CELESTE A CROTTY, Psy.D.,

NPI 1740513712, individual, Washington, DC, Psychologist

Evidence tier

structure or single-organization volume

Hours beyond a day in 1 month under one organization, which can be supervisory billing.
Records needed.
Medicaid dollars per patient on code 90785 ($620 per patient-month) sit in the top 5% of every provider billing that code.
83% of Medicaid dollars are on codes with a history of abuse.

score 57 of 100, rank 7324, $1.0M 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.

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
Mar 2021	More hours than a day holds, even counting one unit per claim line	24.9	25.0	16.6	22.4	137	1	90832 90834 90837	$94K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	CELESTE A CROTTY, Psy.D.,
Type	Individual, sole proprietor
Status	Active
NPI issued	September 9, 2009, last updated November 30, 2017
Practice location	821 DELAWARE AVE SW UNIT A, Washington, DC 20024-4207, 571-276-3113
Mailing address	739 CHERRY HILL RD, Heathsville, VA 22473-2648
Specialties	Psychologist, Clinical Child & Adolescent (103TC2200X) Psychologist, Family (103TF0000X) Psychologist (103T00000X, primary, license 0810003521 VA)

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

code	what it is	paid	share	per patient-month	typical	rank among providers
90837	Psychotherapy, 1 hourhistory of abuse	$1.2M	83%	$620	$191 (top 5% from $442)	98th percentile
90846	Family psychotherapy without patient, 50 minutes	$140K	9%	$193	$113 (top 5% from $277)	85th percentile
90785	Psychiatric services complicated by communication factor	$89K	6%	$62	$15 (top 5% from $35)	99th percentile
90832	Psychotherapy, 30 minutes	$17K	1%	$81	$59 (top 5% from $239)	71st percentile
90834	Psychotherapy, 45 minutes	$15K	1%	$152	$101 (top 5% from $318)	73rd percentile
90791	Psychiatric diagnostic evaluation	$2K	0%	$159	$105 (top 5% from $228)	too few months to rank

In this area

11 providers in District of Columbia County, DC carry an indicator in the public record, with $7.0M at stake between them. The most common is part of a provider network, on 4 of them, followed by more hours than a day holds on 4. 2 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	STEVEN PRICE Washington, DC, ranked 592	$0	Adjudicated (convicted) per a Department of Justice release dated March 4, 2026. No Medicaid payments in the last 12 observed months.
1	HOLY HEALTH CARE SERVICES LLC Washington, DC, ranked 625	$0	Adjudicated (sentenced) per a Department of Justice release dated February 8, 2024. No Medicaid payments in the last 12 observed months.
3	GOSHEN HEALTHCARE & MANAGEMENT SERVICES Washington, DC, ranked 1045	$0	Charged (indicted) per a Department of Justice release dated August 1, 2024, not adjudicated. Medicaid dollars per patient on code H0036 ($1047 per patient-month) sit in the top 5% of every provider billing that code. and 1 more
3	CAPITAL HOSPICE Washington, DC, ranked 1153	$485K	Part of provider network D1-00126, ranked 126 nationally.
3	MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC. Washington, DC, ranked 1418	$52K	Part of provider network D1-00126, ranked 126 nationally.
3	AFFINITY CARE OF DC LLC Washington, DC, ranked 2126	$0	Part of provider network D1-00113, ranked 113 nationally.
3	CARROLL MANOR Washington, DC, ranked 4777	$0	Part of provider network D1-00106, ranked 106 nationally.
4	DIVYA SHENOY Washington, DC, ranked 7477	$4.5M	Hours beyond a day in 29 months, but with up to 1213 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed. and 1 more

All 11 in DC

Recent enforcement in DC

All releases

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

DOJPleaded guiltyAug 27, 2026

Behavioral Health Worker Pleads Guilty to Billing D.C. Medicaid for Therapy Sessions That Never Happened

Nassor, a Community Support Worker at a D.C. Medicaid behavioral health provider, conspired with company employees and other community support workers to bill D.C. Medicaid for mental health telehealth services that were never provided or were inflated, including documenting over 701 hours of telehealth across six patients when call records showed roughly 172 minutes.

DOJSentencedAug 4, 2026

WMATA Train Operator Sentenced in Four-Year Scheme to Defraud AFLAC Insurance of More Than $360,000

Shropshire prepared and submitted fraudulent disability and health care claims to AFLAC for herself and WMATA coworkers claiming injuries they never suffered, fabricating medical records and forging doctors' signatures, and received kickbacks of about 20 percent of each payout.

DOJConvictedMar 4, 2026

D.C. Dentist and Hygienist Found Guilty in Scheme to Defraud D.C. Medicaid of $4 Million

Price and Moore submitted repeated D.C. Medicaid claims for clinical crown lengthening procedures and space maintainers that were not actually performed, causing more than $4 million to be paid out.

DOJPleaded guiltyJan 23, 2026

WMATA Train Operators Plead Guilty in Health Care Fraud Scheme

Two WMATA train operators admitted conspiring to submit fraudulent health care and short-term disability claims to AFLAC using forged medical notes and physician signatures, with kickbacks paid from claim payments.

DOJPleaded guiltyDec 11, 2025

Former Community Support Worker Pleads Guilty to Defrauding District of Columbia Medicaid Program

Jalloh submitted encounter notes for community support services she did not provide and overbilled for services she allegedly provided to District Medicaid beneficiaries, causing the District's Medicaid program to pay over $234,500.

Referral packet

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