CORI CARTER DOUGLAS, MSW, LCSW
NPI 1841348356, individual, Owensboro, KY, Social Worker, Clinical
- Hours beyond a day in 3 months under one organization, which can be supervisory billing.
- Records needed.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 25.0 | 22.0 | 14.7 | 20.6 | 314 | 1 | 90791 90832 90834 90837 99354 | $39K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 24.8 | 22.2 | 14.8 | 20.8 | 315 | 1 | 90791 90832 90834 90837 99354 | $43K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 25.1 | 23.2 | 15.5 | 20.8 | 321 | 1 | 90791 90832 90834 90837 99354 | $45K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CORI CARTER DOUGLAS, MSW, LCSW |
| Type | Individual |
| Status | Active |
| NPI issued | January 8, 2007, last updated July 2, 2015 |
| Practice location | 2720 FREDERICA ST, Owensboro, KY 42301-5442, 270-926-2484 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license 3423 KY) |
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 | |
|---|---|---|---|---|---|---|---|
| T2023 | Medicaid service code | $833K | 42% | $330 | $332 (top 5% from $1K) | 49th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $736K | 37% | $170 | $191 (top 5% from $442) | 40th percentile | |
| 99354 | Prolonged service outpatient first hour (retired 2023) | $229K | 12% | $120 | $78 (top 5% from $222) | 72nd percentile | |
| H0032 | Medicaid service code | $62K | 3% | $63 | $98 (top 5% from $675) | 23rd percentile | |
| 90832 | Psychotherapy, 30 minutes | $52K | 3% | $58 | $59 (top 5% from $239) | 49th percentile | |
| 90834 | Psychotherapy, 45 minutes | $36K | 2% | $60 | $101 (top 5% from $318) | 24th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $31K | 2% | $72 | $105 (top 5% from $228) | 27th percentile | |
| 90887 | Medicaid service code | $1K | 0% | $59 | $98 (top 5% from $270) | too few months to rank |
In this area
3 providers in Daviess County, KY carry an indicator in the public record, with $103K at stake between them. The most common is paid after a public list action, on 1 of them, followed by part of a provider network on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MICHAEL DUGGER Owensboro, KY, ranked 317 | $5K |
|
| 3 | WELLINGTON PARC HEALTH SYSTEMS, INC. Owensboro, KY, ranked 4394 | $0 |
|
| 5 | TRAVIS MORRISON Owensboro, KY, ranked 11631 | $98K |
Recent enforcement in KY
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.