VERITY
Providers

TWANA CHANTEL MILLER, LCSW

NPI 1912248212, individual, Jackson, TN, Social Worker, Clinical

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 25 months under one organization, which can be supervisory billing.
  • Records needed.
  • 85% of Medicaid dollars are on codes with a history of abuse.
score 53 of 100, rank 8173, $1.2M 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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Apr 2020More hours than a day holds, even counting one unit per claim line34.520.713.818.8285290791 90837$47K
May 2020More hours than a day holds, even counting one unit per claim line26.018.412.318.1268290791 90837$43K
Jun 2020More hours than a day holds, even counting one unit per claim line33.424.616.422.3308290791 90832 90837$55K
Jul 2020More hours than a day holds, even counting one unit per claim line31.723.615.721.2335290791 90832 90834 90837$55K
Aug 2020More hours than a day holds, even counting one unit per claim line25.517.111.416.9316290791 90837 90847$40K
Sep 2020More hours than a day holds, even counting one unit per claim line27.320.113.418.3400290791 90837 90847$46K
Oct 2020More hours than a day holds, even counting one unit per claim line29.418.812.617.7410290791 90837 90847$45K
Nov 2020More hours than a day holds, even counting one unit per claim line24.915.310.214.6368290791 90837 90847$35K
Mar 2022More hours than a day holds, even counting one unit per claim line26.316.711.215.0372290791 90834 90837$40K
Apr 2022More hours than a day holds, even counting one unit per claim line25.015.710.514.9333290791 90834 90837$36K
May 2022More hours than a day holds, even counting one unit per claim line26.812.78.512.0305290791 90834 90837$30K
Jun 2022More hours than a day holds, even counting one unit per claim line32.613.48.912.2293290791 90837 90853$31K
Jul 2022More hours than a day holds, even counting one unit per claim line32.112.98.612.7333290791 90837 90853$31K
Aug 2022More hours than a day holds, even counting one unit per claim line40.416.210.814.6352290791 90837 90853$39K
Sep 2022More hours than a day holds, even counting one unit per claim line35.214.910.013.6325290791 90837$34K
Oct 2022More hours than a day holds, even counting one unit per claim line31.014.89.914.6328290791 90837 90853$35K
Nov 2022More hours than a day holds, even counting one unit per claim line30.114.79.813.3299290791 90837$34K
Dec 2022More hours than a day holds, even counting one unit per claim line26.514.09.313.2312290791 90837 90853$33K
Jan 2023More hours than a day holds, even counting one unit per claim line34.119.613.018.4398290791 90837 90853$46K
Feb 2023More hours than a day holds, even counting one unit per claim line26.518.312.217.1295190791 90837 90853$39K
Mar 2023More hours than a day holds, even counting one unit per claim line24.616.310.914.6278190791 90837$38K
Aug 2023More hours than a day holds, even counting one unit per claim line26.611.37.610.2178190791 90837$27K
Sep 2023More hours than a day holds, even counting one unit per claim line30.312.88.612.2195190791 90837$29K
Oct 2023More hours than a day holds, even counting one unit per claim line24.712.28.111.5186190791 90837$29K
Feb 2024More hours than a day holds, even counting one unit per claim line24.58.95.98.2181190791 90837$23K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameTWANA CHANTEL MILLER, LCSW
TypeIndividual
StatusActive
NPI issuedMarch 12, 2013, last updated March 12, 2013
Practice location1804 HIGHWAY 45 BYP STE 604, Jackson, TN 38305-4403, 731-512-1571
Mailing address238 SUMMAR DR, Jackson, TN 38301-3906
Specialties
Social Worker, Clinical (1041C0700X, primary, license 5630 TN)

