TAMME L MORSE, LPCC
NPI 1891025771, individual, Harrodsburg, KY, Counselor, Professional
- Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- 65% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 25.1 | 23.0 | 15.3 | 20.7 | 302 | 1 | 90832 90837 90853 99354 | $50K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 25.1 | 22.5 | 15.0 | 20.5 | 296 | 1 | 90837 90853 99354 | $47K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 27.0 | 26.3 | 17.6 | 23.7 | 417 | 1 | 90832 90834 90837 90853 99354 | $62K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 24.7 | 24.2 | 16.1 | 23.0 | 417 | 1 | 90832 90834 90837 90853 99354 | $55K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | TAMME L MORSE, LPCC |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | December 28, 2009, last updated March 4, 2012 |
| Practice location | 100 S MAIN ST, Harrodsburg, KY 40330-1633, 859-583-5864 |
| Mailing address | 133 CREEKSIDE DR, Danville, KY 40422-1066 |
| Specialties | Counselor, Professional (101YP2500X, primary, license 1160 KY) |
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 | $2.7M | 65% | $172 | $191 (top 5% from $442) | 41st percentile | |
| H0031 | Medicaid service code | $623K | 15% | $103 | $100 (top 5% from $540) | 52nd percentile | |
| H0032 | Medicaid service code | $354K | 9% | $61 | $98 (top 5% from $675) | 21st percentile | |
| 99354 | Prolonged service outpatient first hour (retired 2023) | $209K | 5% | $87 | $78 (top 5% from $222) | 56th percentile | |
| 90785 | Psychiatric services complicated by communication factor | $107K | 3% | $17 | $15 (top 5% from $35) | 58th percentile | |
| 90832 | Psychotherapy, 30 minutes | $84K | 2% | $54 | $59 (top 5% from $239) | 44th percentile | |
| 90834 | Psychotherapy, 45 minutes | $35K | 1% | $67 | $101 (top 5% from $318) | 27th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $34K | 1% | $49 | $60 (top 5% from $332) | 41st percentile |
In this area
260 providers in KY carry an indicator in the public record, with $432.0M at stake between them. The most common is more hours than a day holds, on 184 of them, followed by part of a provider network on 43. 24 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | EDGEWATER RECOVERY CENTER LLC Morehead, KY, ranked 38 | $6.5M |
|
| 1 | RECOVERY CENTER OF KENTUCKY, LLC Elizabethtown, KY, ranked 41 | $4.5M |
|
| 1 | PIONEER HEALTH GROUP LLC Louisa, KY, ranked 47 | $2.9M |
|
| 1 | MAJA CUPAC Louisville, KY, ranked 65 | $9K |
|
| 1 | MADISON PRIMARY CARE, LLC Richmond, KY, ranked 76 | $612K |
|
| 1 | THOMAS HUGHES Bowling Green, KY, ranked 121 | $152K |
|
| 1 | BAKER CHIROPRACTIC CENTER PSC Louisville, KY, ranked 139 | $119K |
|
| 1 | MICHAEL BAKER Louisville, KY, ranked 140 | $119K |
|
Recent enforcement in KY
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.