ELIZABETH ANN TUCKER, LMFT
NPI 1841765252, individual, Murfreesboro, TN, Marriage & Family Therapist
- Hours beyond a day in 26 months, but with up to 1565 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- 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 |
|---|---|---|---|---|---|---|---|---|---|
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 26.3 | 16.1 | 10.7 | 14.6 | 905 | 1 | 90791 90832 90834 90847 | $40K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 24.7 | 14.9 | 9.9 | 13.4 | 945 | 1 | 90791 90832 90834 90847 | $38K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 27.7 | 17.3 | 11.5 | 16.2 | 913 | 1 | 90791 90832 90834 90847 | $41K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 29.3 | 17.8 | 11.9 | 16.0 | 1030 | 1 | 90791 90832 90834 90837 90846 90847 | $47K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 32.3 | 19.1 | 12.8 | 18.2 | 1150 | 1 | 90791 90832 90834 90847 | $49K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 31.3 | 18.8 | 12.5 | 17.7 | 1146 | 1 | 90791 90832 90834 90837 90847 | $49K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 34.5 | 20.4 | 13.6 | 18.6 | 1162 | 1 | 90791 90832 90834 90847 | $52K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 71.5 | 44.9 | 29.9 | 44.2 | 1192 | 1 | 90791 90832 90834 90837 90847 | $116K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 79.7 | 52.6 | 35.0 | 47.2 | 1309 | 1 | 90791 90832 90834 90837 90847 | $136K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 76.8 | 51.0 | 34.0 | 46.4 | 1269 | 1 | 90791 90832 90834 90837 90847 | $128K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 75.2 | 49.7 | 33.1 | 48.9 | 1247 | 1 | 90791 90832 90834 90837 90847 | $128K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 77.4 | 51.8 | 34.5 | 47.1 | 1260 | 1 | 90791 90832 90834 90837 90846 90847 | $129K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 68.4 | 44.6 | 29.7 | 41.9 | 1272 | 1 | 90791 90832 90834 90837 90846 90847 | $115K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 77.5 | 48.2 | 32.2 | 45.3 | 1412 | 1 | 90791 90832 90834 90837 90846 90847 | $127K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 63.9 | 40.5 | 27.0 | 37.8 | 1311 | 1 | 90791 90832 90834 90837 90847 | $97K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 51.3 | 31.3 | 20.9 | 28.2 | 1565 | 1 | 90791 90832 90834 90837 90846 90847 | $82K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 46.1 | 26.9 | 18.0 | 26.9 | 1393 | 1 | 90791 90832 90834 90837 90847 | $68K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 27.0 | 17.5 | 11.7 | 15.7 | 804 | 1 | 90791 90832 90834 90847 | $47K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 34.1 | 25.4 | 17.0 | 25.0 | 642 | 1 | 90791 90832 90834 90847 | $67K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 41.0 | 30.2 | 20.2 | 27.2 | 714 | 1 | 90791 90832 90834 90847 | $80K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 35.4 | 26.8 | 17.8 | 25.5 | 682 | 1 | 90791 90832 90834 90847 | $68K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 38.0 | 28.0 | 18.7 | 26.3 | 698 | 1 | 90791 90832 90834 90847 | $73K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 35.4 | 26.5 | 17.6 | 24.0 | 612 | 1 | 90791 90832 90834 90847 | $67K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 25.3 | 19.0 | 12.7 | 18.7 | 505 | 1 | 90791 90832 90834 90847 | $50K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 24.8 | 19.0 | 12.7 | 17.1 | 479 | 1 | 90791 90832 90834 90847 | $50K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 25.2 | 18.9 | 12.6 | 17.4 | 477 | 1 | 90791 90832 90834 90847 | $46K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ELIZABETH ANN TUCKER, LMFT |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | October 11, 2018, last updated May 8, 2023 |
| Practice location | 1504 WILLIAMS DR, Murfreesboro, TN 37129-3274, 252-287-9198 |
| Specialties | Marriage & Family Therapist (106H00000X, primary, license 1522 TN) |
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 | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $1.0M | 42% | $83 | $101 (top 5% from $318) | 38th percentile | |
| 90832 | Psychotherapy, 30 minutes | $873K | 35% | $49 | $59 (top 5% from $239) | 39th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $404K | 16% | $99 | $105 (top 5% from $228) | 44th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $151K | 6% | $98 | $130 (top 5% from $458) | 31st percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $23K | 1% | $104 | $191 (top 5% from $442) | 14th percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $4K | 0% | $52 | $113 (top 5% from $277) | too few months to rank | |
| S0280 | Medicaid service code | $2K | 0% | $63 | $55 (top 5% from $345) | 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 |
|---|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 64 | 19 | $3K | $98 | $72 | 1.4x | 2.0x (90th percentile 3.6x) |
| 90832 | Psychotherapy, 30 minutes | 68 | 28 | $3K | $77 | $54 | 1.4x | 2.0x (90th percentile 3.5x) |
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
5 providers in Rutherford County, TN carry an indicator in the public record, with $1.1M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | MURFREESBORO SNF HEALTHCARE LLC Murfreesboro, TN, ranked 1816 | $0 |
|
| 3 | SMYRNA CARE CENTER Smyrna, TN, ranked 3525 | $0 |
|
| 3 | ASERACARE HOSPICE - NEW HORIZONS, LLC Murfreesboro, TN, ranked 4901 | $0 |
|
| 4 | DEBORAH DRIGGS Murfreesboro, TN, ranked 8193 | $921K |
|
| 5 | JACOB KNIGHT Smyrna, TN, ranked 10381 | $220K |
|
Recent enforcement in TN
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.