.422.4416190791 90832 90834 90837$69K
Oct 2022More hours than a day holds, even counting one unit per claim line29.323.915.923.5428190791 90832 90834 90837$69K
Nov 2022More hours than a day holds, even counting one unit per claim line32.425.517.023.2424190791 90832 90834 90837$71K
Dec 2022More hours than a day holds, even counting one unit per claim line30.723.215.521.8436190791 90832 90834 90837$67K
Jan 2023More hours than a day holds, even counting one unit per claim line39.432.521.730.6486190791 90832 90834 90837$90K
Feb 2023More hours than a day holds, even counting one unit per claim line33.627.318.225.5425190791 90832 90834 90837$68K
Mar 2023More hours than a day holds, even counting one unit per claim line30.524.216.221.8411190791 90832 90834 90837$67K
Apr 2023More hours than a day holds, even counting one unit per claim line34.327.918.627.9433190791 90832 90834 90837$74K
May 2023More hours than a day holds, even counting one unit per claim line38.430.720.527.6453190791 90832 90834 90837$84K
Jun 2023More hours than a day holds, even counting one unit per claim line35.027.718.525.2471190791 90832 90834 90837$74K
Jul 2023More hours than a day holds, even counting one unit per claim line30.724.416.324.1446190791 90832 90834 90837$67K
Aug 2023More hours than a day holds, even counting one unit per claim line35.328.118.725.2455190791 90832 90834 90837$77K
Sep 2023More hours than a day holds, even counting one unit per claim line32.625.817.224.6397190791 90832 90834 90837$69K
Oct 2023More hours than a day holds, even counting one unit per claim line32.525.216.823.7413190791 90832 90834 90837$69K
Nov 2023More hours than a day holds, even counting one unit per claim line31.224.216.122.0376190791 90832 90834 90837$64K
Dec 2023More hours than a day holds, even counting one unit per claim line25.720.013.319.7376190791 90832 90834 90837$55K
Jan 2024More hours than a day holds, even counting one unit per claim line30.325.617.123.0370190791 90832 90834 90837$82K
Feb 2024More hours than a day holds, even counting one unit per claim line41.835.023.332.2345190791 90832 90834 90837$104K
Mar 2024More hours than a day holds, even counting one unit per claim line25.020.013.319.7322190791 90832 90834 90837$64K
Apr 2024More hours than a day holds, even counting one unit per claim line24.719.613.117.9296190791 90834 90837$61K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameCINDY GAIL HERZBERG, LPCC-S
TypeIndividual
StatusActive
NPI issuedFebruary 2, 2016, last updated March 19, 2025
Practice location90 E COLLEGE AVE, Westerville, OH 43081-1659, 614-783-6010
Specialties
Counselor, Mental Health (101YM0800X, primary, license E.0800238-SUPV OH)

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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
90837Psychotherapy, 1 hourhistory of abuse$2.5M87%$199$191 (top 5% from $442)53rd percentile
90791Psychiatric diagnostic evaluation$179K6%$99$105 (top 5% from $228)45th percentile
99050Medicaid service code$69K2%$19$13 (top 5% from $53)71st percentile
90834Psychotherapy, 45 minutes$51K2%$63$101 (top 5% from $318)25th percentile
90785Psychiatric services complicated by communication factor$30K1%$20$15 (top 5% from $35)66th percentile
90832Psychotherapy, 30 minutes$24K1%$48$59 (top 5% from $239)38th percentile
99051Medicaid service code$24K1%$23$6.71 (top 5% from $30)86th percentile

In this area

151 providers in Franklin County, OH carry an indicator in the public record, with $198.0M at stake between them. The most common is part of a provider network, on 119 of them, followed by more hours than a day holds on 17. 8 are tier 1: documented action, then payment.

tierproviderat stakewhy
1TOWN STREET MEDICAL, LLC
Columbus, OH, ranked 285
$10K
  • Listed on the Medicare revocation list since November 20, 2024.
  • Medicaid still paid claims in 1 later month, $10,250 in total.
1ROBERT FLOREA
Columbus, OH, ranked 288
$0
  • Adjudicated (convicted, sentenced) per a state attorney general release dated October 31, 2024.
  • No Medicaid payments in the last 12 observed months.
  • and 4 more
1ANTONIO DELROSARIO
Reynoldsburg, OH, ranked 330
$4K
  • Listed on the Medicare revocation list since November 19, 2020.
  • Medicaid still paid claims in 3 later months, $4,312 in total.
1ANTONIO J. DEL ROSARIO, M.D. INC.
Columbus, OH, ranked 343
$3K
  • Listed on the Medicare revocation list since November 19, 2020.
  • Medicaid still paid claims in 3 later months, $3,241 in total.
1SALLY NJUME-TATSING
Reynoldsburg, OH, ranked 505
$0
  • Adjudicated (convicted, sentenced) per a Department of Justice release dated September 16, 2024.
  • No Medicaid payments in the last 12 observed months.
1BUCKEYE HEALTH AND RESEARCH
Columbus, OH, ranked 546
$0
  • Adjudicated (convicted, sentenced) per a state attorney general release dated October 31, 2024.
  • No Medicaid payments in the last 12 observed months.
1LABELLE HOMEHEALTH CARE SERVICES LLC
Reynoldsburg, OH, ranked 593
$0
  • Adjudicated (convicted, sentenced) per a Department of Justice release dated September 16, 2024.
  • No Medicaid payments in the last 12 observed months.
1BUCKEYE HEALTH AND RESEARCH LLC
Columbus, OH, ranked 636
$0
  • Adjudicated (sentenced, convicted) per a state attorney general release dated October 31, 2024.
  • No Medicaid payments in the last 12 observed months.
All 151 in OH

Recent enforcement in OH

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementJun 23, 2026
Ohio Dentist Agrees to Pay $500,000 to Resolve Allegations of Submitting False Claims to Medicaid
Meckler billed the Ohio Department of Medicaid for services provided by Ball, who was excluded from the Medicaid program, by listing Meckler as the rendering provider instead of Ball.
DOJSentencedJun 15, 2026
Ohio Doctor Ordered to Pay Nearly $1M for Facilitating Fraud on Medicare
A physician working as an independent contractor for a telemedicine company signed doctor's orders for durable medical equipment braces and genetic testing without meaningfully reviewing patient records or performing required in-person assessments, and those orders were used to bill Medicare more than $1,842,524.
DOJCivil settlementApr 2, 2026
Trinity Hospital Agrees to Pay $1.7M to Resolve Alleged Stark Law Violations
Trinity agreed to pay $1.7 million to resolve allegations that from 2014 through 2020 it made improper financial contributions to two referring physicians through office space rental arrangements that exceeded fair market value, in violation of the Stark Law.
DOJComplaint filedFeb 20, 2026
Justice Department Sues OhioHealth for Anticompetitive Healthcare Contracts That Increase Costs for Ohio Patients
The Justice Department and Ohio Attorney General filed a civil antitrust complaint alleging OhioHealth used its market power to impose contractual restrictions that prevent insurers from offering lower-cost health plans and limit access to price information.
DOJSentencedJan 14, 2026
Ohio Doctor Sentenced to Prison for $14M Healthcare Fraud Scheme
A licensed Ohio physician employed by two Florida telemedicine companies signed pre-completed orders for durable medical equipment and cancer genetic testing, falsely affirming he had examined the patients, causing more than $14.5 million in fraudulent Medicare claims.

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.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.