BRETT MICHAEL THIBODEAUX, M.S., PLPC
NPI 1750846911, individual, Lafayette, LA, Counselor
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- 87% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 25.6 | 6.3 | 4.2 | 5.9 | 199 | 1 | 90791 90837 90853 | $14K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BRETT MICHAEL THIBODEAUX, M.S., PLPC |
| Type | Individual |
| Status | Active |
| NPI issued | February 1, 2019, last updated March 27, 2024 |
| Practice location | 1602 W PINHOOK RD STE 306, Lafayette, LA 70508-3735, 337-256-9282 |
| Specialties | Counselor (101Y00000X, primary, license 7687 LA) |
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 | $242K | 85% | $62 | $191 (top 5% from $442) | 8th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $35K | 12% | $43 | $105 (top 5% from $228) | 16th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $7K | 2% | $29 | $60 (top 5% from $332) | 23rd percentile | |
| 90834 | Psychotherapy, 45 minutes | $1K | 0% | $45 | $101 (top 5% from $318) | too few months to rank | |
| H2017 | Psychosocial rehabilitation services per 15 minhistory of abuse | $0 | 0% | $0.00 | $310 (top 5% from $1K) | too few months to rank |
In this area
9 providers in Lafayette Parish County, LA carry an indicator in the public record, with $3.7M at stake between them. The most common is part of a provider network, on 5 of them, followed by more hours than a day holds on 3. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ANGEL CARE HOSPICE, INC. Lafayette, LA, ranked 565 | $0 |
|
| 3 | COMMUNITY HOME HEALTH OF ACADIANA LLC Lafayette, LA, ranked 1960 | $0 |
|
| 3 | SOUTHERN GRACE HOSPICE WEST LLC Lafayette, LA, ranked 2568 | $0 |
|
| 3 | CONCEPTS OF CARE HOME HEALTH, LLC Lafayette, LA, ranked 4868 | $0 |
|
| 3 | COMMUNITY HOSPICE CARE LLC Lafayette, LA, ranked 5245 | $0 |
|
| 3 | TRADITIONS HOSPICE OF LAFAYETTE, LLC Lafayette, LA, ranked 6754 | $0 |
|
| 4 | ANGELA LEGE Lafayette, LA, ranked 8231 | $464K |
|
| 4 | MARK DECLOUET Lafayette, LA, ranked 9024 | $888K |
|
Recent enforcement in LA
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.