WENDY SUE CARLSON-QUIRK, APRN

NPI 1780677450, individual, Shelton, CT, Nurse Practitioner, Family

Evidence tier

structure or single-organization volume

Hours beyond a day in 1 month, but with up to 217 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
Records needed.
Medicaid dollars per patient on code 99309 ($177 per patient-month) sit in the top 5% of every provider billing that code.

score 55 of 100, rank 7780, $1.3M 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.

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 at a conservative unit price	10.8	40.8	27.2	36.7	209	1	99308 99309	$37K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	WENDY SUE CARLSON-QUIRK, APRN
Type	Individual
Status	Active
NPI issued	August 26, 2005, last updated May 27, 2021
Practice location	6 CORPORATE DR, SUITE 420, NP CARE, LLC, Shelton, CT 06484-6270, 203-925-9600
Mailing address	73 BAYSHORE DR, Milford, CT 06460-7311
Specialties	Nurse Practitioner, Family (363LF0000X, primary, license 002511 CT)

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
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	$1.2M	88%	$177	$21 (top 5% from $84)	99th percentile
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	$145K	11%	$50	$14 (top 5% from $58)	93rd percentile
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	$11K	1%	$149	$37 (top 5% from $100)	too few months to rank
99318	Medicaid service code	$3K	0%	$42	$18 (top 5% from $58)	too few months to rank
99316	Nursing facility discharge management, more than 30 minutes	$1K	0%	$90	$38 (top 5% from $83)	too few months to rank
99307	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	$422	0%	$25	$7.86 (top 5% from $34)	too few months to rank

In this area

23 providers in Shelton, CT carry an indicator in the public record, with $7.6M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by paid after a public list action on 6. 5 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	ANANTHAKUMAR THILLAINATHAN Stratford, CT, ranked 418	$461	Listed on the Medicare revocation list since November 4, 2022. Medicaid still paid claims in 1 later month, $461 in total. and 3 more
1	MDCARENOW LLC Stratford, CT, ranked 453	$45	Listed on the Medicare revocation list since November 4, 2022. Medicaid still paid claims in 4 later months, $45 in total.
1	JEANNIE PASACRETA Newtown, CT, ranked 494	$0	Adjudicated (civil judgment) per a state attorney general release dated August 1, 2024. No Medicaid payments in the last 12 observed months.
1	HELPING HANDS ACADEMY Bridgeport, CT, ranked 606	$0	Adjudicated (sentenced) per a Department of Justice release dated February 26, 2025. No Medicaid payments in the last 12 observed months.
1	HAMED GHORBANI-MOGHADDAM Bridgeport, CT, ranked 617	$0	Adjudicated (pleaded guilty) per a Department of Justice release dated September 4, 2024. No Medicaid payments in the last 12 observed months.
3	SOUTHPORT CENTER FOR NURSING & REHABILITATION, LLC Southport, CT, ranked 1478	$25K	Part of provider network D1-00091, ranked 91 nationally.
3	HEWITT HEALTH & REHABILITATION Shelton, CT, ranked 5555	$0	Part of provider network D1-00123, ranked 123 nationally.
3	GARDNER HEIGHTS HEALTH CARE CENTER Shelton, CT, ranked 5752	$0	Part of provider network D1-00123, ranked 123 nationally.

All 23 in CT

Recent enforcement in CT

All releases

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

DOJCivil settlementJun 23, 2026

Connecticut Lab and its Owner Pay Over $145K to Settle Allegations of Medicaid Enrollment Fraud

Coastal Diagnostics and its owner made material misrepresentations in a Connecticut Medicaid Provider Enrollment Application by denying any relationship to another enrolled provider, Genco Lab, and then submitted claims for laboratory services.

DOJPleaded guiltyJun 23, 2026

Middletown Man Pleads Guilty to Operating Unlawful Money Transmitting Business

Habib registered a company and opened a bank account through which fraudulent claims were submitted to Medicare Advantage plans for durable medical equipment, including orthotics and braces, that beneficiaries did not request, consent to, or receive, and he wired proceeds to Pakistan without a money transmitting license.

DOJComplaint filedMay 22, 2026

APRN Charged with Defrauding Connecticut’s Medicaid Program

An APRN was charged with submitting fraudulent Medicaid claims for medication management services that were not provided, including for patients who had stopped seeing her or who were hospitalized, incarcerated, or deceased.

DOJSentencedApr 30, 2026

Cheshire Nurse Who Illegally Distributed Controlled Substances is Sentenced

An Advanced Practice Registered Nurse enrolled as a Medicare and Medicaid provider unlawfully distributed amphetamines and benzodiazepines to individuals without legitimate medical need, charging $200 cash for office visits, and Medicaid paid $287.58 for prescriptions written for an undercover agent.

DOJSentencedFeb 10, 2026

Bloomfield Man Sentenced to Federal Prison for Health Care Fraud

Tyson and Epps submitted fraudulent Medicaid claims for psychotherapy counseling sessions that were not provided, billed under Tyson's provider number for services purportedly provided by the suspended Epps, and Tyson provided fraudulent patient records during a Medicaid audit.

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.

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