AMY MONTANEZ
NPI 1881997609, individual, Napa, CA, Marriage & Family Therapist
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- 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 |
|---|---|---|---|---|---|---|---|---|---|
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 26.7 | 35.2 | 23.4 | 32.0 | 215 | 1 | 90837 | $108K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | AMY MONTANEZ |
| Type | Individual |
| Status | Active |
| NPI issued | December 16, 2010, last updated May 8, 2023 |
| Practice location | 3419 VALLE VERDE DR, Napa, CA 94558-2414, 707-721-2060 |
| Specialties | Counselor, Mental Health (101YM0800X) Marriage & Family Therapist (106H00000X, primary, license 105317 CA) |
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 | |
|---|---|---|---|---|---|---|---|
| H2012 | Behavioral health day treatment per hour | $4.2M | 25% | $852 | $677 (top 5% from $3K) | 55th percentile | |
| H2019 | Therapeutic behavioral services per 15 min | $4.1M | 25% | $1K | $226 (top 5% from $1K) | 92nd percentile | |
| H0046 | Medicaid service code | $3.7M | 22% | $659 | $60 (top 5% from $2K) | 78th percentile | |
| S5111 | Medicaid service code | $2.0M | 12% | $500 | $162 (top 5% from $591) | 94th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $1.1M | 7% | $198 | $191 (top 5% from $442) | 53rd percentile | |
| T1014 | Medicaid service code | $915K | 5% | $78 | $14 (top 5% from $123) | 91st percentile | |
| A0425 | Ground mileage, per statute mile | $440K | 3% | $212 | $33 (top 5% from $223) | 95th percentile | |
| H0032 | Medicaid service code | $233K | 1% | $1K | $98 (top 5% from $675) | 100th percentile |
In this area
6 providers in Napa County, CA carry an indicator in the public record, with $97K at stake between them. The most common is part of a provider network, on 4 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PETUNIA HOLDINGS, LLC Napa, CA, ranked 1491 | $21K |
|
| 3 | VETERANS HOME OF CALIFORNIA Yountville, CA, ranked 2988 | $0 |
|
| 3 | DANNY'S HOME HEALTH CARE INC. Napa, CA, ranked 3037 | $0 |
|
| 3 | NAPAIDENCE OPCO, LLC Napa, CA, ranked 5022 | $0 |
|
| 4 | TERESA SHINDER Saint Helena, CA, ranked 9597 | $72K |
|
| 4 | DAVID GORCHOFF Napa, CA, ranked 9762 | $4K |
|
Recent enforcement in CA
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.