TANISHA CASTELLANOS
NPI 1710251335, individual, Goshen, NY, Social Worker
- Hours beyond a day in 9 months, but with up to 734 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 90853 ($361 per patient-month) sit in the top 5% of every provider billing that code.
- 98% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 26.3 | 21.3 | 14.2 | 21.0 | 471 | 1 | 90791 90853 | $135K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 36.8 | 30.9 | 20.6 | 27.8 | 321 | 1 | 90791 90853 | $203K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 26.4 | 22.3 | 14.9 | 21.3 | 299 | 1 | 90853 | $142K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 30.2 | 23.9 | 15.9 | 21.5 | 494 | 1 | 90791 90853 | $164K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 36.6 | 29.2 | 19.5 | 26.2 | 734 | 1 | 90791 90853 | $198K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 35.3 | 28.2 | 18.8 | 26.5 | 480 | 1 | 90791 90853 | $194K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 47.3 | 37.6 | 25.0 | 35.8 | 520 | 1 | 90791 90853 | $251K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 32.5 | 25.8 | 17.2 | 23.2 | 443 | 1 | 90853 | $179K |
| Nov 2024 | More hours than a day holds, even counting one unit per claim line | 37.2 | 29.4 | 19.6 | 28.0 | 451 | 1 | 90791 90853 | $195K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | TANISHA CASTELLANOS |
| Type | Individual |
| Status | Active |
| NPI issued | February 29, 2012, last updated February 6, 2024 |
| Practice location | 2001 ROUTE 17M, Goshen, NY 10924-5241, 845-294-6185 |
| Specialties | Social Worker (104100000X, primary, license 090726 NY) |
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 | |
|---|---|---|---|---|---|---|---|
| 90853 | Group psychotherapyhistory of abuse | $2.8M | 94% | $361 | $60 (top 5% from $332) | 96th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $122K | 4% | $251 | $191 (top 5% from $442) | 72nd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $69K | 2% | $108 | $105 (top 5% from $228) | 54th percentile | |
| 90834 | Psychotherapy, 45 minutes | $720 | 0% | $51 | $101 (top 5% from $318) | too few months to rank |
In this area
14 providers in Orange County, NY carry an indicator in the public record, with $11.0M at stake between them. The most common is more hours than a day holds, on 10 of them, followed by paid after a public list action on 4. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | PAUL FELDMAN Newburgh, NY, ranked 23 | $25K |
|
| 4 | LAZAR KHAIMOV Monroe, NY, ranked 7526 | $3.4M |
|
| 4 | TZVI FARKAS Monroe, NY, ranked 8048 | $157K |
|
| 4 | YITZCHOK SCHLAFRIG Monroe, NY, ranked 9014 | $921K |
|
| 4 | SAMUEL WERZBERGER Monroe, NY, ranked 9038 | $852K |
|
| 4 | SAMUEL WEISER Monroe, NY, ranked 9193 | $536K |
|
| 4 | OSA GUOBADIA Middletown, NY, ranked 9692 | $27K |
|
| 5 | ERROL YOUNG Warwick, NY, ranked 10206 | $641K |
|
Recent enforcement in NY
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.