LAURI C PIERCE, LISW
NPI 1740205038, individual, Chardon, OH, Social Worker, Clinical
- Hours beyond a day in 1 month, but with up to 330 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 94% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 28.8 | 21.9 | 14.6 | 20.6 | 330 | 3 | 90791 90834 90837 | $60K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | LAURI C PIERCE, LISW |
| Type | Individual |
| Status | Active |
| NPI issued | July 13, 2006, last updated July 8, 2007 |
| Practice location | 100 PARKER CT, Chardon, OH 44024-1141, 440-286-1553 |
| Mailing address | 14728 ASPEN HILLS LN, Burton, OH 44021-9310 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license I9650 OH) |
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 | $539K | 70% | $230 | $191 (top 5% from $442) | 66th percentile | |
| H0015 | Alcohol/drug intensive outpatient per diemhistory of abuse | $178K | 23% | $762 | $666 (top 5% from $2K) | 59th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $42K | 5% | $100 | $105 (top 5% from $228) | 45th percentile | |
| H0036 | Community psychiatric supportive treatment face-to-face per 15 minhistory of abuse | $4K | 1% | $45 | $195 (top 5% from $1K) | too few months to rank | |
| 90832 | Psychotherapy, 30 minutes | $3K | 0% | $72 | $59 (top 5% from $239) | too few months to rank | |
| 90853 | Group psychotherapyhistory of abuse | $2K | 0% | $33 | $60 (top 5% from $332) | too few months to rank | |
| 90834 | Psychotherapy, 45 minutes | $723 | 0% | $60 | $101 (top 5% from $318) | too few months to rank | |
| H0005 | Medicaid service code | $337 | 0% | $16 | $129 (top 5% from $479) | too few months to rank |
In this area
2 providers in Geauga County, OH carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ELIZA JENNINGS INC Chagrin Falls, OH, ranked 3923 | $0 |
|
| 3 | MAPLEVIEW OPERATING COMPANY LLC Chardon, OH, ranked 4115 | $0 |
|
Recent enforcement in OH
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.