WILLIAM JOSEPH COLLINS, APRN
NPI 1720102312, individual, Sellersburg, IN, Nurse Practitioner, Psych/Mental Health
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | WILLIAM JOSEPH COLLINS, APRN |
| Type | Individual |
| Status | Active |
| NPI issued | March 19, 2007, last updated May 12, 2016 |
| Practice location | 3042 PLANTATION DR, Sellersburg, IN 47172-9136, 606-776-6309 |
| Mailing address | PO BOX 4100, Barboursville, WV 25504-4100 |
| Specialties | Nurse Practitioner, Psych/Mental Health (363LP0808X, license 209006516 IL) Nurse Practitioner, Psych/Mental Health (363LP0808X, primary, license 3005507 KY) |
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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $223K | 70% | $36 | $44 (top 5% from $110) | 38th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $61K | 19% | $7.97 | $14 (top 5% from $58) | 26th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $12K | 4% | $26 | $112 (top 5% from $313) | 12th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $11K | 4% | $58 | $60 (top 5% from $133) | 46th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $5K | 2% | $18 | $28 (top 5% from $147) | 31st percentile | |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | $4K | 1% | $6.35 | $7.86 (top 5% from $34) | 39th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $600 | 0% | $37 | $67 (top 5% from $121) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 97 | 49 | $3K | $85 | $52 | 1.6x | 2.2x (90th percentile 3.8x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
6 providers in Clark County, IN carry an indicator in the public record, with $82.0M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PULASKI MEMORIAL HOSPITAL Sellersburg, IN, ranked 6350 | $0 |
|
| 4 | IRFAN AFAQ Jeffersonville, IN, ranked 7390 | $8.1M |
|
| 4 | ERIC JAGGERS Jeffersonville, IN, ranked 7912 | $60.4M |
|
| 4 | GENE BAKER Jeffersonvlle, IN, ranked 8061 | $11.6M |
|
| 4 | MARY BOULDIN Jeffersonville, IN, ranked 8923 | $1.2M |
|
| 4 | JANNA JOHNSON Charlestown, IN, ranked 9124 | $643K |
|
Recent enforcement in IN
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.