JEFFREY BRENNON CHILDERS, M.D.
NPI 1740361013, individual, Raleigh, NC, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 24 months, but with up to 564 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99232 ($358 per patient-month) sit in the top 5% of every provider billing that code.
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 at a conservative unit price | 16.0 | 40.5 | 27.0 | 36.4 | 344 | 3 | 99213 99222 99231 99232 99239 | $54K |
| Apr 2018 | More hours than a day holds at a conservative unit price | 19.5 | 50.3 | 33.5 | 47.9 | 366 | 2 | 99213 99222 99231 99232 99239 | $64K |
| May 2018 | More hours than a day holds at a conservative unit price | 20.8 | 53.4 | 35.6 | 48.0 | 416 | 3 | 99213 99222 99231 99232 99239 | $70K |
| Jun 2018 | More hours than a day holds at a conservative unit price | 19.7 | 50.3 | 33.5 | 47.9 | 429 | 3 | 99213 99222 99231 99232 99239 | $64K |
| Jul 2018 | More hours than a day holds at a conservative unit price | 19.6 | 51.1 | 34.1 | 48.0 | 373 | 3 | 99213 99222 99231 99232 99239 | $67K |
| Aug 2018 | More hours than a day holds at a conservative unit price | 16.9 | 39.6 | 26.4 | 35.5 | 349 | 3 | 90837 99213 99222 99231 99232 99239 | $53K |
| Sep 2018 | More hours than a day holds at a conservative unit price | 18.4 | 41.9 | 28.0 | 41.9 | 389 | 3 | 90837 99222 99231 99232 99239 | $53K |
| Oct 2018 | More hours than a day holds at a conservative unit price | 19.8 | 44.7 | 29.8 | 40.2 | 429 | 3 | 90837 99213 99222 99231 99232 99239 | $59K |
| Nov 2018 | More hours than a day holds at a conservative unit price | 15.9 | 40.7 | 27.1 | 37.0 | 379 | 3 | 99213 99222 99231 99232 99239 | $53K |
| May 2019 | More hours than a day holds at a conservative unit price | 17.2 | 36.5 | 24.3 | 32.8 | 333 | 2 | 99213 99222 99231 99232 99239 | $58K |
| Jul 2019 | More hours than a day holds at a conservative unit price | 20.2 | 43.6 | 29.0 | 39.1 | 338 | 2 | 99222 99231 99232 99239 | $67K |
| Aug 2019 | More hours than a day holds at a conservative unit price | 21.3 | 42.3 | 28.2 | 39.7 | 388 | 3 | 90837 99213 99222 99231 99232 99239 | $67K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 24.6 | 44.4 | 29.6 | 42.2 | 306 | 2 | 99222 99231 99232 99239 | $80K |
| Oct 2023 | More hours than a day holds at a conservative unit price | 21.8 | 38.0 | 25.4 | 35.7 | 329 | 2 | 99222 99231 99232 99239 | $73K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 24.5 | 39.6 | 26.4 | 36.0 | 347 | 2 | 99222 99231 99232 99239 | $73K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 25.4 | 38.8 | 25.8 | 38.1 | 369 | 2 | 99222 99231 99232 99239 | $73K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 32.0 | 53.8 | 35.9 | 48.3 | 365 | 2 | 99222 99231 99232 99239 | $113K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 32.8 | 53.6 | 35.7 | 49.4 | 464 | 2 | 99222 99231 99232 99239 | $108K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 27.3 | 45.1 | 30.1 | 44.4 | 564 | 2 | 99222 99231 99232 99239 | $99K |
| Apr 2024 | More hours than a day holds at a conservative unit price | 22.5 | 40.4 | 27.0 | 36.8 | 475 | 3 | 90791 99222 99231 99232 99239 | $86K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 24.1 | 43.6 | 29.0 | 39.1 | 558 | 2 | 99222 99231 99232 99239 | $95K |
| Jul 2024 | More hours than a day holds at a conservative unit price | 20.6 | 36.7 | 24.5 | 33.0 | 400 | 2 | 99222 99231 99232 99239 | $79K |
| Sep 2024 | More hours than a day holds at a conservative unit price | 20.9 | 40.0 | 26.7 | 38.1 | 481 | 2 | 99222 99231 99232 99239 | $85K |
| Oct 2024 | More hours than a day holds at a conservative unit price | 23.8 | 43.1 | 28.7 | 38.7 | 456 | 2 | 99222 99231 99232 99239 | $93K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JEFFREY BRENNON CHILDERS, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | October 17, 2006, last updated October 30, 2023 |
| Practice location | 3000 FALSTAFF RD, Raleigh, NC 27610-1813, 919-250-3133 |
| Mailing address | 1028 COWPER DR, Raleigh, NC 27608-2229 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 200500692 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 | |
|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $2.7M | 61% | $358 | $67 (top 5% from $174) | 100th percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $688K | 16% | $118 | $63 (top 5% from $137) | 91st percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $569K | 13% | $95 | $49 (top 5% from $101) | 93rd percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $426K | 10% | $75 | $37 (top 5% from $103) | 87th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $38K | 1% | $61 | $44 (top 5% from $110) | 73rd percentile | |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | $2K | 0% | $201 | $50 (top 5% from $194) | too few months to rank | |
| 90791 | Psychiatric diagnostic evaluation | $2K | 0% | $156 | $105 (top 5% from $228) | too few months to rank | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $2K | 0% | $1.77 | $191 (top 5% from $442) | 3rd percentile |
In this area
12 providers in Wake County, NC carry an indicator in the public record, with $21.6M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by named in an enforcement record on 4. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | COTTAGE HEALTH CARE SERVICES, INC Raleigh, NC, ranked 154 | $87K |
|
| 3 | IFEOMA EZUGWU Raleigh, NC, ranked 2376 | $0 |
|
| 3 | DAWN MEACHAM Raleigh, NC, ranked 2422 | $0 |
|
| 3 | HILLCREST RALEIGH AT CRABTREE, LLC Raleigh, NC, ranked 2704 | $0 |
|
| 3 | OUR TREATMENT CENTER Raleigh, NC, ranked 5266 | $0 |
|
| 3 | QUEENSLY ONUZULIKE Raleigh, NC, ranked 6401 | $0 |
|
| 4 | DONNA ANDERSON Cary, NC, ranked 9153 | $589K |
|
| 4 | IJAZ RASUL Cary, NC, ranked 9221 | $489K |
|
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.