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
codewhat it ispaidshareper patient-monthtypicalrank among providers
90837Psychotherapy, 1 hourhistory of abuse$1.5M85%$124$191 (top 5% from $442)20th percentile
90791Psychiatric diagnostic evaluation$110K6%$51$105 (top 5% from $228)18th percentile
90834Psychotherapy, 45 minutes$102K6%$72$101 (top 5% from $318)30th percentile
90832Psychotherapy, 30 minutes$21K1%$45$59 (top 5% from $239)36th percentile
90847Family psychotherapy with patient, 50 minutes$12K1%$59$130 (top 5% from $458)10th percentile
90846Family psychotherapy without patient, 50 minutes$10K1%$36$113 (top 5% from $277)6th percentile
96127Assessment of emotional or behavioral problems$2K0%$2.27$4.12 (top 5% from $19)28th percentile
90853Group psychotherapyhistory of abuse$1K0%$15$60 (top 5% from $332)13th percentile
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
90837Psychotherapy, 1 hour61835$50K$125$1051.2x1.6x (90th percentile 2.9x)
90791Psychiatric diagnostic evaluation2222$2K$175$1181.5x1.9x (90th percentile 3.6x)

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

5 providers in Madison County, TN carry an indicator in the public record, with $2.0M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by paid after a public list action on 2. 2 are tier 1: documented action, then payment.

tierproviderat stakewhy
1ALEXANDER ALPEROVICH
Jackson, TN, ranked 269
$12K
  • Listed on the Medicare revocation list since May 20, 2021.
  • Medicaid still paid claims in 20 later months, $12,483 in total.
1ADVANCED CARDIOVASCULAR & VEIN CENTER
Jackson, TN, ranked 387
$1K
  • Listed on the Medicare revocation list since May 20, 2021.
  • Medicaid still paid claims in 5 later months, $1,200 in total.
4JAMES JONES
Jackson, TN, ranked 8973
$1.0M
  • Hours beyond a day in 2 months, but with up to 388 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4KIMBERLY BEARE
Jackson, TN, ranked 9194
$533K
  • Hours beyond a day in 6 months under one organization, which can be supervisory billing.
  • Records needed.
4STEPHEN COLLIER
Jackson, TN, ranked 9234
$461K
  • Hours beyond a day in 3 months under one organization, which can be supervisory billing.
  • Records needed.

Recent enforcement in TN

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementAug 10, 2026
Celina Pharmacy Owner/Two Pharmacies Agree to Pay $450,000 & Receive Ban on Handling Controlled Substances
The defendants knowingly dispensed controlled substances without valid prescriptions and outside the usual course of professional pharmacy practice, and falsely billed Medicare for prescriptions that were not medically necessary or otherwise eligible for reimbursement.
DOJSentencedJul 8, 2026
Memphis Gynecologist Sentenced to 20 Years in Prison for Adulterating Medical Devices and Health Care Fraud
Kumar used adulterated and unlabeled single-use and improperly reprocessed reusable hysteroscopy devices in more than 15,000 hysteroscopy with biopsy procedures and billed Medicare and Medicaid for the procedures.
DOJSentencedJun 24, 2026
Celina Pharmacy Owner Sentenced for Opioid Distribution/Health Care Fraud
The majority owner of two pharmacies conspired to unlawfully dispense controlled substances despite red flags of abuse and diversion, submitted false claims to Medicare Part D and TennCare, and paid patient co-payments, cash, and "Monkey Bucks" to increase prescription volume.
DOJChargedJun 23, 2026
Clarksville Physician Charged with Health Care Fraud Related to Controlled Substance Prescribing Scheme
Aquino owned and operated North Clarksville Medical Center and for more than five years prescribed medically unnecessary controlled substances, totaling more than 1.08 million pills and doses, that were not issued for a legitimate medical purpose in the usual course of professional practice, causing losses of approximately $335,621.73 to health care benefit programs.
DOJIndictedJun 23, 2026
Gordonsville Physician Indicted on Health Care Fraud and Controlled Substance Charges
Moss owned and operated Gordonsville Clinic and prescribed medically unnecessary controlled substances, totaling more than 5.6 million pills and doses over more than eight years, that were not issued for a legitimate medical purpose in the usual course of professional practice.

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.

Ask this case

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