TERESIA MEDLEY-HOOD, MSW, LCSW
NPI 1730330689, individual, Charlotte, NC, Registered Nurse, Home Health
- Billed more hands-on hours than a day holds in 7 months, peaking at 28.5 hours per day across 4 billing organizations.
- Medicaid dollars per patient on code 90837 ($473 per patient-month) sit in the top 5% of every provider billing that code.
- 66% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 34.1 | 32.3 | 21.5 | 31.8 | 353 | 3 | 90791 90837 90846 90847 | $116K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 41.2 | 36.3 | 24.2 | 32.6 | 302 | 4 | 90837 90846 90847 | $130K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 45.2 | 42.5 | 28.3 | 39.7 | 329 | 4 | 90791 90837 90846 90847 | $138K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 46.2 | 42.7 | 28.5 | 42.0 | 394 | 4 | 90791 90837 90846 90847 | $154K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 38.0 | 35.6 | 23.7 | 32.3 | 321 | 4 | 90837 90846 90847 | $124K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 33.1 | 31.7 | 21.2 | 28.5 | 327 | 4 | 90791 90837 90846 90847 | $114K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 26.2 | 25.4 | 16.9 | 25.4 | 231 | 2 | 90837 90846 90847 | $88K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | TERESIA MEDLEY-HOOD, MSW, LCSW |
| Type | Individual |
| Status | Active |
| NPI issued | October 8, 2008, last updated February 14, 2019 |
| Practice location | 3137 AMITY CT, SUITE 400, Charlotte, NC 28215-4935, 704-536-7326 |
| Specialties | Counselor, Mental Health (101YM0800X) Social Worker, Clinical (1041C0700X, license C011490 NC) Social Worker, Clinical (1041C0700X) Registered Nurse, Home Health (163WH0200X, primary, license 2222222 NC) |
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 | $1.2M | 66% | $473 | $191 (top 5% from $442) | 96th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $348K | 19% | $231 | $130 (top 5% from $458) | 81st percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $234K | 13% | $276 | $113 (top 5% from $277) | 95th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $30K | 2% | $146 | $105 (top 5% from $228) | 81st percentile | |
| H2000 | Medicaid service code | $10K | 1% | $152 | $173 (top 5% from $548) | too few months to rank | |
| 99367 | Medicaid service code | $3K | 0% | $80 | $41 (top 5% from $92) | too few months to rank | |
| H0031 | Medicaid service code | $859 | 0% | $72 | $100 (top 5% from $540) | too few months to rank | |
| 99366 | Medicaid service code | $474 | 0% | $40 | $32 (top 5% from $426) | too few months to rank |
In this area
26 providers in Mecklenburg County, NC carry an indicator in the public record, with $28.4M at stake between them. The most common is more hours than a day holds, on 17 of them, followed by named in an enforcement record on 5. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JACKSON CONSULTING AND SERVICES LLC Charlotte, NC, ranked 127 | $138K |
|
| 1 | CRYSTAL JACKSON Charlotte, NC, ranked 445 | $0 |
|
| 1 | COLBY JOYNER Charlotte, NC, ranked 548 | $0 |
|
| 1 | ODYSSEY HEALTH GROUP, INC Charlotte, NC, ranked 587 | $0 |
|
| 3 | FISHER OF MEN PROJECT LLC Charlotte, NC, ranked 1297 | $169K |
|
| 3 | MECKLENBURG HEALTH AND REHABILITATION, LLC Charlotte, NC, ranked 3452 | $0 |
|
| 4 | BOBBY KATO Charlotte, NC, ranked 7316 | $1.5M |
|
| 4 | MONIQUE WILLETT Charlotte, NC, ranked 8234 | $437K |
|
Recent enforcement in NC
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.