Providers
All 23 in CA
MIRANDA FURIE, L.C.S.W.
NPI 1891832127, individual, Merced, CA, Social Worker, Clinical
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 30 months, but with up to 742 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 90791 ($546 per patient-month) sit in the top 5% of every provider billing that code.
- 88% of Medicaid dollars are on codes with a history of abuse.
score 58 of 100, rank 7284, $7.6M at stake
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 |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2021 | More hours than a day holds at a conservative unit price | 20.2 | 38.3 | 25.5 | 34.8 | 200 | 1 | 90791 90837 | $106K |
| Oct 2021 | More hours than a day holds at a conservative unit price | 21.3 | 41.0 | 27.3 | 40.3 | 223 | 1 | 90791 90837 | $116K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 29.2 | 58.6 | 39.1 | 53.3 | 312 | 1 | 90791 90832 90834 90837 | $154K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 33.8 | 69.6 | 46.4 | 62.5 | 420 | 1 | 90791 90832 90834 90837 | $187K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 38.8 | 69.7 | 46.5 | 68.6 | 442 | 1 | 90791 90832 90834 90837 | $208K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 44.3 | 78.0 | 52.0 | 72.8 | 430 | 1 | 90791 90832 90837 | $214K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 48.3 | 85.7 | 57.1 | 77.0 | 484 | 1 | 90791 90832 90834 90837 | $258K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 50.1 | 89.9 | 59.9 | 85.6 | 551 | 1 | 90791 90832 90834 90837 | $259K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 53.8 | 96.7 | 64.5 | 90.9 | 578 | 1 | 90791 90832 90834 90837 | $288K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 60.8 | 110.4 | 73.6 | 100.4 | 669 | 1 | 90791 90832 90834 90837 | $317K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 53.8 | 98.0 | 65.3 | 96.5 | 664 | 1 | 90791 90832 90834 90837 | $290K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 71.2 | 125.5 | 83.7 | 112.8 | 717 | 1 | 90791 90832 90834 90837 | $378K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 67.4 | 118.9 | 79.3 | 108.1 | 678 | 1 | 90791 90832 90834 90837 | $346K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 68.0 | 120.9 | 80.6 | 119.0 | 742 | 1 | 90791 90832 90834 90837 | $362K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 61.8 | 105.0 | 70.0 | 95.5 | 621 | 1 | 90791 90832 90834 90837 | $313K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 50.6 | 87.6 | 58.4 | 82.3 | 583 | 1 | 90791 90832 90834 90837 | $265K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 52.8 | 87.5 | 58.3 | 82.2 | 563 | 1 | 90791 90832 90834 90837 | $271K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 54.5 | 88.5 | 59.0 | 82.6 | 522 | 1 | 90791 90832 90834 90837 | $248K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 43.5 | 68.3 | 45.5 | 61.4 | 524 | 1 | 90791 90832 90834 90837 | $213K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 35.8 | 56.1 | 37.4 | 56.1 | 353 | 1 | 90791 90832 90837 | $171K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 35.7 | 55.9 | 37.3 | 50.3 | 344 | 1 | 90791 90832 90837 | $176K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 50.6 | 81.4 | 54.2 | 74.0 | 513 | 1 | 90791 90832 90837 | $246K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 43.0 | 68.9 | 46.0 | 67.8 | 404 | 1 | 90791 90832 90837 | $218K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 42.4 | 67.8 | 45.2 | 60.9 | 407 | 1 | 90791 90832 90837 | $214K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 33.9 | 54.4 | 36.3 | 51.8 | 387 | 1 | 90791 90832 90834 90837 | $164K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 40.3 | 64.2 | 42.8 | 60.3 | 404 | 1 | 90791 90832 90834 90837 | $201K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 39.1 | 62.9 | 41.9 | 57.2 | 401 | 1 | 90791 90832 90834 90837 | $190K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 28.6 | 45.8 | 30.5 | 45.0 | 292 | 1 | 90832 90837 | $144K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 30.7 | 41.2 | 27.5 | 37.0 | 276 | 1 | 90791 90837 | $158K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 26.2 | 34.6 | 23.1 | 31.9 | 245 | 1 | 90791 90837 | $125K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MIRANDA FURIE, L.C.S.W. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | January 30, 2007, last updated March 25, 2021 |
| Practice location | 3274 DENVER AVE APT 2, Merced, CA 95348-1646, 510-778-4254 |
| Specialties | Social Worker (104100000X) Social Worker, Clinical (1041C0700X, primary, license 67600 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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $6.7M | 88% | $546 | $191 (top 5% from $442) | 97th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $795K | 10% | $329 | $105 (top 5% from $228) | 98th percentile | |
| 90832 | Psychotherapy, 30 minutes | $89K | 1% | $123 | $59 (top 5% from $239) | 86th percentile | |
| 90834 | Psychotherapy, 45 minutes | $55K | 1% | $136 | $101 (top 5% from $318) | 67th percentile |
In this area
23 providers in Merced County, CA carry an indicator in the public record, with $22.6M at stake between them. The most common is more hours than a day holds, on 20 of them, followed by part of a provider network on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | RODOLFO GARCIA Los Banos, CA, ranked 425 | $288 |
|
| 3 | BRISTOL HOSPICE - CALIFORNIA, LLC Merced, CA, ranked 1211 | $338K |
|
| 3 | AVALON CARE CENTER-MERCED FRANCISCAN LLC Merced, CA, ranked 4649 | $0 |
|
| 4 | PRIYANKA JAIN Merced, CA, ranked 7905 | $634K |
|
| 4 | ABHILASHA SHARMA Merced, CA, ranked 7961 | $423K |
|
| 4 | KARTHIKEYA DEVIREDDY Los Banos, CA, ranked 8509 | $3.4M |
|
| 4 | GEORGE ALKHOURI Merced, CA, ranked 8725 | $2.0M |
|
| 4 | ELLEN PIERNOT Merced, CA, ranked 8971 | $1.0M |
|
Recent enforcement in CA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyAug 27, 2026
Anaheim Woman Pleads Guilty to Submitting More Than $2.2 Million in Fraudulent Hospice Care Claims to Medicare
Galbraith submitted approximately $2,266,694 in claims to Medicare for hospice services for beneficiaries who did not have a terminal illness with a life expectancy of six months or less, and Medicare paid her company approximately $2,140,606.
DOJCivil settlementAug 26, 2026
DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests
DermTech Inc. submitted claims to Medicare for skin cancer tests conducted with an unvalidated positive control range and for tests lacking sufficient patient RNA, and did not retract results or adequately refund Medicare.
DOJCivil settlementAug 26, 2026
DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests
DermTech Inc. billed Medicare for skin cancer tests conducted using an unvalidated positive control range and for tests with insufficient patient RNA, and did not retract the results or adequately refund Medicare.
DOJCivil settlementAug 24, 2026
Medicare Advantage Provider Monogram Health Agrees to Pay $2.4 Million to Settle False Claims Act Lawsuit
Monogram knowingly submitted diagnosis codes in four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to Medicare Advantage Organizations.
DOJCivil settlementAug 24, 2026
Medicare Advantage Provider Monogram Health Agrees to Pay $2.4M to Settle False Claims Act Suit
Monogram Health knowingly submitted diagnosis codes within four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to MAOs.
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.