VINITA S WATTS, MD
NPI 1760454839, individual, Columbus, IN, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 52 months, but with up to 16246 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 75% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 354.4 | 593.6 | 395.7 | 101.4 | 11271 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.0M |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 377.5 | 631.5 | 421.0 | 113.1 | 10984 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.0M |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 353.2 | 602.2 | 401.5 | 103.2 | 11633 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.2M |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 395.9 | 647.2 | 431.5 | 118.7 | 11933 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.3M |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 395.0 | 655.7 | 437.1 | 120.5 | 12368 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.4M |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 314.2 | 601.4 | 400.9 | 99.9 | 10630 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.2M |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 322.8 | 608.7 | 405.8 | 111.6 | 10860 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.3M |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 393.5 | 667.2 | 444.8 | 120.4 | 12336 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.4M |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 375.0 | 618.4 | 412.2 | 133.8 | 11930 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H2014 T1016 | $3.1M |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 419.4 | 707.9 | 472.0 | 133.9 | 13231 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.7M |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 396.8 | 648.7 | 432.5 | 130.3 | 12550 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.2M |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 364.0 | 596.5 | 397.6 | 161.0 | 12759 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $2.9M |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 504.3 | 722.7 | 481.8 | 193.2 | 14570 | 1 | 90791 90832 90834 90837 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.5M |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 574.9 | 812.3 | 541.5 | 240.7 | 14664 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.5M |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 491.7 | 741.5 | 494.3 | 227.9 | 14946 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.6M |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 555.2 | 833.0 | 555.4 | 231.3 | 16169 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.9M |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 517.2 | 801.6 | 534.4 | 210.5 | 16220 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.9M |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 403.6 | 713.5 | 475.7 | 178.2 | 13560 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.6M |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 425.3 | 741.8 | 494.5 | 169.5 | 13860 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.8M |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 488.6 | 738.9 | 492.6 | 191.9 | 15263 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.6M |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 488.2 | 733.6 | 489.1 | 205.5 | 14866 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.4M |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 507.0 | 780.8 | 520.5 | 207.8 | 15402 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.8M |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 451.0 | 695.2 | 463.4 | 192.0 | 14368 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.3M |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 404.2 | 643.1 | 428.7 | 170.2 | 14016 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.1M |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 490.4 | 753.3 | 502.2 | 198.9 | 15431 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.6M |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 507.5 | 780.1 | 520.1 | 211.2 | 15302 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.5M |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 462.5 | 668.4 | 445.6 | 174.8 | 15794 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.1M |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 574.3 | 729.3 | 486.2 | 220.8 | 16246 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2014 T1016 | $3.0M |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 509.3 | 679.3 | 452.9 | 212.3 | 15613 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99213 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.0M |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 535.6 | 737.7 | 491.8 | 212.1 | 15533 | 1 | 90791 90832 90834 90837 90846 90847 90853 99214 H0004 H0034 H0038 H2014 T1016 | $3.2M |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 470.6 | 694.8 | 463.2 | 190.9 | 15053 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.2M |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 479.0 | 693.7 | 462.4 | 204.1 | 15582 | 1 | 90791 90832 90834 90837 90846 90847 90853 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.2M |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 519.1 | 752.9 | 501.9 | 221.7 | 15507 | 1 | 90791 90832 90834 90837 90846 90847 90853 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.3M |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 