ROSELENE SALLUM DALANHESE, LCSW
NPI 1821187246, individual, South Jordan, UT, Social Worker, Clinical
- Medicaid dollars per patient on code 90791 ($368 per patient-month) sit in the top 5% of every provider billing that code.
- 84% of Medicaid dollars are on codes with a history of abuse.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ROSELENE SALLUM DALANHESE, LCSW |
| Type | Individual |
| Status | Active |
| NPI issued | October 12, 2006, last updated April 1, 2021 |
| Practice location | 1206 W SOUTH JORDAN PKWY STE D, South Jordan, UT 84095-5519, 801-302-3801 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license 5222307-3501 UT) |
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 | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $2.7M | 83% | $319 | $191 (top 5% from $442) | 88th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $382K | 12% | $368 | $105 (top 5% from $228) | 99th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $64K | 2% | $182 | $60 (top 5% from $133) | 98th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $35K | 1% | $168 | $88 (top 5% from $210) | 93rd percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $26K | 1% | $333 | $112 (top 5% from $313) | 96th percentile | |
| 90834 | Psychotherapy, 45 minutes | $25K | 1% | $153 | $101 (top 5% from $318) | 73rd percentile |
In this area
11 providers in Salt Lake County, UT carry an indicator in the public record, with $6.8M at stake between them. The most common is part of a provider network, on 8 of them, followed by more hours than a day holds on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | HOME CAREGIVERS PARTNERSHIP, LLC Murray, UT, ranked 797 | $618K |
|
| 3 | HOME CAREGIVERS PARTNERSHIP LLC Murray, UT, ranked 1189 | $397K |
|
| 3 | BRISTOL HOSPICE - UTAH II, L.L.C. Murray, UT, ranked 1333 | $125K |
|
| 3 | BRIGHTENLIFE HOME HEALTH LLC Murray, UT, ranked 2852 | $0 |
|
| 3 | HOSPICE SPECIALISTS, LLC Murray, UT, ranked 3802 | $0 |
|
| 3 | ELEVATION HOSPICE OF UTAH, LLC Draper, UT, ranked 4458 | $0 |
|
| 3 | AVALON CARE CENTER - VA SALT LAKE II LLC Slc, UT, ranked 6127 | $0 |
|
| 3 | HOME HEALTH SPECIALISTS, LLC Murray, UT, ranked 7209 | $0 |
|
Recent enforcement in UT
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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.