Providers

TERESIA MEDLEY-HOOD, MSW, LCSW

NPI 1730330689, individual, Charlotte, NC, Registered Nurse, Home Health

2
Evidence tier
impossible volume with concurrency
  • 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.
score 87 of 100, rank 688, $1.3M 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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Dec 2018More hours than a day holds, even counting one unit per claim line34.132.321.531.8353390791 90837 90846 90847$116K
Jan 2019More hours than a day holds, even counting one unit per claim line41.236.324.232.6302490837 90846 90847$130K
Feb 2019More hours than a day holds, even counting one unit per claim line45.242.528.339.7329490791 90837 90846 90847$138K
Mar 2019More hours than a day holds, even counting one unit per claim line46.242.728.542.0394490791 90837 90846 90847$154K
Apr 2019More hours than a day holds, even counting one unit per claim line38.035.623.732.3321490837 90846 90847$124K
May 2019More hours than a day holds, even counting one unit per claim line33.131.721.228.5327490791 90837 90846 90847$114K
Jun 2019More hours than a day holds, even counting one unit per claim line26.225.416.925.4231290837 90846 90847$88K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameTERESIA MEDLEY-HOOD, MSW, LCSW
TypeIndividual
StatusActive
NPI issuedOctober 8, 2008, last updated February 14, 2019
Practice location3137 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
90837Psychotherapy, 1 hourhistory of abuse$1.2M66%$473$191 (top 5% from $442)96th percentile
90847Family psychotherapy with patient, 50 minutes$348K19%$231$130 (top 5% from $458)81st percentile
90846Family psychotherapy without patient, 50 minutes$234K13%$276$113 (top 5% from $277)95th percentile
90791Psychiatric diagnostic evaluation$30K2%$146$105 (top 5% from $228)81st percentile
H2000Medicaid service code$10K1%$152$173 (top 5% from $548)too few months to rank
99367Medicaid service code$3K0%$80$41 (top 5% from $92)too few months to rank
H0031Medicaid service code$8590%$72$100 (top 5% from $540)too few months to rank
99366Medicaid service code$4740%$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.

tierproviderat stakewhy
1JACKSON CONSULTING AND SERVICES LLC
Charlotte, NC, ranked 127
$138K
  • Adjudicated (sentenced) per a Department of Justice release dated August 27, 2026.
  • Medicaid paid $137,561 in the last 12 observed months.
1CRYSTAL JACKSON
Charlotte, NC, ranked 445
$0
  • Adjudicated (sentenced) per a Department of Justice release dated August 27, 2026.
  • No Medicaid payments in the last 12 observed months.
  • and 4 more
1COLBY JOYNER
Charlotte, NC, ranked 548
$0
  • Adjudicated (sentenced) per a Department of Justice release dated October 4, 2024.
  • No Medicaid payments in the last 12 observed months.
1ODYSSEY HEALTH GROUP, INC
Charlotte, NC, ranked 587
$0
  • Adjudicated (sentenced, convicted) per a Department of Justice release dated May 17, 2024.
  • No Medicaid payments in the last 12 observed months.
3FISHER OF MEN PROJECT LLC
Charlotte, NC, ranked 1297
$169K
  • Charged (indicted) per a Department of Justice release dated June 23, 2026, not adjudicated.
  • Medicaid paid $168,849 in the last 12 observed months.
3MECKLENBURG HEALTH AND REHABILITATION, LLC
Charlotte, NC, ranked 3452
$0
  • Part of provider network D1-00130, ranked 130 nationally.
4BOBBY KATO
Charlotte, NC, ranked 7316
$1.5M
  • Hours beyond a day in 7 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 2 more
4MONIQUE WILLETT
Charlotte, NC, ranked 8234
$437K
  • Hours beyond a day in 2 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
All 26 in NC

Recent enforcement in NC

All releases

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

DOJSentencedAug 27, 2026
Charlotte Woman Sentenced for Defrauding the North Carolina Medicaid Program
Jackson and her company submitted over $1.9 million in claims to NC Medicaid for urine drug testing and psychotherapy services that were never performed or already paid, using Medicaid recipients' personal information, and she spent the proceeds.
DOJPleaded guiltyJul 9, 2026
Guilford County Woman Pleads Guilty to Health Care Fraud in Connection with Million Dollar Urine Drug Testing Scheme
Singleton owned and operated Joelle's Center of Hope, which submitted approximately $1,735,865 in claims to North Carolina Medicaid for urine drug tests that were not performed, listing a nurse practitioner and a doctor as ordering providers who never ordered the tests.
DOJPleaded guiltyJun 24, 2026
Raleigh Man Pleads Guilty to Receiving More than $60 Million in Fraudulent Claims from Paying Kickbacks for Patient Referrals
Price owned and operated Golden Star Labs, which paid collectors on a per-specimen basis to supply bogus respiratory test samples obtained through identity theft, and billed Medi-Cal and Medicare more than $96 million in false claims, receiving more than $60 million, and he also filed a false federal income tax return.
DOJChargedJun 24, 2026
McLeansville Woman Charged With Health Care Fraud, Part of National Health Care Fraud Takedown
White, the owner of Reginald Center of Turn Around, billed North Carolina Medicaid for thousands of fictitious drug tests resulting in a loss of $2.8 million.
DOJIndictedJun 24, 2026
Felon Indicted in Multimillion Dollar Healthcare Kickback and False Documents Conspiracy
Ayyad is alleged to have solicited and received kickbacks from clinical laboratories in exchange for generating referrals, paid kickbacks to independent contractor sales reps, created dozens of sham invoices and contracts to conceal the payments, and caused the submission of fraudulent claims for laboratory testing to Medicare, HRSA, TRICARE, and other payers through labs and entities he owned and controlled.

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.