THOMAS E. TUELLER, LCSW
NPI 1740321314, individual, Idaho Falls, ID, Social Worker, Clinical
- Hours beyond a day in 7 months, but with up to 1005 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 2018 | More hours than a day holds, even counting one unit per claim line | 39.3 | 44.7 | 29.8 | 24.9 | 952 | 1 | 90791 90832 90834 90846 90847 90853 H0038 H2017 T1017 | $164K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 40.5 | 46.0 | 30.7 | 25.4 | 967 | 1 | 90791 90832 90834 90846 90847 90853 H0038 H2017 S5150 T1017 | $156K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 39.1 | 44.4 | 29.6 | 24.1 | 1005 | 1 | 90791 90832 90834 90846 90847 90853 H0038 H2017 S5150 T1017 | $169K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 40.2 | 45.0 | 30.0 | 24.5 | 972 | 1 | 90791 90832 90834 90846 90847 H0038 H2017 S5150 T1017 | $167K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 38.6 | 43.8 | 29.2 | 21.6 | 948 | 1 | 90791 90832 90834 90846 90847 H0038 H2017 S5150 T1017 | $169K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 35.3 | 47.1 | 31.4 | 22.6 | 963 | 1 | 90791 90832 90834 90837 90847 90853 H0038 H2017 T1017 | $211K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 37.9 | 49.6 | 33.1 | 24.7 | 961 | 1 | 90791 90832 90834 90837 90847 90853 H0038 H2017 T1017 | $199K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | THOMAS E. TUELLER, LCSW |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | February 8, 2007, last updated May 9, 2022 |
| Practice location | 2275 W BROADWAY ST STE G, Idaho Falls, ID 83402-2902, 208-524-7400 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license LCSW-859 ID) |
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 | |
|---|---|---|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation services per 15 minhistory of abuse | $1.7M | 26% | $441 | $310 (top 5% from $1K) | 67th percentile | |
| T1017 | Targeted case management each 15 min | $1.0M | 16% | $165 | $167 (top 5% from $808) | 50th percentile | |
| 90834 | Psychotherapy, 45 minutes | $751K | 11% | $123 | $101 (top 5% from $318) | 62nd percentile | |
| H0038 | Self-help/peer services per 15 min | $729K | 11% | $333 | $147 (top 5% from $2K) | 73rd percentile | |
| H0046 | Medicaid service code | $448K | 7% | $209 | $60 (top 5% from $2K) | 64th percentile | |
| H0031 | Medicaid service code | $353K | 5% | $171 | $100 (top 5% from $540) | 73rd percentile | |
| S5150 | Unskilled respite care per 15 min | $325K | 5% | $260 | $709 (top 5% from $2K) | 12th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $308K | 5% | $120 | $130 (top 5% from $458) | 45th percentile |
In this area
5 providers in Bonneville County, ID carry an indicator in the public record, with $4.8M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | EDEN HOME HEALTH OF IDAHO FALLS, LLC Idaho Falls, ID, ranked 2356 | $0 |
|
| 3 | EDEN HOSPICE AT IDAHO FALLS, LLC Idaho Falls, ID, ranked 4976 | $0 |
|
| 3 | OAKSTONE HOSPICE LLC Idaho Falls, ID, ranked 5393 | $0 |
|
| 5 | BRETT HAMPTON Idaho Falls, ID, ranked 9925 | $2.9M |
|
| 5 | STEVEN ORME Idaho Falls, ID, ranked 9978 | $1.9M |
|
Recent enforcement in ID
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.