Providers
All 11 in SC
SHIRLEY ANN FORD, MSW
NPI 1821299066, individual, N Charleston, SC, Social Worker, Clinical
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 12 months, but with up to 517 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8745, $1.9M 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 2019 | More hours than a day holds, even counting one unit per claim line | 34.2 | 32.5 | 21.7 | 29.6 | 472 | 3 | 90791 90837 90846 90847 | $117K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 40.2 | 38.4 | 25.6 | 34.5 | 472 | 3 | 90791 90837 90846 90847 | $141K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 43.5 | 41.0 | 27.4 | 41.0 | 517 | 3 | 90837 90846 90847 | $147K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 43.3 | 42.1 | 28.0 | 37.8 | 499 | 3 | 90837 90846 90847 | $155K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 39.9 | 39.4 | 26.3 | 37.0 | 495 | 3 | 90837 90846 90847 | $145K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 35.9 | 35.5 | 23.7 | 33.8 | 434 | 3 | 90837 90846 90847 | $126K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 29.4 | 29.4 | 19.6 | 26.4 | 355 | 3 | 90837 90846 90847 | $108K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 26.6 | 26.6 | 17.7 | 25.3 | 324 | 3 | 90837 90846 90847 | $94K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 30.7 | 30.1 | 20.1 | 28.3 | 314 | 3 | 90837 90846 90847 | $110K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 32.1 | 29.5 | 19.6 | 27.7 | 301 | 2 | 90837 90846 90847 | $107K |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 41.9 | 38.8 | 25.9 | 35.3 | 330 | 2 | 90837 90846 90847 | $138K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 33.2 | 32.4 | 21.6 | 31.9 | 330 | 2 | 90837 90846 90847 | $121K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SHIRLEY ANN FORD, MSW |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | May 29, 2007, last updated July 8, 2007 |
| Practice location | 2145 DORCHESTER RD, N Charleston, SC 29405-7763, 843-745-4005 |
| Mailing address | 2396 ERSKINE AVE, Charleston, SC 29414-7004 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license 001449 SC) |
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 | $1.2M | 53% | $427 | $191 (top 5% from $442) | 94th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $531K | 24% | $281 | $130 (top 5% from $458) | 86th percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $498K | 22% | $269 | $113 (top 5% from $277) | 94th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $26K | 1% | $144 | $105 (top 5% from $228) | too few months to rank | |
| H2000 | Medicaid service code | $10K | 0% | $149 | $173 (top 5% from $548) | too few months to rank | |
| H0031 | Medicaid service code | $3K | 0% | $72 | $100 (top 5% from $540) | too few months to rank |
In this area
11 providers in Charleston County, SC carry an indicator in the public record, with $4.1M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 4. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | KEVIN PATEL Charleston, SC, ranked 226 | $26K |
|
| 3 | ROPER ST FRANCIS ANCILLARY SERVICES Ladson, SC, ranked 804 | $328K |
|
| 3 | LUTHERAN HOMES OF SC, INC. MT Pleasant, SC, ranked 4250 | $0 |
|
| 3 | ROPER HOSPITAL INC Ladson, SC, ranked 5775 | $0 |
|
| 3 | BISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY Charleston, SC, ranked 6977 | $0 |
|
| 4 | DARREN PERRY North Charleston, SC, ranked 7349 | $208K |
|
| 4 | AMANDA ACREE Mount Pleasant, SC, ranked 7728 | $1.7M |
|
| 5 | STEVEN LOPEZ N Charleston, SC, ranked 9997 | $1.8M |
|
Recent enforcement in SC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedMar 11, 2026
Former Greenville CEO, Employees Indicted in Multi-Million Dollar Health Care Fraud Scheme
The defendants submitted false claims to health care benefit programs for individual COVID-19 tests that had actually been pooled for combined processing and manipulated test processing software, billing for tests that were virtually worthless and ineligible for reimbursement.
DOJSentencedFeb 25, 2026
Lancaster Trio Sentenced for Health Care Fraud Conspiracy
An excluded Medicaid provider and his wife established Transformation Services in her name to bill Medicaid for behavioral health services that were overlapping, not rendered individually, and provided by unlicensed therapists, defrauding Medicaid of nearly $250,000.
DOJIndictedNov 18, 2025
Florida Man Indicted for Health Care Fraud, Wire Fraud in Durable Medical Equipment Scheme
Weinberger, who was excluded from Medicare, allegedly concealed his ownership and control of a Medicare-enrolled durable medical equipment company through a false enrollment document and, with coconspirators, used call centers to generate doctors' orders for orthotic braces and submit approximately $6.7 million in false and fraudulent claims obtained through kickbacks and bribes, medically unnecessary, or otherwise ineligible for reimbursement.
DOJCivil judgmentJul 17, 2025
United States and the States of Georgia, Colorado, and South Carolina Obtain $114.5M in Judgments in a Sprawling Cancer Genetic Testing Lab Scheme
Premier Medical, its owner and compliance vice president paid kickbacks to Freedom Medical Labs and its marketers, who collected DNA samples from Medicaid beneficiaries in public spaces and purchased telemedicine physician orders, to bill Medicaid for medically unnecessary cancer genetic testing.
DOJIndictedJun 30, 2025
S.C. Cases Among Hundreds Announced in National Health Care Fraud Takedown
Two defendants were charged with submitting false claims to Medicare and Medicaid for durable medical equipment that was not delivered or authorized, and with billing the Veterans Administration for massage therapy services not rendered.
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.