TONYA JOHNSON, LCSW
NPI 1750710232, individual, Newport News, VA, Social Worker, Clinical
- Hours beyond a day in 16 months under one organization, which can be supervisory billing.
- 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2022 | More hours than a day holds at a conservative unit price | 11.0 | 45.4 | 30.3 | 44.7 | 351 | 1 | 90834 | $115K |
| Aug 2022 | More hours than a day holds at a conservative unit price | 11.7 | 45.0 | 30.0 | 40.4 | 344 | 1 | 90834 | $114K |
| Sep 2022 | More hours than a day holds at a conservative unit price | 12.1 | 46.9 | 31.2 | 42.6 | 349 | 1 | 90834 | $115K |
| Oct 2022 | More hours than a day holds at a conservative unit price | 14.8 | 55.8 | 37.2 | 54.9 | 426 | 1 | 90834 | $141K |
| Nov 2022 | More hours than a day holds at a conservative unit price | 14.6 | 58.7 | 39.1 | 53.3 | 437 | 1 | 90834 | $143K |
| Dec 2022 | More hours than a day holds at a conservative unit price | 13.9 | 56.5 | 37.7 | 53.1 | 433 | 1 | 90834 | $143K |
| Jan 2023 | More hours than a day holds at a conservative unit price | 14.4 | 52.3 | 34.9 | 49.2 | 440 | 1 | 90834 | $142K |
| Feb 2023 | More hours than a day holds at a conservative unit price | 17.6 | 62.6 | 41.7 | 58.4 | 498 | 1 | 90834 | $153K |
| Mar 2023 | More hours than a day holds at a conservative unit price | 16.6 | 59.1 | 39.4 | 53.1 | 494 | 1 | 90834 | $160K |
| Apr 2023 | More hours than a day holds at a conservative unit price | 14.3 | 48.4 | 32.3 | 48.4 | 428 | 1 | 90791 90834 | $127K |
| May 2023 | More hours than a day holds at a conservative unit price | 13.9 | 45.8 | 30.5 | 41.1 | 391 | 1 | 90834 | $124K |
| Jun 2023 | More hours than a day holds at a conservative unit price | 15.9 | 42.8 | 28.5 | 38.9 | 378 | 1 | 90834 | $112K |
| Jul 2023 | More hours than a day holds at a conservative unit price | 13.3 | 42.4 | 28.3 | 41.7 | 385 | 1 | 90834 | $115K |
| Aug 2023 | More hours than a day holds at a conservative unit price | 11.8 | 39.5 | 26.3 | 35.5 | 335 | 1 | 90834 | $107K |
| Nov 2023 | More hours than a day holds at a conservative unit price | 11.0 | 38.0 | 25.4 | 34.6 | 309 | 1 | 90834 | $100K |
| Apr 2024 | More hours than a day holds at a conservative unit price | 11.8 | 36.5 | 24.3 | 33.2 | 312 | 1 | 90834 | $109K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | TONYA JOHNSON, LCSW |
| Type | Individual |
| Status | Active |
| NPI issued | November 5, 2013, last updated November 2, 2018 |
| Practice location | 610 THIMBLE SHOALS BLVD # 403, Newport News, VA 23606-2573, 757-291-3339 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license 0904008625 VA) Counselor, Mental Health (101YM0800X) |
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 | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $4.4M | 95% | $306 | $101 (top 5% from $318) | 94th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $159K | 3% | $238 | $191 (top 5% from $442) | 68th percentile | |
| H0046 | Medicaid service code | $47K | 1% | $2K | $60 (top 5% from $2K) | too few months to rank | |
| 90791 | Psychiatric diagnostic evaluation | $3K | 0% | $99 | $105 (top 5% from $228) | too few months to rank |
In this area
2 providers in Newport News city County, VA carry an indicator in the public record, with $118K at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | AFFINITY CARE OF VIRGINIA LLC Newport News, VA, ranked 1343 | $118K |
|
| 3 | OLD DOMINION REHABILITATION AND NURSING LLC Newport News, VA, ranked 4733 | $0 |
|
Recent enforcement in VA
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.