MALIKA DIONNE MCMEANS SPRUILL, LCSW
NPI 1811205909, individual, Townsend, DE, Social Worker, Clinical
- Hours beyond a day in 3 months, but with up to 983 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 |
|---|---|---|---|---|---|---|---|---|---|
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 38.7 | 1.4 | 0.9 | 1.3 | 983 | 1 | 90832 90834 90837 90853 | $214 |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 34.4 | 1.0 | 0.7 | 1.0 | 892 | 1 | 90832 90837 90853 | $152 |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 26.1 | 1.7 | 1.1 | 1.5 | 647 | 1 | 90834 90837 90853 | $251 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MALIKA DIONNE MCMEANS SPRUILL, LCSW |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | September 22, 2010, last updated June 10, 2024 |
| Practice location | 904 VANDYKE GREENSPRING RD, Townsend, DE 19734-9218, 302-312-7072 |
| Mailing address | 917 SWEET HOLLOW WAY, Middletown, DE 19709-8652 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license Q1-0001021 DE) |
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 | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $581 | 45% | $1.06 | $101 (top 5% from $318) | too few months to rank | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $574 | 45% | $0.28 | $191 (top 5% from $442) | 3rd percentile | |
| 90853 | Group psychotherapyhistory of abuse | $71 | 6% | $0.04 | $60 (top 5% from $332) | 6th percentile | |
| 90832 | Psychotherapy, 30 minutes | $59 | 5% | $0.31 | $59 (top 5% from $239) | too few months to rank | |
| 90791 | Psychiatric diagnostic evaluation | $0 | 0% | $0.00 | $105 (top 5% from $228) | too few months to rank | |
| H0015 | Alcohol/drug intensive outpatient per diemhistory of abuse | $0 | 0% | $0.00 | $666 (top 5% from $2K) | too few months to rank |
In this area
7 providers in New Castle County, DE carry an indicator in the public record, with $9.4M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by paid after a public list action on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 2 | RITU RASTOGI Wilmington, DE, ranked 744 | $316K |
|
| 3 | SHAYASTA MUFTI Bear, DE, ranked 5349 | $0 |
|
| 4 | QAYYUM NAZAR Bear, DE, ranked 8019 | $227K |
|
| 4 | NIEEMA MAHDI Wilmington, DE, ranked 8390 | $55K |
|
| 4 | MELISSA SCHNECK Wilmington, DE, ranked 9765 | $3K |
|
| 5 | MEDICAL ONCOLOGY HEMATOLOGY CONSULTANTS PA Newark, DE, ranked 10669 | $8.8M | |
| 5 | BIOTEK REMEDYS, INC. New Castle, DE, ranked 11792 | $41K |
Recent enforcement in DE
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.