Providers

SCHAUNELLE D PAGAN, LPC-MHSP

NPI 1770776866, individual, Lawrenceburg, TN, Counselor, Professional

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 4 months, but with up to 582 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
score 51 of 100, rank 8989, $993K 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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Feb 2019More hours than a day holds at a conservative unit price23.639.726.537.0459190791 90832 90834 90837$67K
Mar 2019More hours than a day holds, even counting one unit per claim line24.340.326.839.6577190791 90832 90834 90837 90847$75K
Apr 2019More hours than a day holds, even counting one unit per claim line32.454.036.049.1582190791 90832 90834 90837 90847$97K
May 2019More hours than a day holds at a conservative unit price22.838.025.334.1476190791 90832 90834 90837$71K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameSCHAUNELLE D PAGAN, LPC-MHSP (also SCHAUNELLE COX)
TypeIndividual
StatusActive
NPI issuedAugust 22, 2007, last updated September 26, 2025
Practice location129 N LOCUST AVE, Lawrenceburg, TN 38464-3757, 855-560-4999
Mailing addressPO BOX 681029, Franklin, TN 37068-1029
Specialties
Counselor, Professional (101YP2500X, primary, license 003807 TN)
Counselor, Professional (101YP2500X)
Counselor, Professional (101YP2500X)
Counselor, Professional (101YP2500X, license 3336 MS)

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
codewhat it ispaidshareper patient-monthtypicalrank among providers
90837Psychotherapy, 1 hourhistory of abuse$455K44%$193$191 (top 5% from $442)51st percentile
90834Psychotherapy, 45 minutes$387K37%$150$101 (top 5% from $318)72nd percentile
90832Psychotherapy, 30 minutes$149K14%$94$59 (top 5% from $239)78th percentile
90791Psychiatric diagnostic evaluation$46K4%$107$105 (top 5% from $228)53rd percentile
90847Family psychotherapy with patient, 50 minutes$8K1%$77$130 (top 5% from $458)16th percentile
90846Family psychotherapy without patient, 50 minutes$9520%$79$113 (top 5% from $277)too few months to rank

In this area

2 providers in Lawrence County, TN carry an indicator in the public record, with $2.2M at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.

tierproviderat stakewhy
3COUNTRYSIDE TN REHAB LLC
Lawrenceburg, TN, ranked 4693
$0
  • Part of provider network D1-00083, ranked 83 nationally.
4KESHA SMOTHERMAN
Lawrenceburg, TN, ranked 8686
$2.2M
  • Hours beyond a day in 3 months, but with up to 503 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.

Recent enforcement in TN

All releases

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

DOJCivil settlementAug 10, 2026
Celina Pharmacy Owner/Two Pharmacies Agree to Pay $450,000 & Receive Ban on Handling Controlled Substances
The defendants knowingly dispensed controlled substances without valid prescriptions and outside the usual course of professional pharmacy practice, and falsely billed Medicare for prescriptions that were not medically necessary or otherwise eligible for reimbursement.
DOJSentencedJul 8, 2026
Memphis Gynecologist Sentenced to 20 Years in Prison for Adulterating Medical Devices and Health Care Fraud
Kumar used adulterated and unlabeled single-use and improperly reprocessed reusable hysteroscopy devices in more than 15,000 hysteroscopy with biopsy procedures and billed Medicare and Medicaid for the procedures.
DOJSentencedJun 24, 2026
Celina Pharmacy Owner Sentenced for Opioid Distribution/Health Care Fraud
The majority owner of two pharmacies conspired to unlawfully dispense controlled substances despite red flags of abuse and diversion, submitted false claims to Medicare Part D and TennCare, and paid patient co-payments, cash, and "Monkey Bucks" to increase prescription volume.
DOJChargedJun 23, 2026
Clarksville Physician Charged with Health Care Fraud Related to Controlled Substance Prescribing Scheme
Aquino owned and operated North Clarksville Medical Center and for more than five years prescribed medically unnecessary controlled substances, totaling more than 1.08 million pills and doses, that were not issued for a legitimate medical purpose in the usual course of professional practice, causing losses of approximately $335,621.73 to health care benefit programs.
DOJIndictedJun 23, 2026
Gordonsville Physician Indicted on Health Care Fraud and Controlled Substance Charges
Moss owned and operated Gordonsville Clinic and prescribed medically unnecessary controlled substances, totaling more than 5.6 million pills and doses over more than eight years, that were not issued for a legitimate medical purpose in the usual course of professional practice.

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.

Ask this case

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