498.2 | 711.2 | 474.1 | 210.3 | 15545 | 1 | 90791 90832 90834 90837 90846 90847 90853 99214 H0004 H0034 H0038 H2014 T1016 | $3.3M |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 428.4 | 635.4 | 423.6 | 184.6 | 14286 | 1 | 90791 90832 90834 90837 90846 90847 90853 99214 H0004 H0034 H0038 H2014 T1016 | $2.8M |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 426.3 | 636.9 | 424.6 | 179.1 | 14279 | 1 | 90791 90832 90834 90837 90846 90847 90853 99214 H0004 H0034 H0038 H2014 T1016 | $2.9M |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 410.5 | 582.0 | 388.0 | 189.9 | 14214 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $2.9M |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 448.8 | 641.1 | 427.4 | 196.7 | 14337 | 1 | 90791 90832 90834 90837 90846 90847 90853 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $2.9M |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 451.7 | 610.1 | 406.7 | 185.4 | 14437 | 1 | 90791 90832 90834 90837 90839 90846 90847 90853 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $3.1M |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 260.3 | 368.2 | 245.5 | 120.5 | 8597 | 1 | 90791 90832 90834 90837 90846 90847 90853 99214 H0004 H0034 H0038 H2011 H2014 T1016 | $1.8M |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 163.3 | 239.6 | 159.7 | 77.3 | 5433 | 1 | 90791 90832 90834 90837 90846 90847 90853 99214 H0004 H0034 H0038 H2014 T1016 | $1.3M |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 164.1 | 251.3 | 167.6 | 71.6 | 5221 | 1 | 90791 90832 90834 90837 90847 90853 99214 H0004 H0034 H0038 H2014 T1016 | $1.3M |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 140.6 | 217.3 | 144.9 | 62.8 | 4553 | 1 | 90791 90832 90834 90837 90847 90853 99214 H0004 H0034 H0038 H2014 T1016 | $1.2M |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 153.3 | 217.8 | 145.2 | 65.6 | 4717 | 1 | 90791 90832 90834 90837 90847 90853 99214 H0004 H0034 H2014 T1016 | $1.1M |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 141.3 | 209.2 | 139.5 | 62.0 | 4229 | 1 | 90791 90832 90834 90837 90847 90853 99214 H0004 H0034 H2014 T1016 | $1.1M |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 113.9 | 180.8 | 120.5 | 45.9 | 3832 | 1 | 90791 90832 90834 90837 90853 H0004 H0034 H2014 T1016 | $1.0M |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 109.1 | 173.8 | 115.9 | 35.1 | 3466 | 1 | 90791 90832 90834 90837 90853 99214 H0004 H0034 H2014 T1016 | $954K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 98.9 | 157.0 | 104.6 | 30.4 | 3303 | 1 | 90791 90832 90834 90837 90853 99214 H0004 H0034 H2014 T1016 | $886K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 101.6 | 158.8 | 105.8 | 34.3 | 3353 | 1 | 90791 90832 90834 90837 90853 H0004 H0034 H2014 T1016 | $885K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 107.8 | 162.1 | 108.0 | 33.6 | 3159 | 2 | 90791 90832 90834 90837 90853 99213 H0004 H0034 H2014 T1016 | $828K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 106.8 | 167.4 | 111.6 | 31.1 | 3344 | 3 | 90791 90832 90834 90837 90853 H0004 H0034 H2014 T1016 | $974K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 97.8 | 151.6 | 101.1 | 27.3 | 3017 | 3 | 90791 90832 90834 90837 90853 H0004 H0034 H2014 T1016 | $856K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | VINITA S WATTS, MD |
| Type | Individual |
| Status | Active |
| NPI issued | February 3, 2006, last updated April 26, 2018 |
| Practice location | 720 N MARR RD, Columbus, IN 47201-6660, 812-314-3500 |
| Mailing address | 645 S ROGERS ST, Bloomington, IN 47403-2353 |
| Specialties | Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, license 01038323A IN) Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 01038323A IN) |
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 | |
|---|---|---|---|---|---|---|---|
| H2014 | Skills training and development per 15 minhistory of abuse | $127.0M | 71% | $574 | $298 (top 5% from $3K) | 72nd percentile | |
| T1016 | Case management each 15 min | $14.3M | 8% | $70 | $98 (top 5% from $507) | 39th percentile | |
| H0010 | Alcohol/drug sub-acute detox residential per diem | $12.2M | 7% | $6K | $3K (top 5% from $6K) | 92nd percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $7.7M | 4% | $140 | $191 (top 5% from $442) | 26th percentile | |
| 90834 | Psychotherapy, 45 minutes | $3.9M | 2% | $73 | $101 (top 5% from $318) | 31st percentile | |
| H0004 | Behavioral health counseling and therapy per 15 minhistory of abuse | $3.3M | 2% | $193 | $174 (top 5% from $559) | 56th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $2.4M | 1% | $91 | $105 (top 5% from $228) | 37th percentile | |
| 90832 | Psychotherapy, 30 minutes | $1.8M | 1% | $55 | $59 (top 5% from $239) | 46th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 21 | 14 | $470 | $40 | $30 | 1.4x | 1.5x (90th percentile 3.1x) |
| 96372 | Injection of drug or substance under skin or into muscle | 75 | 18 | $464 | $40 | $13 | 3.0x | 3.6x (90th percentile 6.4x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
2 providers in Bartholomew County, IN carry an indicator in the public record, with $45.8M at stake between them. The most common is more hours than a day holds, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | KRISTEN HURLEY Columbus, IN, ranked 7274 | $22.9M |
|
| 4 | BENJAMIN SKLAR Columbus, IN, ranked 8016 | $22.9M |
|
Recent enforcement in IN
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.