CINDY GAIL HERZBERG, LPCC-S
NPI 1700244001, individual, Westerville, OH, Counselor, Mental Health
- 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.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 24.5 | 20.1 | 13.4 | 18.0 | 321 | 1 | 90791 90832 90837 | $58K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 26.7 | 21.3 | 14.2 | 20.0 | 350 | 1 | 90791 90832 90834 90837 | $61K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 29.3 | 24.2 | 16.1 | 22.0 | 406 | 1 | 90791 90832 90834 90837 | $68K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 26.1 | 20.9 | 14.0 | 20.6 | 388 | 1 | 90791 90832 90834 90837 | $60K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 32.6 | 26.7 | 17.8 | 24.0 | 442 | 1 | 90791 90832 90834 90837 | $77K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 30.2 | 24.6 | 16.4 | 22.4 | 416 | 1 | 90791 90832 90834 90837 | $69K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 29.3 | 23.9 | 15.9 | 23.5 | 428 | 1 | 90791 90832 90834 90837 | $69K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 32.4 | 25.5 | 17.0 | 23.2 | 424 | 1 | 90791 90832 90834 90837 | $71K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 30.7 | 23.2 | 15.5 | 21.8 | 436 | 1 | 90791 90832 90834 90837 | $67K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 39.4 | 32.5 | 21.7 | 30.6 | 486 | 1 | 90791 90832 90834 90837 | $90K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 33.6 | 27.3 | 18.2 | 25.5 | 425 | 1 | 90791 90832 90834 90837 | $68K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 30.5 | 24.2 | 16.2 | 21.8 | 411 | 1 | 90791 90832 90834 90837 | $67K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 34.3 | 27.9 | 18.6 | 27.9 | 433 | 1 | 90791 90832 90834 90837 | $74K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 38.4 | 30.7 | 20.5 | 27.6 | 453 | 1 | 90791 90832 90834 90837 | $84K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 35.0 | 27.7 | 18.5 | 25.2 | 471 | 1 | 90791 90832 90834 90837 | $74K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 30.7 | 24.4 | 16.3 | 24.1 | 446 | 1 | 90791 90832 90834 90837 | $67K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 35.3 | 28.1 | 18.7 | 25.2 | 455 | 1 | 90791 90832 90834 90837 | $77K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 32.6 | 25.8 | 17.2 | 24.6 | 397 | 1 | 90791 90832 90834 90837 | $69K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 32.5 | 25.2 | 16.8 | 23.7 | 413 | 1 | 90791 90832 90834 90837 | $69K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 31.2 | 24.2 | 16.1 | 22.0 | 376 | 1 | 90791 90832 90834 90837 | $64K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 25.7 | 20.0 | 13.3 | 19.7 | 376 | 1 | 90791 90832 90834 90837 | $55K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 30.3 | 25.6 | 17.1 | 23.0 | 370 | 1 | 90791 90832 90834 90837 | $82K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 41.8 | 35.0 | 23.3 | 32.2 | 345 | 1 | 90791 90832 90834 90837 | $104K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 25.0 | 20.0 | 13.3 | 19.7 | 322 | 1 | 90791 90832 90834 90837 | $64K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 24.7 | 19.6 | 13.1 | 17.9 | 296 | 1 | 90791 90834 90837 | $61K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CINDY GAIL HERZBERG, LPCC-S |
| Type | Individual |
| Status | Active |
| NPI issued | February 2, 2016, last updated March 19, 2025 |
| Practice location | 90 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $2.5M | 87% | $199 | $191 (top 5% from $442) | 53rd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $179K | 6% | $99 | $105 (top 5% from $228) | 45th percentile | |
| 99050 | Medicaid service code | $69K | 2% | $19 | $13 (top 5% from $53) | 71st percentile | |
| 90834 | Psychotherapy, 45 minutes | $51K | 2% | $63 | $101 (top 5% from $318) | 25th percentile | |
| 90785 | Psychiatric services complicated by communication factor | $30K | 1% | $20 | $15 (top 5% from $35) | 66th percentile | |
| 90832 | Psychotherapy, 30 minutes | $24K | 1% | $48 | $59 (top 5% from $239) | 38th percentile | |
| 99051 | Medicaid service code | $24K | 1% | $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.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TOWN STREET MEDICAL, LLC Columbus, OH, ranked 285 | $10K |
|
| 1 | ROBERT FLOREA Columbus, OH, ranked 288 | $0 |
|
| 1 | ANTONIO DELROSARIO Reynoldsburg, OH, ranked 330 | $4K |
|
| 1 | ANTONIO J. DEL ROSARIO, M.D. INC. Columbus, OH, ranked 343 | $3K |
|
| 1 | SALLY NJUME-TATSING Reynoldsburg, OH, ranked 505 | $0 |
|
| 1 | BUCKEYE HEALTH AND RESEARCH Columbus, OH, ranked 546 | $0 |
|
| 1 | LABELLE HOMEHEALTH CARE SERVICES LLC Reynoldsburg, OH, ranked 593 | $0 |
|
| 1 | BUCKEYE HEALTH AND RESEARCH LLC Columbus, OH, ranked 636 | $0 |
|
Recent enforcement in OH
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.