MARIE CASTELLUCCI, CACIII, LPC
NPI 1861851016, individual, Pueblo, CO, Counselor, Mental Health
- Hours beyond a day in 8 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90853 ($746 per patient-month) sit in the top 5% of every provider billing that code.
- 91% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 30.9 | 51.5 | 34.3 | 46.2 | 248 | 1 | 90832 90837 90847 90853 | $151K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 29.2 | 46.5 | 31.0 | 43.4 | 264 | 1 | 90832 90837 90847 90853 | $123K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 25.2 | 37.8 | 25.2 | 35.5 | 226 | 1 | 90832 90837 90847 90853 | $108K |
| Apr 2018 | More hours than a day holds at a conservative unit price | 23.8 | 37.4 | 24.9 | 35.6 | 208 | 1 | 90832 90837 90847 90853 | $104K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 24.7 | 36.2 | 24.1 | 32.5 | 238 | 1 | 90832 90837 90847 90853 | $103K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 26.4 | 37.2 | 24.8 | 33.4 | 225 | 1 | 90832 90837 90847 90853 | $106K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 31.0 | 38.0 | 25.3 | 35.4 | 230 | 1 | 90832 90837 90847 90853 | $98K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 27.8 | 37.5 | 25.0 | 36.9 | 237 | 1 | 90832 90837 90847 90853 | $106K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARIE CASTELLUCCI, CACIII, LPC |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | February 16, 2016, last updated July 13, 2021 |
| Practice location | 5128 SONOMA DR, Pueblo, CO 81005-3928, 719-671-1359 |
| Specialties | Counselor, Addiction (Substance Use Disorder) (101YA0400X, license ACC.0006545 CO) Counselor, Mental Health (101YM0800X, primary, license LPP.0001368 CO) |
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 | |
|---|---|---|---|---|---|---|---|
| 90853 | Group psychotherapyhistory of abuse | $1.3M | 54% | $746 | $60 (top 5% from $332) | 99th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $910K | 37% | $575 | $191 (top 5% from $442) | 98th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $170K | 7% | $172 | $130 (top 5% from $458) | 68th percentile | |
| 90832 | Psychotherapy, 30 minutes | $60K | 2% | $91 | $59 (top 5% from $239) | 76th percentile |
In this area
10 providers in Pueblo County, CO carry an indicator in the public record, with $4.6M at stake between them. The most common is part of a provider network, on 6 of them, followed by more hours than a day holds on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | FRONTIER HOME HEALTH, LLC Pueblo, CO, ranked 1463 | $30K |
|
| 3 | COMFORT CARE FAMILY PRACTICE, INC. Pueblo, CO, ranked 1493 | $21K |
|
| 3 | MGA HOME HEALTHCARE PUEBLO, LLC Pueblo, CO, ranked 1587 | $5K |
|
| 3 | ALLELON OPCO OF COLORADO, LLC Pueblo, CO, ranked 2859 | $0 |
|
| 3 | CENTERCARE HOSPICE LLC Pueblo, CO, ranked 3642 | $0 |
|
| 3 | A BETTER COLORADO HOME HEALTH CARE AGENCY LLC Pueblo, CO, ranked 4564 | $0 |
|
| 3 | CENTER AT PARK WEST, LLC Pueblo, CO, ranked 6284 | $0 |
|
| 4 | MELANIE HOFFMAN Pueblo, CO, ranked 8004 | $275K |
|
Recent enforcement in CO
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.