JOE RAYMOND TAYLOR, LMFT

NPI 1710009683, individual, Chico, CA, Marriage & Family Therapist

Evidence tier

structure or single-organization volume

Hours beyond a day in 15 months, but with up to 663 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
Records needed.
95% of Medicaid dollars are on codes with a history of abuse.

score 53 of 100, rank 8117, $2.7M 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.

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	25.9	26.3	17.5	23.7	282	2	90791 90837	$80K
Jan 2020	More hours than a day holds, even counting one unit per claim line	29.3	31.0	20.7	27.9	350	2	90791 90837	$92K
Feb 2020	More hours than a day holds, even counting one unit per claim line	28.2	29.4	19.6	28.5	329	2	90791 90837	$82K
Mar 2020	More hours than a day holds, even counting one unit per claim line	28.5	29.5	19.7	27.7	340	2	90791 90837	$89K
Apr 2020	More hours than a day holds, even counting one unit per claim line	33.2	34.0	22.6	30.9	288	2	90791 90837	$99K
May 2020	More hours than a day holds, even counting one unit per claim line	32.2	33.1	22.1	32.6	331	2	90791 90837	$100K
Jun 2020	More hours than a day holds, even counting one unit per claim line	34.8	35.9	23.9	32.6	352	2	90791 90837	$104K
Jul 2020	More hours than a day holds, even counting one unit per claim line	35.5	36.7	24.5	33.0	381	2	90791 90837	$110K
Aug 2020	More hours than a day holds, even counting one unit per claim line	35.3	36.4	24.3	35.9	409	2	90791 90837	$109K
Sep 2020	More hours than a day holds, even counting one unit per claim line	39.2	40.1	26.7	36.4	427	2	90791 90837	$116K
Oct 2020	More hours than a day holds, even counting one unit per claim line	40.5	42.4	28.3	39.8	475	2	90791 90837	$126K
Nov 2020	More hours than a day holds, even counting one unit per claim line	38.1	39.1	26.0	37.2	451	2	90791 90837	$114K
Dec 2020	More hours than a day holds, even counting one unit per claim line	38.8	35.3	23.5	31.7	455	2	90791 90837	$106K
Jan 2021	More hours than a day holds, even counting one unit per claim line	37.9	19.0	12.7	18.7	663	2	90791 90837	$57K
Feb 2021	More hours than a day holds, even counting one unit per claim line	27.2	15.6	10.4	14.6	400	2	90791 90837	$42K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	JOE RAYMOND TAYLOR, LMFT
Type	Individual
Status	Active
NPI issued	April 4, 2007, last updated January 8, 2020
Practice location	1600 HUMBOLDT RD STE 3, Chico, CA 95928-8100, 530-410-0505
Specialties	Marriage & Family Therapist (106H00000X, primary, license LMFT46406 CA)

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

code	what it is	paid	share	per patient-month	typical	rank among providers
90837	Psychotherapy, 1 hourhistory of abuse	$2.8M	95%	$268	$191 (top 5% from $442)	77th percentile
90791	Psychiatric diagnostic evaluation	$141K	5%	$133	$105 (top 5% from $228)	75th percentile

In this area

12 providers in Butte County, CA carry an indicator in the public record, with $19.4M at stake between them. The most common is more hours than a day holds, on 11 of them, followed by part of a provider network on 1.

tier	provider	at stake	why
3	FEATHER RIVER CARE CENTER LLC Oroville, CA, ranked 7041	$0	Part of provider network D1-00087, ranked 87 nationally.
4	CHESTER AUSTIN Chico, CA, ranked 7637	$2.4M	Hours beyond a day in 16 months, but with up to 429 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours. Records needed. and 1 more
4	CHUKWUEMEKA NDULUE Gridley, CA, ranked 7639	$2.3M	Hours beyond a day in 33 months, but with up to 2228 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed. and 1 more
4	HEATHER O'CONNELL Chico, CA, ranked 7810	$1.1M	Hours beyond a day in 5 months, but with up to 124 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed. and 1 more
4	MARJORIE SHELTON-GROSS Chico, CA, ranked 8402	$5.2M	Hours beyond a day in 50 months, but with up to 1211 patients a month across 9 billing organizations, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
4	MARK HEINRICH Oroville, CA, ranked 8432	$4.5M	Hours beyond a day in 76 months, but with up to 4066 patients a month across 8 billing organizations, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
4	NARINDER SINGH Oroville, CA, ranked 8846	$1.4M	Hours beyond a day in 5 months, but with up to 1755 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
4	ALYSSA MILLIRON Chico, CA, ranked 9761	$4K	Hours beyond a day in 1 month, but with up to 900 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours. Records needed.

All 12 in CA

Recent enforcement in CA

All releases

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

DOJPleaded guiltyAug 27, 2026

Anaheim Woman Pleads Guilty to Submitting More Than $2.2 Million in Fraudulent Hospice Care Claims to Medicare

Galbraith submitted approximately $2,266,694 in claims to Medicare for hospice services for beneficiaries who did not have a terminal illness with a life expectancy of six months or less, and Medicare paid her company approximately $2,140,606.

DOJCivil settlementAug 26, 2026

DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests

DermTech Inc. submitted claims to Medicare for skin cancer tests conducted with an unvalidated positive control range and for tests lacking sufficient patient RNA, and did not retract results or adequately refund Medicare.

DOJCivil settlementAug 26, 2026

DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests

DermTech Inc. billed Medicare for skin cancer tests conducted using an unvalidated positive control range and for tests with insufficient patient RNA, and did not retract the results or adequately refund Medicare.

DOJCivil settlementAug 24, 2026

Medicare Advantage Provider Monogram Health Agrees to Pay $2.4 Million to Settle False Claims Act Lawsuit

Monogram knowingly submitted diagnosis codes in four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to Medicare Advantage Organizations.

DOJCivil settlementAug 24, 2026

Medicare Advantage Provider Monogram Health Agrees to Pay $2.4M to Settle False Claims Act Suit

Monogram Health knowingly submitted diagnosis codes within four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to MAOs.

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.