ANN BLANKENSHIP, LPC-MHSP
NPI 1801069380, individual, Shelbyville, TN, Counselor, Mental Health
- Hours beyond a day in 29 months, but with up to 624 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 2018 | More hours than a day holds at a conservative unit price | 23.2 | 36.6 | 24.4 | 32.9 | 457 | 1 | 90791 90832 90834 90837 | $68K |
| Feb 2019 | More hours than a day holds at a conservative unit price | 23.2 | 37.4 | 24.9 | 34.9 | 458 | 1 | 90791 90832 90834 90837 | $61K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 24.6 | 39.6 | 26.4 | 38.9 | 528 | 1 | 90791 90832 90834 90837 | $71K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 25.8 | 42.5 | 28.3 | 38.6 | 561 | 1 | 90791 90832 90834 90837 | $73K |
| May 2019 | More hours than a day holds at a conservative unit price | 20.8 | 36.3 | 24.2 | 32.6 | 527 | 1 | 90791 90832 90834 90837 | $66K |
| Sep 2019 | More hours than a day holds at a conservative unit price | 23.7 | 42.2 | 28.2 | 40.2 | 544 | 1 | 90791 90832 90834 90837 | $73K |
| Oct 2019 | More hours than a day holds at a conservative unit price | 23.1 | 41.2 | 27.5 | 37.0 | 572 | 1 | 90791 90832 90834 90837 | $74K |
| Nov 2019 | More hours than a day holds at a conservative unit price | 22.1 | 39.7 | 26.5 | 37.8 | 554 | 1 | 90791 90832 90834 90837 | $70K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 24.4 | 40.7 | 27.1 | 36.5 | 624 | 1 | 90791 90832 90834 90837 | $78K |
| Feb 2020 | More hours than a day holds at a conservative unit price | 22.9 | 38.1 | 25.4 | 36.8 | 561 | 1 | 90791 90832 90834 90837 | $68K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 24.0 | 26.2 | 17.5 | 24.6 | 346 | 1 | 90832 90834 90837 | $49K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 31.3 | 59.1 | 39.4 | 53.1 | 357 | 1 | 90791 90832 90834 90837 | $115K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 32.1 | 60.1 | 40.1 | 54.6 | 301 | 1 | 90791 90832 90834 90837 | $113K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 24.8 | 46.0 | 30.7 | 45.2 | 289 | 1 | 90791 90832 90834 90837 | $89K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 27.8 | 51.7 | 34.4 | 47.0 | 282 | 1 | 90791 90832 90834 90837 | $96K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 30.3 | 60.0 | 40.0 | 53.9 | 335 | 1 | 90791 90832 90834 90837 90846 | $119K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 36.5 | 73.6 | 49.0 | 70.1 | 385 | 1 | 90791 90832 90834 90837 90846 | $141K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 30.2 | 61.5 | 41.0 | 57.8 | 354 | 1 | 90791 90832 90834 90837 | $121K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 34.5 | 69.8 | 46.6 | 63.5 | 360 | 1 | 90791 90832 90834 90837 | $133K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 27.4 | 55.4 | 37.0 | 54.6 | 333 | 1 | 90791 90832 90834 90837 | $109K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 29.1 | 55.2 | 36.8 | 49.6 | 391 | 1 | 90791 90832 90834 90837 | $116K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 40.1 | 77.1 | 51.4 | 70.9 | 480 | 1 | 90791 90832 90834 90837 | $151K |
| Mar 2024 | More hours than a day holds at a conservative unit price | 19.1 | 37.6 | 25.1 | 37.0 | 455 | 1 | 90791 90832 90834 90837 90847 | $79K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 24.3 | 47.8 | 31.8 | 43.4 | 496 | 1 | 90791 90832 90834 90837 | $96K |
| May 2024 | More hours than a day holds at a conservative unit price | 18.9 | 37.9 | 25.3 | 34.1 | 478 | 1 | 90791 90832 90834 90837 | $79K |
| Aug 2024 | More hours than a day holds at a conservative unit price | 19.7 | 40.1 | 26.8 | 37.7 | 387 | 1 | 90791 90832 90834 90837 | $84K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 24.0 | 48.5 | 32.3 | 46.2 | 440 | 1 | 90791 90832 90834 90837 | $98K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 30.7 | 46.4 | 30.9 | 41.7 | 473 | 1 | 90791 90832 90834 90837 90846 | $96K |
| Nov 2024 | More hours than a day holds at a conservative unit price | 23.2 | 43.5 | 29.0 | 41.4 | 457 | 1 | 90791 90832 90834 90837 | $88K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ANN BLANKENSHIP, LPC-MHSP (also ANN WOGAN) |
| Type | Individual |
| Status | Active |
| NPI issued | April 7, 2008, last updated December 19, 2023 |
| Practice location | 604 S WALL ST, Shelbyville, TN 37160-3797, 615-971-2131 |
| Specialties | Counselor, Mental Health (101YM0800X, primary, license 2473 TN) |
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 | $2.0M | 41% | $239 | $191 (top 5% from $442) | 69th percentile | |
| 90834 | Psychotherapy, 45 minutes | $1.9M | 38% | $165 | $101 (top 5% from $318) | 77th percentile | |
| 90832 | Psychotherapy, 30 minutes | $784K | 16% | $98 | $59 (top 5% from $239) | 80th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $237K | 5% | $151 | $105 (top 5% from $228) | 83rd percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $11K | 0% | $96 | $130 (top 5% from $458) | 29th percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $4K | 0% | $81 | $113 (top 5% from $277) | too few months to rank |
In this area
3 providers in Bedford County, TN carry an indicator in the public record, with $10.6M at stake between them. The most common is more hours than a day holds, on 3 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | JOSEPH RUPARD Shelbyville, TN, ranked 7670 | $2.2M |
|
| 4 | CINDY COTHRAN Shelbyville, TN, ranked 8391 | $5.5M |
|
| 4 | PETER WERNER Shelbyville, TN, ranked 8550 | $3.0M |
|
Recent enforcement in TN
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.