AMBER MCGREGOR, BS, MS, EdD, LPC

NPI 1821440058, individual, Denver, CO, Counselor, Professional

Evidence tier

structure or single-organization volume

Hours beyond a day in 6 months under one organization, which can be supervisory billing.
Records needed.
Medicaid dollars per patient on code 90837 ($561 per patient-month) sit in the top 5% of every provider billing that code.
98% of Medicaid dollars are on codes with a history of abuse.

score 57 of 100, rank 7310, $1.8M 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
Aug 2022	More hours than a day holds, even counting one unit per claim line	26.2	32.3	21.6	29.1	80	1	90837	$93K
Sep 2022	More hours than a day holds, even counting one unit per claim line	27.4	33.6	22.4	30.6	82	1	90837	$94K
Apr 2024	More hours than a day holds, even counting one unit per claim line	25.0	22.7	15.2	20.7	122	1	90791 90837	$74K
Jul 2024	More hours than a day holds, even counting one unit per claim line	24.3	24.6	16.4	22.1	96	1	90837	$82K
Aug 2024	More hours than a day holds, even counting one unit per claim line	27.2	28.8	19.2	27.1	155	1	90791 90837	$97K
Sep 2024	More hours than a day holds, even counting one unit per claim line	30.0	31.0	20.7	29.6	136	1	90791 90837	$100K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	AMBER MCGREGOR, BS, MS, EdD, LPC
Type	Individual, sole proprietor
Status	Active
NPI issued	July 12, 2016, last updated July 21, 2022
Practice location	420 E 58TH AVE STE 128A-2, Denver, CO 80216-1430, 720-708-8396
Specialties	Counselor (101Y00000X, license LPC.0013448 CO) Counselor, Addiction (Substance Use Disorder) (101YA0400X) Counselor, Mental Health (101YM0800X) Counselor, Professional (101YP2500X, primary, license 0013448 CO)

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	$2.6M	98%	$561	$191 (top 5% from $442)	97th percentile
90791	Psychiatric diagnostic evaluation	$40K	2%	$129	$105 (top 5% from $228)	73rd percentile

In this area

37 providers in Denver County, CO carry an indicator in the public record, with $29.5M at stake between them. The most common is more hours than a day holds, on 20 of them, followed by part of a provider network on 15. 2 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	NEW GENESIS LLC Denver, CO, ranked 153	$90K	Listed on the CO Medicaid exclusion list since September 24, 2019. Medicaid still paid claims in 1 later month, $89,629 in total.
1	SAMIR HADDAD Denver, CO, ranked 309	$7K	Listed on the NY Medicaid exclusion list since March 15, 2010. Medicaid still paid claims in 8 later months, $6,619 in total.
3	MGA HOME HEALTHCARE COLORADO, LLC Glendale, CO, ranked 1396	$66K	Part of provider network D1-00084, ranked 84 nationally.
3	GREATER DENVER HOME HEALTH CARE INC Denver, CO, ranked 1711	$0	Part of provider network D1-00098, ranked 98 nationally. 99% of Medicaid dollars are on codes with a history of abuse.
3	FIRST COLORADO HOME HEALTH CARE INC Denver, CO, ranked 2046	$0	Part of provider network D1-00098, ranked 98 nationally.
3	CENTER AT LOWRY, LLC Denver, CO, ranked 2093	$0	Part of provider network D1-00140, ranked 140 nationally.
3	AURORA PALLIATIVE AND HOSPICE CARE INC Denver, CO, ranked 2099	$0	Part of provider network D1-00053, ranked 53 nationally.
3	OPTIMAL HOME CARE INC. Denver, CO, ranked 2214	$0	Part of provider network D1-00051, ranked 51 nationally.

All 37 in CO

Recent enforcement in CO

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedJun 23, 2026

Colorado Man Charged In Medicaid Fraud Scheme Connected To Arapahoe County Adult Daycare

Omer offered three $500 kickback payments in exchange for referrals of Medicaid beneficiaries for adult daycare, and $10,000 in other kickback payments described as marketing expenses or office supply, to induce beneficiaries to attend Nadina Adult Daycare Center.

DOJCivil settlementNov 24, 2025

Southern Colorado Hospital and Doctors Agree to Pay $650,000 to Resolve Allegations That They Unlawfully Prescribed Opioids and Other Controlled Substances

Three physicians employed by Mt. San Rafael Hospital allegedly issued invalid prescriptions for controlled substances including opioids not for a legitimate medical purpose or outside the usual course of professional practice, and caused claims for those prescriptions to be submitted to Medicare and other federal health care programs.

DOJCivil settlementDec 3, 2024

$2 Million Resolves Kickback Allegations Relating to Denver Neuromonitoring Company

Assure paid remuneration to surgeons through joint venture companies to induce them to order intraoperative neuromonitoring services, resulting in claims submitted to federally funded healthcare programs.

DOJIndictedSep 24, 2024

Seven People Charged With Over $40 Million In Medicare And Medicaid Fraud

Defendants, through genetic testing laboratories they owned and operated, paid kickbacks and bribes to marketing companies for referrals for medically unnecessary genetic testing, resulting in more than $40 million in false and fraudulent claims paid by Medicare and Colorado Medicaid, and three defendants laundered the proceeds.

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.

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