MARLENE JOAN ADAMS, LPC, ATR
NPI 1851869374, individual, Richmond, VA, Counselor, Professional
- Hours beyond a day in 4 months, but with up to 404 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 83% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 44.6 | 25.0 | 16.7 | 23.0 | 404 | 1 | 90791 90832 90834 90837 90847 | $80K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 49.4 | 22.0 | 14.7 | 21.6 | 380 | 1 | 90791 90832 90834 90837 90847 | $75K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 40.0 | 21.4 | 14.3 | 19.5 | 382 | 1 | 90791 90832 90834 90837 90847 | $71K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 25.9 | 16.2 | 10.8 | 14.6 | 294 | 1 | 90791 90832 90834 90837 90847 | $55K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARLENE JOAN ADAMS, LPC, ATR |
| Type | Individual |
| Status | Active |
| NPI issued | November 2, 2018, last updated April 14, 2025 |
| Practice location | 6800 PARAGON PL STE 237, Richmond, VA 23230-1651, 804-562-9997 |
| Mailing address | 8048 LEE AVE, Mechanicsville, VA 23111-1766 |
| Specialties | Counselor (101Y00000X, license 0701007859 VA) Counselor, Mental Health (101YM0800X, license 0701007859 VA) Counselor, Professional (101YP2500X, primary, license 0701007859 VA) |
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 | $1.1M | 83% | $230 | $191 (top 5% from $442) | 65th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $93K | 7% | $120 | $105 (top 5% from $228) | 66th percentile | |
| 90834 | Psychotherapy, 45 minutes | $62K | 5% | $95 | $101 (top 5% from $318) | 46th percentile | |
| 90832 | Psychotherapy, 30 minutes | $33K | 3% | $68 | $59 (top 5% from $239) | 60th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $30K | 2% | $113 | $130 (top 5% from $458) | 41st percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $1K | 0% | $93 | $113 (top 5% from $277) | too few months to rank | |
| 96127 | Assessment of emotional or behavioral problems | $17 | 0% | $0.21 | $4.12 (top 5% from $19) | 15th percentile |
In this area
3 providers in Henrico County, VA carry an indicator in the public record, with $3.6M at stake between them. The most common is named in an enforcement record, on 2 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | DIVINE YOUTH COUNSELING LLC Henrico, VA, ranked 937 | $3.6M |
|
| 3 | TRADITIONS HOSPICE OF GLEN ALLEN, LLC Glen Allen, VA, ranked 5447 | $0 |
|
| 3 | E'MON AMBERS Henrico, VA, ranked 5838 | $0 |
|
Recent enforcement in VA
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.