Providers
All 18 in PA
LARRY DURLOFSKY, D.O.
NPI 1720169188, individual, Bala Cynwyd, PA, Psychiatry & Neurology, Psychiatry
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 6 months under one organization, which can be supervisory billing.
- Records needed.
score 50 of 100, rank 9601, $69K 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 |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2018 | More hours than a day holds at a conservative unit price | 3.2 | 38.1 | 25.4 | 35.6 | 172 | 1 | 99308 99309 | $8K |
| Mar 2018 | More hours than a day holds at a conservative unit price | 2.9 | 37.2 | 24.8 | 35.0 | 149 | 1 | 99308 99309 | $8K |
| Apr 2018 | More hours than a day holds at a conservative unit price | 7.4 | 48.2 | 32.2 | 45.9 | 334 | 1 | 90792 99308 99309 | $10K |
| May 2018 | More hours than a day holds at a conservative unit price | 6.1 | 50.5 | 33.6 | 45.3 | 285 | 1 | 99308 99309 | $11K |
| Jun 2018 | More hours than a day holds at a conservative unit price | 4.2 | 47.1 | 31.4 | 44.9 | 207 | 1 | 99308 99309 | $10K |
| Jul 2018 | More hours than a day holds at a conservative unit price | 3.3 | 45.5 | 30.3 | 42.7 | 154 | 1 | 99309 | $10K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | LARRY DURLOFSKY, D.O. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | October 18, 2006, last updated May 31, 2011 |
| Practice location | 160 ROCK HILL RD FL 1, Bala Cynwyd, PA 19004-2133, 610-667-5460 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license OS005803-L PA) |
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 | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $70K | 82% | $49 | $21 (top 5% from $84) | 86th percentile | |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | $11K | 12% | $4.06 | $7.86 (top 5% from $34) | 23rd percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $4K | 5% | $23 | $14 (top 5% from $58) | 73rd percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $340 | 0% | $2.91 | $112 (top 5% from $313) | too few months to rank | |
| 0518F | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.00) | too few months to rank | |
| G8733 | Medicaid service code | $0 | 0% | $0.00 | too few months to rank | ||
| G8783 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.00) | too few months to rank | |
| G9717 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.00) | too few months to rank |
In this area
18 providers in Montgomery County, PA carry an indicator in the public record, with $16.8M at stake between them. The most common is part of a provider network, on 11 of them, followed by more hours than a day holds on 4. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | BERNARD OGON King Of Prussia, PA, ranked 85 | $460K |
|
| 1 | MATTHEW DEGIROLAMO Willow Grove, PA, ranked 290 | $10K |
|
| 3 | LINCOLN HEALTHCARE, LLC Conshohocken, PA, ranked 760 | $12.3M |
|
| 3 | PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S Bala Cynwyd, PA, ranked 1250 | $255K |
|
| 3 | JEFFHOME PA, LLC. Horsham, PA, ranked 1441 | $42K |
|
| 3 | ND MEDICAL SOLUTIONS LLC Fort Washington, PA, ranked 2481 | $0 |
|
| 3 | ARTMAN LUTHERAN HOME Ambler, PA, ranked 2510 | $0 |
|
| 3 | PETER BECKER COMMUNITY Harleysville, PA, ranked 2638 | $0 |
|
Recent enforcement in PA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedAug 4, 2026
The Fraud Division Announces Charges Against 19 Defendants for Medicaid Home Health Aid Schemes
Nineteen defendants, including owners and employees of home care companies, home health aides, and Medicaid recipients, were charged with submitting claims for home care services that were not provided, including claims for hours when purported aides were incarcerated, hospitalized, working other jobs, or traveling overseas.
DOJIndictedJun 23, 2026
Two Doctors, Physician’s Assistant Charged With Unlawfully Distributing Controlled Substances Via Voicemail “Refill Line”
From January 2020 through March 2025 the defendants allegedly operated a voicemail refill line that allowed patients to receive refills of Schedule II controlled substance prescriptions, namely oxycodone and amphetamine, without interacting with a licensed prescriber, and submitted prescriptions in another medical professional's name to deceive pharmacies.
DOJChargedJun 23, 2026
Scranton Woman Charged With Conspiracy To Commit Bank Fraud With Funds Derived From Federal Health Care Programs
Beaubrun is alleged to have stolen and appropriated checks intended by Entity #1 for various payees, including funds derived from Medicare and Medicaid, and endorsed them to herself, causing a loss of over $300,000.
DOJCivil settlementJun 10, 2026
Ahold Delhaize USA Inc. to Pay $40M for Allegedly Reporting Inflated Drug Prices on Claims to Federal Healthcare Programs
Ahold Delhaize's in-store retail pharmacies operated prescription savings programs offering discounted prices but failed to report those discounted prices as their "usual and customary" prices on claims to Medicare Part D, Medicaid and TRICARE, causing those programs to pay inflated amounts.
DOJCivil settlementJun 10, 2026
Ahold Delhaize USA Inc. to Pay $40M for Allegedly Reporting Inflated Drug Prices on Claims to Federal Healthcare Programs
Ahold Delhaize supermarket pharmacies operated prescription savings programs offering discounted prices but failed to report those discounted prices as their "usual and customary" prices on claims to Medicare Part D, Medicaid, and TRICARE, causing those programs to pay inflated amounts.
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.