Providers
DAVID LEE FRANZ, LCSW
NPI 1942398060, individual, Cleveland, TN, Social Worker, Clinical
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 53 months, but with up to 1508 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 52 of 100, rank 8487, $3.6M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 32.6 | 27.1 | 18.1 | 24.4 | 1158 | 1 | 90791 90832 90834 90847 90853 | $67K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 39.1 | 31.7 | 21.1 | 29.5 | 1243 | 1 | 90791 90832 90834 90837 90847 | $71K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 42.2 | 34.5 | 23.0 | 32.4 | 1479 | 1 | 90791 90832 90834 90847 | $85K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 42.5 | 34.5 | 23.0 | 32.8 | 1468 | 1 | 90791 90832 90834 90847 90853 | $82K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 40.5 | 32.1 | 21.4 | 28.8 | 1405 | 1 | 90791 90832 90834 90847 | $79K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 39.1 | 31.0 | 20.7 | 29.5 | 1339 | 1 | 90791 90832 90834 90837 90847 | $74K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 36.6 | 26.5 | 17.7 | 24.9 | 1234 | 1 | 90791 90832 90834 90837 90847 | $65K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 38.3 | 28.0 | 18.6 | 25.1 | 1298 | 1 | 90791 90832 90834 90837 90847 | $69K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 38.1 | 25.0 | 16.6 | 25.0 | 1223 | 1 | 90791 90832 90834 90847 90853 | $59K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 40.3 | 30.2 | 20.2 | 27.2 | 1443 | 1 | 90791 90832 90834 90837 90847 90853 | $74K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 32.1 | 25.3 | 16.9 | 23.0 | 1190 | 1 | 90791 90832 90834 90837 90847 90853 | $60K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 28.3 | 22.0 | 14.6 | 21.6 | 1053 | 1 | 90791 90832 90834 90847 90853 | $54K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 37.1 | 22.8 | 15.2 | 20.5 | 1324 | 1 | 90791 90832 90834 90837 90847 90853 | $62K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 36.9 | 22.2 | 14.8 | 20.7 | 1166 | 1 | 90791 90832 90834 90837 90847 90853 | $54K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 35.0 | 21.5 | 14.3 | 21.1 | 1246 | 1 | 90791 90832 90834 90847 90853 | $58K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 38.9 | 24.0 | 16.0 | 21.9 | 1355 | 1 | 90791 90832 90834 90847 90853 | $63K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 43.4 | 26.0 | 17.3 | 23.4 | 1508 | 1 | 90791 90832 90834 90837 90847 90853 | $71K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 40.3 | 24.6 | 16.4 | 24.6 | 1386 | 1 | 90791 90832 90834 90837 90847 90853 | $64K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 25.6 | 14.8 | 9.9 | 13.3 | 916 | 1 | 90791 90832 90834 90853 | $40K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 28.4 | 16.4 | 10.9 | 15.4 | 975 | 1 | 90791 90832 90834 90853 | $44K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 28.3 | 16.4 | 11.0 | 15.7 | 957 | 1 | 90791 90832 90834 90853 | $43K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 29.5 | 17.0 | 11.3 | 15.3 | 1038 | 1 | 90791 90832 90834 90853 | $46K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 26.3 | 15.9 | 10.6 | 15.2 | 976 | 1 | 90791 90832 90834 90853 | $41K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 33.8 | 19.3 | 12.8 | 17.3 | 1143 | 1 | 90791 90832 90833 90834 90836 90837 90847 90853 | $52K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 27.7 | 15.8 | 10.6 | 15.3 | 955 | 1 | 90791 90832 90834 90853 | $40K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 24.9 | 14.6 | 9.7 | 14.3 | 870 | 1 | 90791 90832 90834 | $38K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 40.0 | 23.5 | 15.7 | 21.3 | 1086 | 1 | 90791 90832 90834 | $59K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 25.8 | 15.2 | 10.1 | 13.8 | 991 | 1 | 90791 90832 90834 | $38K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 31.8 | 18.6 | 12.4 | 17.5 | 1178 | 1 | 90791 90832 90833 90834 | $49K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 31.8 | 17.4 | 11.6 | 16.6 | 1131 | 1 | 90791 90832 90834 90847 90853 | $44K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 28.3 | 17.1 | 11.4 | 15.4 | 1143 | 1 | 90791 90832 90834 90847 90853 | $45K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 32.8 | 20.6 | 13.8 | 20.3 | 1307 | 1 | 90791 90832 90834 90847 | $54K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 33.7 | 21.5 | 14.4 | 20.1 | 1226 | 1 | 90791 90832 90834 90847 | $50K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 35.6 | 21.5 | 14.3 | 19.3 | 1379 | 1 | 90791 90832 90834 | $55K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 37.5 | 20.0 | 13.3 | 18.2 | 1313 | 1 | 90791 90832 90834 90837 | $50K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 30.1 | 15.8 | 10.5 | 15.5 | 1065 | 1 | 90791 90832 90834 | $41K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 30.3 | 17.5 | 11.6 | 15.9 | 1142 | 1 | 90791 90832 90834 | $44K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 27.4 | 16.4 | 11.0 | 15.4 | 1047 | 1 | 90791 90832 90834 | $43K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 28.1 | 16.1 | 10.8 | 14.7 | 1027 | 1 | 90791 90832 90834 | $41K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 25.1 | 15.2 | 10.1 | 14.9 | 963 | 1 | 90791 90832 90834 | $40K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 24.6 | 16.9 | 11.3 | 15.2 | 437 | 1 | 90791 90832 90834 90837 | $46K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 30.3 | 19.9 | 13.3 | 19.6 | 498 | 1 | 90791 90832 90834 90837 | $54K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 37.3 | 18.8 | 12.6 | 17.1 | 515 | 1 | 90791 90832 90834 90837 | $49K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 33.8 | 16.8 | 11.2 | 15.8 | 505 | 1 | 90791 90832 90834 90837 | $45K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 42.3 | 22.6 | 15.0 | 21.2 | 665 | 1 | 90791 90832 90834 | $62K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 36.0 | 21.6 | 14.4 | 20.1 | 588 | 1 | 90791 90832 90834 | $54K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 29.2 | 20.7 | 13.8 | 20.4 | 635 | 1 | 90791 90832 90834 90853 | $57K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 34.5 | 24.7 | 16.5 | 22.2 | 719 | 1 | 90791 90832 90834 90853 | $68K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 27.2 | 20.0 | 13.4 | 19.1 | 580 | 1 | 90791 90832 90834 90853 | $54K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 28.4 | 21.2 | 14.1 | 19.9 | 579 | 1 | 90791 90832 90834 | $58K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 28.4 | 21.3 | 14.2 | 19.4 | 589 | 1 | 90791 90832 90834 | $57K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 24.2 | 18.9 | 12.6 | 17.0 | 538 | 1 | 90791 90832 90834 | $53K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 37.7 | 28.0 | 18.7 | 25.8 | 783 | 1 | 90791 90832 90834 | $73K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DAVID LEE FRANZ, LCSW |
| Type | Individual |
| Status | Active |
| NPI issued | October 11, 2006, last updated July 8, 2007 |
| Practice location | 1855 EXECUTIVE PARK NW, Cleveland, TN 37312-2735, 423-479-5454 |
| Mailing address | 118 N CHURCH ST, Murfreesboro, TN 37130-3636 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license 1082 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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $1.3M | 33% | $55 | $101 (top 5% from $318) | 22nd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $1.3M | 32% | $79 | $105 (top 5% from $228) | 30th percentile | |
| 90832 | Psychotherapy, 30 minutes | $1.2M | 30% | $38 | $59 (top 5% from $239) | 30th percentile | |
| S0280 | Medicaid service code | $83K | 2% | $78 | $55 (top 5% from $345) | 61st percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $60K | 2% | $89 | $130 (top 5% from $458) | 25th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $23K | 1% | $79 | $191 (top 5% from $442) | 10th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $21K | 1% | $29 | $60 (top 5% from $332) | 23rd percentile | |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | $301 | 0% | $23 | $72 (top 5% from $190) | too few months to rank |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 200 | 72 | $7K | $76 | $55 | 1.4x | 2.0x (90th percentile 3.5x) |
| 90791 | Psychiatric diagnostic evaluation | 48 | 48 | $4K | $143 | $117 | 1.2x | 1.9x (90th percentile 3.6x) |
| 90834 | Psychotherapy, 45 minutes | 37 | 19 | $2K | $97 | $73 | 1.3x | 2.0x (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
6 providers in Bradley County, TN carry an indicator in the public record, with $12.5M at stake between them. The most common is more hours than a day holds, on 6 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | CRYSTAL CRUMLEY Cleveland, TN, ranked 8361 | $6.3M |
|
| 4 | JAMES LEWICKI Cleveland, TN, ranked 8594 | $2.8M |
|
| 4 | CHRISTIAN HUGHES Cleveland, TN, ranked 8753 | $1.9M |
|
| 4 | REBA TERRY Cleveland, TN, ranked 8940 | $1.2M |
|
| 4 | DAVID WEBB Cleveland, TN, ranked 9400 | $262K |
|
| 5 | MEGAN GODBEE Cleveland, TN, ranked 11638 | $94K |
Recent enforcement in TN
All releasesDepartment 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.