LOURDES M BADIA, Psy.D.
NPI 1821314147, individual, Naples, FL, Counselor, Mental Health
- Medicaid dollars per patient on code H2017 ($1505 per patient-month) sit in the top 5% of every provider billing that code.
- 95% of Medicaid dollars are on codes with a history of abuse.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | LOURDES M BADIA, Psy.D. |
| Type | Individual |
| Status | Active |
| NPI issued | April 12, 2010, last updated February 11, 2019 |
| Practice location | 2230 VENETIAN CT, Naples, FL 34109-8712, 239-236-5448 |
| Mailing address | 6360 TECHSTER BLVD STE 1, Fort Myers, FL 33966-4805 |
| Specialties | Counselor, Mental Health (101YM0800X, primary, license MH3180 FL) |
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 | |
|---|---|---|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation services per 15 minhistory of abuse | $9.6M | 95% | $2K | $310 (top 5% from $1K) | 95th percentile | |
| H2019 | Therapeutic behavioral services per 15 min | $397K | 4% | $136 | $226 (top 5% from $1K) | 22nd percentile | |
| H0032 | Medicaid service code | $46K | 0% | $58 | $98 (top 5% from $675) | 19th percentile | |
| H0031 | Medicaid service code | $30K | 0% | $44 | $100 (top 5% from $540) | 23rd percentile | |
| H2030 | Mental health clubhouse services per 15 min | $15K | 0% | $497 | $770 (top 5% from $2K) | too few months to rank | |
| H2000 | Medicaid service code | $1K | 0% | $70 | $173 (top 5% from $548) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 945 | 135 | $87K | $195 | $116 | 1.7x | 1.6x (90th percentile 2.9x) |
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
6 providers in Collier County, FL carry an indicator in the public record, with $1.7M at stake between them. The most common is named in an enforcement record, on 2 of them, followed by more hours than a day holds on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MY SLEEP APNEA, LLC Naples, FL, ranked 347 | $3K |
|
| 3 | TERRACINA III, LLC Naples, FL, ranked 4054 | $0 |
|
| 3 | KEVIN ROSENBACH Naples, FL, ranked 4079 | $0 |
|
| 3 | KEVIN P ROSENBACH, MD PA Naples, FL, ranked 4735 | $0 |
|
| 4 | OFELIA MARIN Naples, FL, ranked 7874 | $807K |
|
| 4 | MATTHEW TARGOFF Naples, FL, ranked 9042 | $846K |
|
Recent enforcement in FL
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.