JUSTINE SIMPSON, Ed.D, LPCC-S
NPI 1871866046, individual, Lancaster, OH, Counselor, Mental Health
- Hours beyond a day in 1 month, but with up to 374 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 28.7 | 25.7 | 17.1 | 22.8 | 374 | 1 | 90791 90832 90834 90837 90847 H2011 | $59K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JUSTINE SIMPSON, Ed.D, LPCC-S |
| Type | Individual |
| Status | Active |
| NPI issued | February 17, 2012, last updated May 20, 2026 |
| Practice location | 2652 KULL RD, Lancaster, OH 43130-7707, 614-815-2300 |
| Specialties | Counselor, Mental Health (101YM0800X, primary, license E.1901488-SUPV 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $389K | 44% | $222 | $191 (top 5% from $442) | 62nd percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $176K | 20% | $160 | $130 (top 5% from $458) | 64th percentile | |
| 90887 | Medicaid service code | $119K | 14% | $140 | $98 (top 5% from $270) | 72nd percentile | |
| 90834 | Psychotherapy, 45 minutes | $87K | 10% | $107 | $101 (top 5% from $318) | 54th percentile | |
| H2011 | Crisis intervention service per 15 min | $63K | 7% | $141 | $181 (top 5% from $3K) | 44th percentile | |
| 90832 | Psychotherapy, 30 minutes | $33K | 4% | $75 | $59 (top 5% from $239) | 66th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $14K | 2% | $115 | $105 (top 5% from $228) | 62nd percentile | |
| H0036 | Community psychiatric supportive treatment face-to-face per 15 minhistory of abuse | $410 | 0% | $32 | $195 (top 5% from $1K) | too few months to rank |
In this area
4 providers in Fairfield County, OH carry an indicator in the public record, with $4.3M at stake between them. The most common is part of a provider network, on 2 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ANTIMA HOME HEALTH CARE LLC Pickerington, OH, ranked 3182 | $0 |
|
| 3 | CV OPERATING LLC Lancaster, OH, ranked 6755 | $0 |
|
| 4 | STEVEN COX Lancaster, OH, ranked 7726 | $1.7M |
|
| 5 | JAMES GUENTHER Lancaster, OH, ranked 9931 | $2.7M |
|
Recent enforcement in OH
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.