DEENA BLOOM, LCSW

NPI 1780057208, individual, Kingston, NY, Social Worker, Clinical

Evidence tier

informational

Medicaid dollars per patient on code 90837 ($491 per patient-month) sit in the top 5% of every provider billing that code.
92% of Medicaid dollars are on codes with a history of abuse.

score 37 of 100, rank 9848, $934K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	DEENA BLOOM, LCSW
Type	Individual, sole proprietor
Status	Active
NPI issued	November 5, 2015, last updated July 17, 2025
Practice location	721 BROADWAY STE 270, Kingston, NY 12401-3449, 518-245-6272
Specialties	Social Worker (104100000X, license 096081 NY) Social Worker, Clinical (1041C0700X, primary, license 091995 NY)

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	$863K	92%	$491	$191 (top 5% from $442)	96th percentile
90832	Psychotherapy, 30 minutes	$33K	3%	$197	$59 (top 5% from $239)	93rd percentile
90834	Psychotherapy, 45 minutes	$28K	3%	$236	$101 (top 5% from $318)	89th percentile
90847	Family psychotherapy with patient, 50 minutes	$14K	2%	$242	$130 (top 5% from $458)	too few months to rank
90853	Group psychotherapyhistory of abuse	$3K	0%	$96	$60 (top 5% from $332)	too few months to rank
90791	Psychiatric diagnostic evaluation	$2K	0%	$167	$105 (top 5% from $228)	too few months to rank
90785	Psychiatric services complicated by communication factor	$301	0%	$7.92	$15 (top 5% from $35)	too few months to rank

Medicare Part B 2024, largest codes

code	what it is	services	beneficiaries	paid	submitted per service	allowed per service	charge to allowed	usual for this code
90837	Psychotherapy, 1 hour	94	17	$7K	$176	$110	1.6x	1.6x (90th percentile 2.9x)

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

3 providers in Ulster County, NY carry an indicator in the public record, with $1.3M at stake between them. The most common is more hours than a day holds, on 2 of them, followed by part of a provider network on 1.

tier	provider	at stake	why
3	NCRNC LLC Lake Katrine, NY, ranked 3638	$0	Part of provider network D1-00091, ranked 91 nationally.
4	NINO ELIZONDO Marlboro, NY, ranked 7865	$854K	Hours beyond a day in 2 months under one organization, which can be supervisory billing. Records needed. and 1 more
5	RICCARDO ESPOSITO Kingston, NY, ranked 10302	$412K	Medicaid dollars per patient on code 99232 ($268 per patient-month) sit in the top 5% of every provider billing that code.

Recent enforcement in NY

All releases

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

DOJIndictedAug 20, 2026

Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme

Members of a Bronx-based racketeering organization known as the "War Room" fabricated ride data for methadone clinic transportation using a GPS spoofing application, paid Medicaid patients kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in claims to Medicaid, and laundered the proceeds.

DOJIndictedAug 20, 2026

Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme

Four members of a Bronx racketeering organization known as the "War Room" fabricated medical transportation ride data using a ride-tracking app and GPS spoofing, paid Medicaid patients at methadone clinics kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in Medicaid claims, and laundered the proceeds.

DOJCivil settlementAug 17, 2026

Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegations

The United States alleged that Safire submitted false claims to Medicare and Medicaid for skilled rehabilitative therapy services that were not reasonable or necessary, not supported by medical records, not documented as provided, or not provided at all, including by scheduling therapy based on insurer reimbursement policies, pressuring therapists and residents, and manufacturing or altering therapy referrals and medical records.

DOJSentencedJul 21, 2026

Owner of Long Island Ambulette Services Company Sentenced to Prison for Multimillion Dollar Healthcare Fraud Scheme

Arshad and co-conspirators paid kickbacks to Medicaid beneficiaries to order transportation through his companies and billed Medicaid over $19 million for medical transportation rides that were not provided, including for individuals who were deceased, hospitalized or incarcerated, and inflated reimbursements with false pickup addresses and distant treatment centers.

DOJIndictedJul 2, 2026

Two Defendants Charged with Multi-Million Dollar Health Care Fraud Scheme

The defendants, who owned and operated Tri-Hamlet Taxi Inc., allegedly paid kickbacks to Medicaid beneficiaries and submitted more than $35 million in claims to Medicaid for ambulette trips that were not provided or whose costs were inflated by using false pickup or drop-off addresses.

Referral packet

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