Providers
ALAN H WAX, PhD HSPP
NPI 1851462451, individual, Mishawaka, IN, Psychologist, Clinical
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 39 months, but with up to 569 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 74% of Medicaid dollars are on codes with a history of abuse.
score 53 of 100, rank 8114, $2.8M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 29.6 | 26.2 | 17.5 | 23.6 | 370 | 1 | 90791 90834 90837 90847 | $53K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 25.8 | 23.2 | 15.4 | 21.6 | 368 | 1 | 90791 90834 90837 90847 | $43K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 27.2 | 26.4 | 17.6 | 24.8 | 389 | 1 | 90791 90834 90837 | $54K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 24.4 | 23.0 | 15.3 | 21.9 | 345 | 1 | 90791 90834 90837 | $45K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 29.5 | 25.7 | 17.1 | 23.1 | 382 | 1 | 90791 90834 90837 | $52K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 30.3 | 24.4 | 16.3 | 23.2 | 379 | 1 | 90791 90834 90837 90853 | $48K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 25.5 | 21.6 | 14.4 | 20.3 | 355 | 1 | 90791 90834 90837 90853 | $44K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 28.1 | 25.7 | 17.1 | 23.1 | 400 | 1 | 90791 90834 90837 | $52K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 24.4 | 21.1 | 14.0 | 21.1 | 355 | 1 | 90791 90834 90837 90853 | $42K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 24.5 | 22.8 | 15.2 | 20.5 | 348 | 1 | 90791 90834 90837 | $47K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 29.3 | 23.5 | 15.7 | 21.4 | 375 | 1 | 90791 90834 90837 90853 | $46K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 29.0 | 27.6 | 18.4 | 24.8 | 452 | 1 | 90791 90834 90837 90853 | $63K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 33.0 | 29.8 | 19.9 | 27.8 | 448 | 1 | 90791 90834 90837 90853 | $61K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 29.6 | 26.1 | 17.4 | 25.7 | 439 | 1 | 90791 90834 90837 90853 | $59K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 31.8 | 28.0 | 18.7 | 25.5 | 472 | 1 | 90791 90834 90837 90853 | $62K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 34.4 | 30.0 | 20.0 | 26.9 | 521 | 1 | 90791 90832 90834 90837 90853 | $68K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 27.8 | 25.0 | 16.6 | 25.0 | 431 | 1 | 90791 90834 90837 90853 | $55K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 33.5 | 27.5 | 18.3 | 24.7 | 449 | 1 | 90791 90834 90837 90853 | $63K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 29.6 | 26.0 | 17.4 | 24.5 | 466 | 1 | 90791 90834 90837 90853 | $59K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 40.8 | 25.2 | 16.8 | 24.0 | 508 | 1 | 90791 90834 90837 90847 90853 | $55K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 36.7 | 27.5 | 18.4 | 24.7 | 519 | 1 | 90791 90834 90837 90847 90853 | $62K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 28.6 | 23.5 | 15.6 | 22.3 | 467 | 1 | 90791 90834 90837 90853 | $51K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 24.7 | 24.1 | 16.0 | 22.6 | 423 | 1 | 90791 90834 90837 90853 | $54K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 31.9 | 29.9 | 19.9 | 26.8 | 498 | 1 | 90791 90832 90834 90837 90847 90853 | $71K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 29.2 | 27.7 | 18.5 | 26.8 | 472 | 1 | 90791 90834 90837 90847 90853 | $61K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 24.3 | 23.9 | 15.9 | 22.4 | 569 | 1 | 90791 90832 90834 90837 90846 90847 90853 | $56K |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 33.1 | 33.8 | 22.5 | 30.7 | 524 | 1 | 90791 90832 90834 90837 90846 90847 | $77K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 26.9 | 28.1 | 18.7 | 27.6 | 496 | 1 | 90791 90832 90834 90837 90846 90847 | $66K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 32.2 | 32.6 | 21.7 | 29.7 | 545 | 1 | 90791 90832 90834 90837 90846 90847 | $74K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 33.6 | 35.2 | 23.5 | 31.7 | 558 | 1 | 90791 90832 90834 90837 90846 90847 | $83K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 31.2 | 32.9 | 21.9 | 32.4 | 564 | 1 | 90791 90832 90834 90837 90846 90847 | $78K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 36.0 | 37.3 | 24.9 | 33.9 | 563 | 1 | 90791 90832 90834 90837 90846 90847 | $85K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 34.3 | 35.6 | 23.7 | 33.4 | 567 | 1 | 90791 90832 90834 90837 90846 90847 | $84K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 32.6 | 35.1 | 23.4 | 33.4 | 553 | 1 | 90791 90832 90834 90837 90846 90847 | $80K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 31.6 | 34.0 | 22.7 | 30.6 | 520 | 1 | 90791 90832 90834 90837 90846 | $81K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 32.7 | 34.4 | 22.9 | 33.9 | 528 | 1 | 90791 90832 90834 90837 90846 | $85K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 31.4 | 33.0 | 22.0 | 30.8 | 502 | 1 | 90791 90832 90834 90837 90846 90847 | $73K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 29.6 | 30.9 | 20.6 | 27.7 | 456 | 1 | 90791 90832 90834 90837 90846 | $76K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 27.0 | 28.2 | 18.8 | 25.7 | 460 | 1 | 90791 90832 90834 90837 90846 | $67K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ALAN H WAX, PhD HSPP |
| Type | Individual |
| Status | Active |
| NPI issued | November 13, 2006, last updated May 31, 2017 |
| Practice location | 113 LINCOLNWAY E, Mishawaka, IN 46544-2016, 574-255-1162 |
| Specialties | Psychologist (103T00000X, license 20040447A IN) Psychologist, Clinical (103TC0700X, primary, license 20040447A IN) |
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 | $2.2M | 74% | $173 | $191 (top 5% from $442) | 42nd percentile | |
| 90834 | Psychotherapy, 45 minutes | $274K | 9% | $82 | $101 (top 5% from $318) | 37th percentile | |
| 90832 | Psychotherapy, 30 minutes | $188K | 6% | $90 | $59 (top 5% from $239) | 76th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $119K | 4% | $83 | $105 (top 5% from $228) | 32nd percentile | |
| 90785 | Psychiatric services complicated by communication factor | $98K | 3% | $17 | $15 (top 5% from $35) | 55th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $27K | 1% | $83 | $130 (top 5% from $458) | 21st percentile | |
| 90853 | Group psychotherapyhistory of abuse | $27K | 1% | $47 | $60 (top 5% from $332) | 39th percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $21K | 1% | $65 | $113 (top 5% from $277) | 13th percentile |
In this area
2 providers in St. Joseph County, IN carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PULASKI MEMORIAL HOSPITAL South Bend, IN, ranked 3188 | $0 |
|
| 3 | PULASKI MEMORIAL HOSPITAL South Bend, IN, ranked 6839 | $0 |
|
Recent enforcement in IN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedJun 18, 2026
Florida Man Sentenced to 36 Months in Prison
As vice president of a dental practice, he submitted claims to Indiana Medicaid falsely billing for hundreds of dental surgeries that were never performed, used patients' personal identifiers without authorization to support the claims, and committed tax evasion to conceal the income.
DOJSentencedFeb 18, 2026
Highland Physician Sentenced to 97 Months in Prison
Cataldi, sole owner of an otolaryngology practice, billed Medicare and private insurance for thousands of balloon sinuplasty procedures that she did not perform, seeking approximately $50 million and being paid almost $20 million.
DOJCivil settlementJan 28, 2026
Settlement for $1.7 Million With Former Physician Don J. Wagoner and His Business Entity for Fraudulently Billing the Indiana Medicaid Program
Defendants required patients seeking opioid or pain medicine prescriptions to give a single urine sample, tested it with one inexpensive multiplexed screening kit, and billed Indiana Medicaid $171.27 or more per patient by falsely certifying that nine or more separate samples had been collected and analyzed.
DOJSentencedJan 8, 2026
Indiana Woman Sentenced to 84 Months in Prison
Reese falsely claimed to be a licensed clinical psychologist, used forged documents to obtain employment and stole the identities and license numbers of three medical professionals to enroll in Indiana Medicaid and bill for therapy services.
DOJSentencedOct 3, 2024
Merrillville Doctor Sentenced to Prison and Ordered to Pay Restitution
Farley submitted claims to Medicaid and Medicare falsely representing that he had complex, extended visits with patients at his addiction treatment practice, billing for more than 7,000 services he did not provide.
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.