M CORBIN GOULD, LPMA
NPI 1780760314, individual, Montpelier, VT, Psychologist
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- 99% 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 | 34.3 | 1.9 | 1.3 | 1.8 | 22 | 1 | 90837 | $5K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | M CORBIN GOULD, LPMA |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | October 27, 2006, last updated August 6, 2020 |
| Practice location | 149 STATE STREET - THE REDFIELD HOUSE, Montpelier, VT 05602-0560, 802-223-4111 |
| Mailing address | 149 STATE STREET, Montpelier, VT 05602 |
| Specialties | Psychologist (103T00000X, primary, license 047-0000702 VT) |
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 | $575K | 99% | $238 | $191 (top 5% from $442) | 68th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $2K | 0% | $125 | $105 (top 5% from $228) | too few months to rank | |
| 90834 | Psychotherapy, 45 minutes | $1K | 0% | $116 | $101 (top 5% from $318) | too few months to rank |
In this area
17 providers in VT carry an indicator in the public record, with $15.9M at stake between them. The most common is more hours than a day holds, on 13 of them, followed by named in an enforcement record on 3. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | KRISTEN CONNOLLY Saint Albans, VT, ranked 525 | $0 |
|
| 3 | ROBERT VAILLANCOURT Bethel, VT, ranked 2378 | $0 |
|
| 3 | 98 STARR FARM ROAD OPERATING COMPANY, LLC Burlington, VT, ranked 2718 | $0 |
|
| 3 | AMY SIEGEL Burlington, VT, ranked 6651 | $0 |
|
| 4 | JENNIE HOLDEN Barre, VT, ranked 8219 | $619K |
|
| 4 | CALLIA ZIMMERMAN South Burlington, VT, ranked 8606 | $27K |
|
| 4 | BRIAN ASHLEY Williston, VT, ranked 8716 | $21K |
|
| 4 | BENJAMIN HOUCHEN South Burlington, VT, ranked 8828 | $15K |
|
Recent enforcement in VT
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.