Providers

BETHANY MORGAN FERGUSON, LCSW

NPI 1932589413, individual, Wheat Ridge, CO, Social Worker, Clinical

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • 77% of Medicaid dollars are on codes with a history of abuse.
score 52 of 100, rank 8255, $283K 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
Oct 2022More hours than a day holds, even counting one unit per claim line24.331.320.830.8129190791 90832 90834 90837$91K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameBETHANY MORGAN FERGUSON, LCSW
TypeIndividual
StatusActive
NPI issuedJune 1, 2015, last updated March 17, 2025
Practice location4851 INDEPENDENCE ST STE 100, Wheat Ridge, CO 80033, 303-425-0300
Mailing address10465 MELODY DR, Northglenn, CO 80234-4119
Specialties
Social Worker, Clinical (1041C0700X, primary, license 20827 MD)

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$630K77%$407$191 (top 5% from $442)94th percentile
90834Psychotherapy, 45 minutes$113K14%$176$101 (top 5% from $318)79th percentile
90832Psychotherapy, 30 minutes$40K5%$108$59 (top 5% from $239)83rd percentile
90847Family psychotherapy with patient, 50 minutes$17K2%$115$130 (top 5% from $458)42nd percentile
90791Psychiatric diagnostic evaluation$12K2%$248$105 (top 5% from $228)too few months to rank
H0004Behavioral health counseling and therapy per 15 minhistory of abuse$2K0%$40$174 (top 5% from $559)too few months to rank

In this area

9 providers in Jefferson County, CO carry an indicator in the public record, with $4.7M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by part of a provider network on 3. 2 are tier 1: documented action, then payment.

tierproviderat stakewhy
1ALISON BARTON
Littleton, CO, ranked 176
$58K
  • Listed on the CA Medicaid exclusion list since February 8, 2023.
  • Medicaid still paid claims in 6 later months, $58,320 in total.
1VEENA MATHAD
Arvada, CO, ranked 248
$19K
  • Listed on the CO Medicaid exclusion list since October 21, 2020.
  • Medicaid still paid claims in 2 later months, $18,989 in total.
3PERSONAL ASSISTANCE SERVICES OF COLORADO, LLC
Lakewood, CO, ranked 1712
$0
  • Part of provider network D1-00115, ranked 115 nationally.
  • 100% of Medicaid dollars are on codes with a history of abuse.
3COVENANT LIVING OF COLORADO
Westminster, CO, ranked 3889
$0
  • Part of provider network D1-00075, ranked 75 nationally.
3ELEVATION HOSPICE OF COLORADO, LLC
Arvada, CO, ranked 7074
$0
  • Part of provider network D1-00137, ranked 137 nationally.
4ERICA JOHNSON
Lakewood, CO, ranked 7311
$1.7M
  • Hours beyond a day in 4 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 2 more
4CHRISTINA MURPHY
Arvada, CO, ranked 8174
$1.2M
  • Hours beyond a day in 4 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
4MANDY VIGIL
Lakewood, CO, ranked 8186
$998K
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
All 9 in CO

Recent enforcement in CO

All releases

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

DOJIndictedJun 23, 2026
Colorado Man Charged In Medicaid Fraud Scheme Connected To Arapahoe County Adult Daycare
Omer offered three $500 kickback payments in exchange for referrals of Medicaid beneficiaries for adult daycare, and $10,000 in other kickback payments described as marketing expenses or office supply, to induce beneficiaries to attend Nadina Adult Daycare Center.
DOJCivil settlementNov 24, 2025
Southern Colorado Hospital and Doctors Agree to Pay $650,000 to Resolve Allegations That They Unlawfully Prescribed Opioids and Other Controlled Substances
Three physicians employed by Mt. San Rafael Hospital allegedly issued invalid prescriptions for controlled substances including opioids not for a legitimate medical purpose or outside the usual course of professional practice, and caused claims for those prescriptions to be submitted to Medicare and other federal health care programs.
DOJCivil settlementDec 3, 2024
$2 Million Resolves Kickback Allegations Relating to Denver Neuromonitoring Company
Assure paid remuneration to surgeons through joint venture companies to induce them to order intraoperative neuromonitoring services, resulting in claims submitted to federally funded healthcare programs.
DOJIndictedSep 24, 2024
Seven People Charged With Over $40 Million In Medicare And Medicaid Fraud
Defendants, through genetic testing laboratories they owned and operated, paid kickbacks and bribes to marketing companies for referrals for medically unnecessary genetic testing, resulting in more than $40 million in false and fraudulent claims paid by Medicare and Colorado Medicaid, and three defendants laundered the proceeds.

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.

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