Providers
All 26 in FL
HOLLY LOCKLEAR REDLINGER, LCSW
NPI 1801243985, individual, Jacksonville, FL, Social Worker, Clinical
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 11 months, but with up to 658 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 52 of 100, rank 8321, $8.0M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 33.2 | 41.6 | 27.7 | 8.7 | 310 | 2 | 90837 90846 90847 H2014 T1017 | $98K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 36.6 | 79.8 | 53.2 | 36.9 | 404 | 2 | 90791 90832 90837 90846 90847 H2014 T1017 | $207K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 48.3 | 86.7 | 57.8 | 45.6 | 500 | 2 | 90791 90832 90834 90837 90846 90847 H2014 T1017 | $255K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 42.9 | 90.6 | 60.4 | 39.6 | 470 | 2 | 90832 90834 90837 90846 90847 H2014 T1017 | $242K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 45.1 | 104.0 | 69.3 | 43.9 | 470 | 2 | 90832 90834 90837 90846 90847 H2014 T1017 | $272K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 37.4 | 121.4 | 80.9 | 25.3 | 589 | 2 | 90791 90832 90837 90846 90847 H2014 T1017 | $275K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 40.0 | 123.6 | 82.4 | 25.6 | 608 | 2 | 90791 90832 90837 90846 90847 H2014 T1017 | $308K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 37.3 | 123.7 | 82.5 | 24.5 | 601 | 2 | 90791 90832 90837 90846 90847 H2014 T1017 | $301K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 56.7 | 197.1 | 131.4 | 30.5 | 617 | 2 | 90791 90832 90834 90837 90846 90847 H2014 T1017 | $530K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 40.5 | 92.9 | 61.9 | 28.1 | 636 | 2 | 90791 90832 90834 90837 90846 90847 H2014 T1017 | $256K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 49.9 | 48.1 | 32.1 | 16.3 | 582 | 2 | 90832 90837 90846 90847 H2014 T1017 | $184K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | HOLLY LOCKLEAR REDLINGER, LCSW (also HOLLY LOCKLEAR) |
| Type | Individual |
| Status | Active |
| NPI issued | May 19, 2016, last updated October 6, 2025 |
| Practice location | 820 PRUDENTIAL DR STE 510, Jacksonville, FL 32207-8207, 904-376-3800 |
| Mailing address | 5390 N ACADEMY BLVD STE 200, Colorado Springs, CO 80918-4064 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license SW15990 FL) |
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 | |
|---|---|---|---|---|---|---|---|
| T1017 | Targeted case management each 15 min | $3.8M | 37% | $566 | $167 (top 5% from $808) | 88th percentile | |
| H2014 | Skills training and development per 15 minhistory of abuse | $3.2M | 31% | $693 | $298 (top 5% from $3K) | 76th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $1.5M | 14% | $262 | $191 (top 5% from $442) | 76th percentile | |
| H0023 | Medicaid service code | $619K | 6% | $83 | $189 (top 5% from $1K) | 31st percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $487K | 5% | $177 | $113 (top 5% from $277) | 82nd percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $424K | 4% | $159 | $130 (top 5% from $458) | 64th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $83K | 1% | $128 | $105 (top 5% from $228) | 72nd percentile | |
| 90832 | Psychotherapy, 30 minutes | $74K | 1% | $102 | $59 (top 5% from $239) | 81st percentile |
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 | 271 | 15 | $24K | $172 | $111 | 1.5x | 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
26 providers in Duval County, FL carry an indicator in the public record, with $24.3M at stake between them. The most common is more hours than a day holds, on 20 of them, followed by part of a provider network on 4. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | SWL SERVICES LLC Jacksonville, FL, ranked 594 | $0 |
|
| 3 | CR & RA INVESTMENTS LLC Jacksonville, FL, ranked 765 | $5.9M |
|
| 3 | WELL-DONE HOME CARE, INC Jacksonville, FL, ranked 3081 | $0 |
|
| 3 | INFINITY HOME HEALTH CARE OF FLORIDA INC. Jacksonville, FL, ranked 3487 | $0 |
|
| 3 | TERRACE OF JACKSONVILLE LLC Jacksonville, FL, ranked 3796 | $0 |
|
| 3 | A RIVER'S JOURNEY, LLC Jacksonville, FL, ranked 4058 | $0 |
|
| 4 | RENE PULIDO Jacksonville, FL, ranked 7314 | $1.6M |
|
| 4 | ORLANDO RENDON Jacksonville, FL, ranked 8465 | $3.9M |
|
Recent enforcement in FL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyAug 14, 2026
Ocala Mental Health Counselor Pleads Guilty to Aggravated Identity Theft and Wire Fraud
Forsythe used the names and insurance policy information of 22 individuals without their consent to bill two health insurance companies for counseling services she had not provided.
DOJConvictedAug 12, 2026
Cuban National Convicted of Unlawfully Obtaining US Citizenship After Concealing Healthcare Fraud Scheme
Rodriguez concealed on her naturalization application her participation in a seven-year healthcare fraud conspiracy that resulted in approximately $4.6 million in fraudulent healthcare claims.
DOJCivil settlementAug 3, 2026
Medicare Advantage Provider Complete Health to Pay $14,100,000 to Settle False Claims Act Suit
Complete Health caused the submission of diagnosis codes within HCC 55 and HCC 59 that were not clinically valid, not supported by medical records, and/or not considered in the beneficiary's care, increasing Medicare Advantage risk-adjusted payments from which it received a percentage.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses, with one practice receiving remuneration from a third-party testing company to refer patients for the tests.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses and, as to Floral Park Ophthalmology, resulting from remuneration paid by a third-party testing company to induce referrals.
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.