CYRUS PATTEN, LICSW
NPI 1871962332, individual, Burlington, VT, Social Worker, Clinical
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- 99% 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 |
|---|---|---|---|---|---|---|---|---|---|
| May 2021 | More hours than a day holds, even counting one unit per claim line | 49.7 | 2.7 | 1.8 | 2.7 | 17 | 1 | 90837 | $6K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CYRUS PATTEN, LICSW |
| Type | Individual |
| Status | Active |
| NPI issued | September 15, 2015, last updated August 17, 2022 |
| Practice location | 125 SAINT PAUL ST, STE 108, Burlington, VT 05401-8462, 802-316-8288 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license 089.0095340 VT) |
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 | $431K | 99% | $245 | $191 (top 5% from $442) | 71st percentile | |
| 90785 | Psychiatric services complicated by communication factor | $4K | 1% | $18 | $15 (top 5% from $35) | 60th percentile | |
| 90834 | Psychotherapy, 45 minutes | $1K | 0% | $94 | $101 (top 5% from $318) | too few months to rank | |
| 90791 | Psychiatric diagnostic evaluation | $954 | 0% | $80 | $105 (top 5% from $228) | too few months to rank |
In this area
9 providers in Chittenden County, VT carry an indicator in the public record, with $15.1M at stake between them. The most common is more hours than a day holds, on 7 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | 98 STARR FARM ROAD OPERATING COMPANY, LLC Burlington, VT, ranked 2718 | $0 |
|
| 3 | AMY SIEGEL Burlington, VT, ranked 6651 | $0 |
|
| 4 | CALLIA ZIMMERMAN South Burlington, VT, ranked 8606 | $27K |
|
| 4 | BRIAN ASHLEY Williston, VT, ranked 8716 | $21K |
|
| 4 | BENJAMIN HOUCHEN South Burlington, VT, ranked 8828 | $15K |
|
| 4 | LINDSAY JERNIGAN South Burlington, VT, ranked 8865 | $14K |
|
| 4 | NICHOLAS HUNTER Colchester, VT, ranked 9089 | $7K |
|
| 4 | ELIZABETH MYERS Shelburne, VT, ranked 9174 | $6K |
|
Recent enforcement in VT
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.