LISA MARIE WOOLEY, PsyD, HSPP
NPI 1891785192, individual, Huntington, IN, Psychologist, Clinical
- 84% of Medicaid dollars are on codes with a history of abuse.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | LISA MARIE WOOLEY, PsyD, HSPP |
| Type | Individual |
| Status | Active |
| NPI issued | October 27, 2005, last updated December 20, 2010 |
| Practice location | 2860 NORTHPARK AVE, Huntington, IN 46750-9700, 260-356-2875 |
| Mailing address | 850 N HARRISON ST, Warsaw, IN 46580-3163 |
| Specialties | Psychologist, Clinical (103TC0700X, primary, license 20041473A IN) |
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 | $1.9M | 84% | $188 | $191 (top 5% from $442) | 49th percentile | |
| 90834 | Psychotherapy, 45 minutes | $113K | 5% | $85 | $101 (top 5% from $318) | 40th percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $100K | 4% | $82 | $113 (top 5% from $277) | 22nd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $45K | 2% | $94 | $105 (top 5% from $228) | 39th percentile | |
| 90785 | Psychiatric services complicated by communication factor | $44K | 2% | $17 | $15 (top 5% from $35) | 55th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $41K | 2% | $99 | $130 (top 5% from $458) | 31st percentile | |
| 90832 | Psychotherapy, 30 minutes | $9K | 0% | $63 | $59 (top 5% from $239) | 54th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $1K | 0% | $43 | $60 (top 5% from $332) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 146 | 12 | $15K | $140 | $138 | 1.0x | 1.6x (90th percentile 2.9x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
2 providers in Huntington County, IN carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ADAMS COUNTY MEMORIAL HOSPITAL Warren, IN, ranked 3605 | $0 |
|
| 3 | ADAMS COUNTY MEMORIAL HOSPITAL Huntington, IN, ranked 6624 | $0 |
|
Recent enforcement in IN
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.