CALLIA EMILY LAPIN ZIMMERMAN, LICSW, LADC
NPI 1821331463, individual, South Burlington, VT, Social Worker, Clinical
- Hours beyond a day in 2 months under one organization, which can be supervisory billing.
- Records needed.
- 92% of Medicaid dollars are on codes with a history of abuse.
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 2021 | More hours than a day holds, even counting one unit per claim line | 25.8 | 6.5 | 4.3 | 5.9 | 78 | 1 | 90837 | $15K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 308.8 | 5.3 | 3.6 | 5.2 | 68 | 1 | 90837 | $12K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CALLIA EMILY LAPIN ZIMMERMAN, LICSW, LADC |
| Type | Individual |
| Status | Active |
| NPI issued | April 2, 2013, last updated September 27, 2023 |
| Practice location | 56 W TWIN OAKS TER STE 3, South Burlington, VT 05403-7138, 802-393-8167 |
| Mailing address | PO BOX 8114, Essex, VT 05451-8114 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license 089.0075456 VT) |
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 | $478K | 92% | $203 | $191 (top 5% from $442) | 55th percentile | |
| 90834 | Psychotherapy, 45 minutes | $20K | 4% | $54 | $101 (top 5% from $318) | 21st percentile | |
| 90791 | Psychiatric diagnostic evaluation | $11K | 2% | $107 | $105 (top 5% from $228) | 53rd percentile | |
| T1015 | Medicaid service code | $8K | 2% | $306 | $182 (top 5% from $488) | too few months to rank |
In this area
9 providers in Chittenden County, VT carry an indicator in the public record, with $15.1M at stake between them. The most common is more hours than a day holds, on 7 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | 98 STARR FARM ROAD OPERATING COMPANY, LLC Burlington, VT, ranked 2718 | $0 |
|
| 3 | AMY SIEGEL Burlington, VT, ranked 6651 | $0 |
|
| 4 | BRIAN ASHLEY Williston, VT, ranked 8716 | $21K |
|
| 4 | BENJAMIN HOUCHEN South Burlington, VT, ranked 8828 | $15K |
|
| 4 | LINDSAY JERNIGAN South Burlington, VT, ranked 8865 | $14K |
|
| 4 | NICHOLAS HUNTER Colchester, VT, ranked 9089 | $7K |
|
| 4 | CYRUS PATTEN Burlington, VT, ranked 9131 | $6K |
|
| 4 | ELIZABETH MYERS Shelburne, VT, ranked 9174 | $6K |
|
Recent enforcement in VT
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.