Providers
All 30 in AR
RONALD J WAUTERS, MD
NPI 1801854195, individual, Searcy, AR, Psychiatry & Neurology, Psychiatry
5
Evidence tier
informational
score 31 of 100, rank 10759, $2.6M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RONALD J WAUTERS, MD |
| Type | Individual |
| Status | Active |
| NPI issued | May 3, 2006, last updated April 30, 2025 |
| Practice location | 2908 HAWKINS DR, Searcy, AR 72143-4802, 501-203-0055 |
| Mailing address | 2900 HAWKINS DR, Searcy, AR 72143-4802 |
| Specialties | Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, license E3679 AR) Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license E3679 AR) |
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 | $845K | 28% | $195 | $191 (top 5% from $442) | 52nd percentile | |
| 90834 | Psychotherapy, 45 minutes | $827K | 27% | $126 | $101 (top 5% from $318) | 63rd percentile | |
| 90832 | Psychotherapy, 30 minutes | $319K | 10% | $74 | $59 (top 5% from $239) | 65th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $261K | 9% | $131 | $112 (top 5% from $313) | 62nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $221K | 7% | $34 | $44 (top 5% from $110) | 34th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $205K | 7% | $67 | $60 (top 5% from $133) | 58th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $148K | 5% | $113 | $67 (top 5% from $174) | 83rd percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $72K | 2% | $61 | $37 (top 5% from $103) | 78th 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 |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 74 | 16 | $4K | $133 | $72 | 1.9x | 2.6x (90th percentile 4.3x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 54 | 28 | $2K | $70 | $67 | 1.0x | 2.2x (90th percentile 3.8x) |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 45 | 11 | $2K | $61 | $45 | 1.4x | 2.4x (90th percentile 4.0x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 15 | 11 | $808 | $100 | $98 | 1.0x | 2.3x (90th percentile 3.8x) |
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
30 providers in AR carry an indicator in the public record, with $31.0M at stake between them. The most common is more hours than a day holds, on 25 of them, followed by paid after a public list action on 3. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | PRESTIGE MEDICAL SUPPLY INC Jonesboro, AR, ranked 7 | $450K |
|
| 1 | ADAM MAASS Springdale, AR, ranked 305 | $7K |
|
| 1 | HANNAH HARRIS Fayetteville, AR, ranked 307 | $7K |
|
| 3 | KRAMEELAH BANKS Little Rock, AR, ranked 2462 | $0 |
|
| 3 | ARKANSAS BEHAVIORAL CENTER (ABC), LLC Little Rock, AR, ranked 5190 | $0 |
|
| 4 | CARL RIDDELL Little Rock, AR, ranked 7402 | $7.3M |
|
| 4 | NAVEEN PATIL Little Rock, AR, ranked 7428 | $5.9M |
|
| 4 | LAWRENCE LABBATE Little Rock, AR, ranked 7599 | $2.7M |
|
Recent enforcement in AR
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedNov 19, 2025
Little Rock Psychologist Indicted by Federal Grand Jury for Defrauding Medicare and Arkansas Blue Cross Blue Shield
Banks billed Medicare and Arkansas Blue Cross and Blue Shield for thousands of hours of psychotherapy services that never took place, including sessions for patients seen only once and patients who had died, and created fictitious records to conceal the billing.
DOJSentencedJan 26, 2024
Former Rogers Company Owner and Former CEO Sentenced in Workers’ Comp Fraud/Kickback Conspiracy
The former owner and former CEO of a Rogers-based medical supply and billing company recruited physicians to dispense pain creams and patches to workers' compensation patients in exchange for a split of profits, billed the federal Office of Workers' Compensation Programs and private insurers at markups of 15 to 20 times cost, paid the physicians kickbacks, and shipped medications to two Louisiana physicians who lacked required dispensing licenses.
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.