Providers
All 151 in OH
VICKI MARIE DELANY, Nurse Practioner
NPI 1851521959, individual, Dublin, OH, Clinical Nurse Specialist, Family Health
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 6 months, but with up to 981 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8599, $2.7M 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 2023 | More hours than a day holds, even counting one unit per claim line | 26.4 | 23.6 | 15.7 | 22.1 | 845 | 1 | 99214 99215 99401 | $91K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 31.7 | 28.6 | 19.1 | 26.7 | 901 | 1 | 99214 99215 99401 | $101K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 31.2 | 29.2 | 19.4 | 25.5 | 971 | 1 | 99205 99213 99214 99215 99401 H0038 | $115K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 25.3 | 22.8 | 15.2 | 22.0 | 931 | 1 | 99204 99205 99213 99214 99215 H0038 | $83K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 24.6 | 23.0 | 15.3 | 19.6 | 981 | 1 | 99204 99205 99213 99214 99215 H0038 | $85K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 26.1 | 23.5 | 15.7 | 20.6 | 932 | 1 | 99204 99205 99213 99214 99215 H0038 | $92K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | VICKI MARIE DELANY, Nurse Practioner |
| Type | Individual |
| Status | Active |
| NPI issued | July 23, 2009, last updated March 17, 2010 |
| Practice location | 7275 SAWMILL RD, Dublin, OH 43016-9021, 614-766-6321 |
| Specialties | Student in an Organized Health Care Education/Training Program (390200000X) Clinical Nurse Specialist, Family Health (364SF0001X, primary, license COA.10840-NP OH) |
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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $2.5M | 66% | $86 | $60 (top 5% from $133) | 75th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $957K | 25% | $112 | $88 (top 5% from $210) | 66th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $132K | 3% | $53 | $67 (top 5% from $121) | 28th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $126K | 3% | $58 | $44 (top 5% from $110) | 69th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $30K | 1% | $148 | $128 (top 5% from $249) | 62nd percentile | |
| 96372 | Injection of drug or substance under skin or into muscle | $22K | 1% | $12 | $12 (top 5% from $49) | 51st percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $21K | 1% | $74 | $95 (top 5% from $171) | 24th percentile | |
| H0038 | Self-help/peer services per 15 min | $11K | 0% | $66 | $147 (top 5% from $2K) | 31st percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 259 | 50 | $20K | $176 | $101 | 1.7x | 2.3x (90th percentile 3.8x) |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 120 | 32 | $13K | $220 | $142 | 1.6x | 2.4x (90th percentile 4.1x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 86 | 32 | $5K | $120 | $73 | 1.6x | 2.2x (90th percentile 3.8x) |
| 96372 | Injection of drug or substance under skin or into muscle | 72 | 19 | $642 | $125 | $11 | 11.0x | 3.6x (90th percentile 6.4x) |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 29 | 12 | $10 | $50 | $0 | 112.3x | 24.8x (90th percentile 78.1x) |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 42 | 12 | $4 | $25 | $0 | 191.3x | 5.2x (90th percentile 28.8x) |
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
151 providers in Franklin County, OH carry an indicator in the public record, with $197.6M at stake between them. The most common is part of a provider network, on 119 of them, followed by more hours than a day holds on 17. 8 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TOWN STREET MEDICAL, LLC Columbus, OH, ranked 285 | $10K |
|
| 1 | ROBERT FLOREA Columbus, OH, ranked 288 | $0 |
|
| 1 | ANTONIO DELROSARIO Reynoldsburg, OH, ranked 330 | $4K |
|
| 1 | ANTONIO J. DEL ROSARIO, M.D. INC. Columbus, OH, ranked 343 | $3K |
|
| 1 | SALLY NJUME-TATSING Reynoldsburg, OH, ranked 505 | $0 |
|
| 1 | BUCKEYE HEALTH AND RESEARCH Columbus, OH, ranked 546 | $0 |
|
| 1 | LABELLE HOMEHEALTH CARE SERVICES LLC Reynoldsburg, OH, ranked 593 | $0 |
|
| 1 | BUCKEYE HEALTH AND RESEARCH LLC Columbus, OH, ranked 636 | $0 |
|
Recent enforcement in OH
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementJun 23, 2026
Ohio Dentist Agrees to Pay $500,000 to Resolve Allegations of Submitting False Claims to Medicaid
Meckler billed the Ohio Department of Medicaid for services provided by Ball, who was excluded from the Medicaid program, by listing Meckler as the rendering provider instead of Ball.
DOJSentencedJun 15, 2026
Ohio Doctor Ordered to Pay Nearly $1M for Facilitating Fraud on Medicare
A physician working as an independent contractor for a telemedicine company signed doctor's orders for durable medical equipment braces and genetic testing without meaningfully reviewing patient records or performing required in-person assessments, and those orders were used to bill Medicare more than $1,842,524.
DOJCivil settlementApr 2, 2026
Trinity Hospital Agrees to Pay $1.7M to Resolve Alleged Stark Law Violations
Trinity agreed to pay $1.7 million to resolve allegations that from 2014 through 2020 it made improper financial contributions to two referring physicians through office space rental arrangements that exceeded fair market value, in violation of the Stark Law.
DOJComplaint filedFeb 20, 2026
Justice Department Sues OhioHealth for Anticompetitive Healthcare Contracts That Increase Costs for Ohio Patients
The Justice Department and Ohio Attorney General filed a civil antitrust complaint alleging OhioHealth used its market power to impose contractual restrictions that prevent insurers from offering lower-cost health plans and limit access to price information.
DOJSentencedJan 14, 2026
Ohio Doctor Sentenced to Prison for $14M Healthcare Fraud Scheme
A licensed Ohio physician employed by two Florida telemedicine companies signed pre-completed orders for durable medical equipment and cancer genetic testing, falsely affirming he had examined the patients, causing more than $14.5 million in fraudulent Medicare claims.
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.