CRISY GOWAN
NPI 1831420603, individual, Crystal Lake, IL, Counselor, Mental Health
- Hours beyond a day in 2 months under one organization, which can be supervisory billing.
- Records needed.
- 99% 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 2024 | More hours than a day holds, even counting one unit per claim line | 26.0 | 26.9 | 17.9 | 24.4 | 216 | 1 | 90791 90837 | $93K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 24.1 | 24.9 | 16.6 | 22.4 | 193 | 1 | 90837 | $89K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CRISY GOWAN |
| Type | Individual |
| Status | Active |
| NPI issued | January 19, 2010, last updated April 14, 2025 |
| Practice location | 451 COVENTRY LN STE 101, Crystal Lake, IL 60014-7569, 815-503-9018 |
| Specialties | Counselor, Mental Health (101YM0800X, primary, license 180-007379 IL) |
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 | $1.3M | 99% | $347 | $191 (top 5% from $442) | 90th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $19K | 1% | $120 | $105 (top 5% from $228) | 67th percentile |
In this area
9 providers in McHenry County, IL carry an indicator in the public record, with $5.2M 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.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | CRYSTAL PINES REHABILITATION AND HEALTH CARE CENTER, LLC Crystal Lake, IL, ranked 2250 | $0 |
|
| 3 | PEARL OF CRYSTAL LAKE, LLC Crystal Lake, IL, ranked 2930 | $0 |
|
| 3 | WILLOW OF MARENGO, INC Marengo, IL, ranked 5382 | $0 |
|
| 3 | HIGHLIGHT HEALTHCARE OF WOODSTOCK, LLC Woodstock, IL, ranked 5500 | $0 |
|
| 4 | AMANDA EANNARINO Mchenry, IL, ranked 8140 | $1.9M |
|
| 4 | JACQUELINE MACHAMER Mchenry, IL, ranked 8178 | $1.1M |
|
| 4 | KATHARINE HANSEN Crystal Lake, IL, ranked 8218 | $622K |
|
| 5 | VALERIE AUREL Crystal Lake, IL, ranked 10112 | $982K |
|
Recent enforcement in IL
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.