MARTINA LUISE SWOBODA-WIEDEL, MSW, LCSW
NPI 1790042588, individual, Tulsa, OK, Social Worker, Clinical
- Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- 77% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2021 | More hours than a day holds at a conservative unit price | 0.5 | 38.7 | 25.8 | 38.1 | 12 | 1 | 90834 | $11K |
| Mar 2022 | More hours than a day holds at a conservative unit price | 0.6 | 53.5 | 35.7 | 48.1 | 12 | 1 | 90834 | $16K |
| May 2022 | More hours than a day holds at a conservative unit price | 0.5 | 40.7 | 27.1 | 38.2 | 12 | 1 | 90834 | $12K |
| Jul 2022 | More hours than a day holds at a conservative unit price | 0.5 | 42.8 | 28.5 | 42.1 | 14 | 1 | 90834 | $13K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARTINA LUISE SWOBODA-WIEDEL, MSW, LCSW |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | April 18, 2012, last updated August 6, 2020 |
| Practice location | 550 S PEORIA AVE, Tulsa, OK 74120-3820, 918-588-1900 |
| Specialties | Counselor (101Y00000X) Social Worker, Clinical (1041C0700X, primary, license 5240 OK) |
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 | |
|---|---|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy per 15 minhistory of abuse | $214K | 77% | $310 | $174 (top 5% from $559) | 81st percentile | |
| 90834 | Psychotherapy, 45 minutes | $60K | 22% | $970 | $101 (top 5% from $318) | too few months to rank | |
| T1017 | Targeted case management each 15 min | $4K | 1% | $109 | $167 (top 5% from $808) | too few months to rank |
In this area
22 providers in Tulsa County, OK carry an indicator in the public record, with $9.7M at stake between them. The most common is part of a provider network, on 11 of them, followed by more hours than a day holds on 9. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | LADD ATKINS Tulsa, OK, ranked 27 | $10K |
|
| 1 | MELISSA FIKE Owasso, OK, ranked 622 | $0 |
|
| 3 | SEASONS HOSPICE INC Tulsa, OK, ranked 2525 | $0 |
|
| 3 | TULSA HILLS COMMUNITY INC Tulsa, OK, ranked 3149 | $0 |
|
| 3 | HOSPICE OF NORTHEAST OKLAHOMA, LLC Tulsa, OK, ranked 3203 | $0 |
|
| 3 | HEALTHCARE INNOVATIONS OF OKLAHOMA, LLC Broken Arrow, OK, ranked 3910 | $0 |
|
| 3 | CONHOLD OF OWASSO LLC Owasso, OK, ranked 4471 | $0 |
|
| 3 | CARE PLUS HOME HEALTH CARE INC Tulsa, OK, ranked 4835 | $0 |
|
Recent enforcement in OK
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.