Providers
All 20 in NY
JANINE MARIE STIENE
NPI 1801971502, individual, Stony Brook, NY, Speech-Language Pathologist,
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 15 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 92610 ($209 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7784, $1.3M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 25.0 | 14.9 | 9.9 | 14.2 | 216 | 1 | 92507 92526 | $54K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 24.4 | 14.5 | 9.7 | 13.0 | 229 | 1 | 92507 92526 | $55K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 24.7 | 14.8 | 9.8 | 14.1 | 252 | 1 | 92507 92523 92526 | $54K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 24.5 | 14.6 | 9.7 | 13.1 | 248 | 1 | 92507 92526 | $55K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 24.5 | 14.6 | 9.7 | 13.1 | 227 | 1 | 92507 92526 | $55K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 26.5 | 12.3 | 8.2 | 11.1 | 260 | 1 | 92507 92526 | $60K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 25.2 | 11.8 | 7.9 | 11.0 | 275 | 1 | 92507 92523 92526 | $52K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 28.0 | 13.0 | 8.6 | 12.8 | 280 | 1 | 92507 92526 | $63K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 29.5 | 13.6 | 9.1 | 12.4 | 292 | 1 | 92507 92523 92526 | $64K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 28.9 | 13.4 | 9.0 | 12.1 | 302 | 1 | 92507 92523 92526 | $65K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 30.0 | 13.8 | 9.2 | 13.8 | 312 | 1 | 92507 92523 92526 | $65K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 31.0 | 14.1 | 9.4 | 12.7 | 312 | 1 | 92507 92526 | $68K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 32.1 | 14.3 | 9.6 | 13.5 | 321 | 1 | 92507 92526 | $69K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 27.8 | 12.5 | 8.4 | 11.9 | 319 | 1 | 92507 92526 | $59K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 33.3 | 15.8 | 10.5 | 14.2 | 395 | 1 | 92507 92523 92526 | $77K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JANINE MARIE STIENE |
| Type | Individual |
| Status | Active |
| NPI issued | October 25, 2006, last updated July 8, 2007 |
| Practice location | 215 HALLOCK RD, SUITE 6B, Stony Brook, NY 11790, 631-689-6858 |
| Specialties | Speech-Language Pathologist, (235Z00000X, primary, license 011861 NY) |
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 | |
|---|---|---|---|---|---|---|---|
| 92526 | Treatment of swallowing and feeding disorder | $1.8M | 43% | $259 | $141 (top 5% from $421) | 85th percentile | |
| 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | $1.6M | 38% | $221 | $190 (top 5% from $477) | 59th percentile | |
| 92610 | Evaluation of swallowing function | $726K | 18% | $209 | $61 (top 5% from $209) | 95th percentile | |
| 92523 | Evaluation of speech sound production with evaluation of language comprehension and expression | $18K | 0% | $113 | $137 (top 5% from $251) | 34th percentile | |
| 92552 | Test for hearing various pitches using earphone | $761 | 0% | $14 | $12 (top 5% from $31) | too few months to rank | |
| 92567 | Test to assess middle ear function | $396 | 0% | $14 | $13 (top 5% from $39) | too few months to rank |
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 |
|---|---|---|---|---|---|---|---|---|
| 92526 | Treatment of swallowing and feeding disorder | 620 | 18 | $46K | $135 | $94 | 1.4x | 2.0x (90th percentile 3.3x) |
| 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | 657 | 19 | $36K | $100 | $71 | 1.4x | 1.9x (90th percentile 3.3x) |
| 92610 | Evaluation of swallowing function | 26 | 12 | $2K | $150 | $94 | 1.6x | 2.2x (90th percentile 4.5x) |
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
20 providers in Suffolk County, NY carry an indicator in the public record, with $20.0M at stake between them. The most common is more hours than a day holds, on 12 of them, followed by paid after a public list action on 4. 6 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | NEW WAVE DIAGNOSTIC RADIOLOGY PLLC Oakdale, NY, ranked 5 | $580K |
|
| 1 | HASIB SARIJ Farmingdale, NY, ranked 15 | $119K |
|
| 1 | ISLAND PAIN SPECIALIST, PC Farmingdale, NY, ranked 141 | $119K |
|
| 1 | VISHNUDAT SEODAT Riverhead, NY, ranked 200 | $44K |
|
| 1 | NELSON GIRALDO Bay Shore, NY, ranked 301 | $8K |
|
| 1 | KENNETH FISHBERGER Port Jefferson, NY, ranked 517 | $0 |
|
| 3 | OAKWOOD OPERATING CO, LLC Oakdale, NY, ranked 3394 | $0 |
|
| 3 | SUNRISE MANOR NURSING HOME, INC. Bay Shore, NY, ranked 4370 | $0 |
|
Recent enforcement in NY
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedAug 20, 2026
Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme
Members of a Bronx-based racketeering organization known as the "War Room" fabricated ride data for methadone clinic transportation using a GPS spoofing application, paid Medicaid patients kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in claims to Medicaid, and laundered the proceeds.
DOJIndictedAug 20, 2026
Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme
Four members of a Bronx racketeering organization known as the "War Room" fabricated medical transportation ride data using a ride-tracking app and GPS spoofing, paid Medicaid patients at methadone clinics kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in Medicaid claims, and laundered the proceeds.
DOJCivil settlementAug 17, 2026
Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegations
The United States alleged that Safire submitted false claims to Medicare and Medicaid for skilled rehabilitative therapy services that were not reasonable or necessary, not supported by medical records, not documented as provided, or not provided at all, including by scheduling therapy based on insurer reimbursement policies, pressuring therapists and residents, and manufacturing or altering therapy referrals and medical records.
DOJSentencedJul 21, 2026
Owner of Long Island Ambulette Services Company Sentenced to Prison for Multimillion Dollar Healthcare Fraud Scheme
Arshad and co-conspirators paid kickbacks to Medicaid beneficiaries to order transportation through his companies and billed Medicaid over $19 million for medical transportation rides that were not provided, including for individuals who were deceased, hospitalized or incarcerated, and inflated reimbursements with false pickup addresses and distant treatment centers.
DOJIndictedJul 2, 2026
Two Defendants Charged with Multi-Million Dollar Health Care Fraud Scheme
The defendants, who owned and operated Tri-Hamlet Taxi Inc., allegedly paid kickbacks to Medicaid beneficiaries and submitted more than $35 million in claims to Medicaid for ambulette trips that were not provided or whose costs were inflated by using false pickup or drop-off addresses.
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.