LINDA L CAMPAGNA, LMFT

NPI 1801274360, individual, Westminster, CO, Counselor, Mental Health

Evidence tier

structure or single-organization volume

Hours beyond a day in 1 month under one organization, which can be supervisory billing.
Records needed.
98% of Medicaid dollars are on codes with a history of abuse.

score 53 of 100, rank 8182, $1.1M 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
Oct 2022	More hours than a day holds, even counting one unit per claim line	27.3	35.5	23.7	34.9	101	1	90837	$102K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	LINDA L CAMPAGNA, LMFT
Type	Individual, sole proprietor
Status	Active
NPI issued	May 15, 2015, last updated August 16, 2019
Practice location	2000 W 120TH AVE STE 4A, Westminster, CO 80234-2445, 720-339-9830
Specialties	Counselor, Mental Health (101YM0800X, primary, license MFT.0001684 CO)

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
90837	Psychotherapy, 1 hourhistory of abuse	$1.8M	98%	$356	$191 (top 5% from $442)	90th percentile
90791	Psychiatric diagnostic evaluation	$31K	2%	$153	$105 (top 5% from $228)	84th percentile

In this area

10 providers in Adams County, CO carry an indicator in the public record, with $23.4M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by part of a provider network on 1.

tier	provider	at stake	why
3	CENTER AT NORTHRIDGE, LLC Westminster, CO, ranked 4430	$0	Part of provider network D1-00140, ranked 140 nationally.
4	DENNIS MATTHEWS Aurora, CO, ranked 7433	$5.6M	Hours beyond a day in 16 months, but with up to 1968 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed. and 1 more
4	SUSAN APKON Aurora, CO, ranked 7479	$4.4M	Hours beyond a day in 15 months, but with up to 1389 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours. Records needed. and 1 more
4	STACY LABAR Northglenn, CO, ranked 8427	$4.6M	Hours beyond a day in 26 months, but with up to 903 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
4	ANTHONY EUSER Brighton, CO, ranked 8446	$4.2M	Hours beyond a day in 5 months, but with up to 1860 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
4	NICOLE FESTA Thornton, CO, ranked 8663	$2.3M	Hours beyond a day in 2 months under one organization, which can be supervisory billing. Records needed.
4	STEPHEN VOLIN Thornton, CO, ranked 9006	$944K	Hours beyond a day in 2 months, but with up to 1545 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
4	PAUL LEO Thornton, CO, ranked 9128	$636K	Hours beyond a day in 5 months, but with up to 1664 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.

All 10 in CO

Recent enforcement in CO

All releases

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

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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.

Ask this case

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