MARIA I AMARANTE, LPC, NCC, PhD
NPI 1871842104, individual, Wauwatosa, WI, Counselor, Professional
- Hours beyond a day in 7 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90837 ($444 per patient-month) sit in the top 5% of every provider billing that code.
- 93% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 24.3 | 32.5 | 21.6 | 29.5 | 195 | 1 | 90791 90834 90837 | $74K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 26.6 | 37.3 | 24.9 | 34.8 | 225 | 1 | 90791 90834 90837 | $94K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 32.5 | 45.1 | 30.1 | 40.5 | 245 | 1 | 90791 90834 90837 | $125K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 27.2 | 36.2 | 24.1 | 34.5 | 240 | 1 | 90791 90834 90837 | $97K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 26.0 | 34.8 | 23.2 | 32.6 | 225 | 1 | 90791 90834 90837 | $97K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 24.7 | 33.2 | 22.1 | 30.2 | 223 | 1 | 90791 90832 90837 | $89K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 24.2 | 30.7 | 20.5 | 30.3 | 199 | 1 | 90791 90837 | $86K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARIA I AMARANTE, LPC, NCC, PhD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | August 31, 2012, last updated August 31, 2012 |
| Practice location | 3015 N 114TH ST, FAMILY OPTIONS COUNSELING, LLC, Wauwatosa, WI 53222-4208, 414-431-4444 |
| Mailing address | 1670 S 11TH STREET #203, Milwaukee, WI 53204-0000 |
| Specialties | Counselor, Mental Health (101YM0800X) Counselor, Professional (101YP2500X, primary, license 4574-125 WI) |
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 | $3.5M | 93% | $444 | $191 (top 5% from $442) | 95th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $119K | 3% | $108 | $105 (top 5% from $228) | 53rd percentile | |
| H0046 | Medicaid service code | $107K | 3% | $568 | $60 (top 5% from $2K) | 76th percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $17K | 0% | $230 | $113 (top 5% from $277) | too few months to rank | |
| 90834 | Psychotherapy, 45 minutes | $8K | 0% | $24 | $101 (top 5% from $318) | 12th percentile | |
| 90832 | Psychotherapy, 30 minutes | $6K | 0% | $71 | $59 (top 5% from $239) | 63rd percentile |
In this area
29 providers in Milwaukee County, WI carry an indicator in the public record, with $7.9M at stake between them. The most common is part of a provider network, on 12 of them, followed by more hours than a day holds on 10. 5 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | GRO FAMILY SERVICES LLC Milwaukee, WI, ranked 234 | $23K |
|
| 1 | WISCONSIN CHRONIC PAIN PHYSICAL THERAPY, INC Wauwatosa, WI, ranked 380 | $1K |
|
| 1 | NOAH ASSOCIATES INCORPORATED West Allis, WI, ranked 574 | $0 |
|
| 1 | CARING THROUGH LOVE LLC Milwaukee, WI, ranked 615 | $0 |
|
| 1 | HERE FOR YOU PRENATAL COORDINATION SERVICES LLC West Allis, WI, ranked 633 | $0 |
|
| 3 | ST. CAMILLUS HEALTH CENTER, INC. Wauwatosa, WI, ranked 2180 | $0 |
|
| 3 | WE CARE SERVICES LLC Milwaukee, WI, ranked 2561 | $0 |
|
| 3 | ST. CAMILLUS HEALTH CENTER, INC. Wauwatosa, WI, ranked 2611 | $0 |
|
Recent enforcement in WI
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.