ROGER W PERRY, PHD
NPI 1942491832, individual, Indianapolis, IN, Psychologist
- Hours beyond a day in 83 months, but with up to 1164 patients a month across 6 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 68% of Medicaid dollars are on codes with a history of abuse.
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 | 58.9 | 71.7 | 47.8 | 64.5 | 358 | 2 | 90834 90837 | $142K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 61.0 | 75.0 | 50.0 | 70.0 | 346 | 2 | 90834 90837 | $134K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 63.1 | 77.7 | 51.8 | 73.0 | 375 | 2 | 90834 90837 | $154K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 65.0 | 79.6 | 53.1 | 75.8 | 408 | 2 | 90834 90837 | $151K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 76.3 | 92.1 | 61.4 | 82.8 | 444 | 2 | 90834 90837 | $181K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 59.9 | 74.2 | 49.4 | 70.6 | 429 | 2 | 90834 90837 | $142K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 66.2 | 82.2 | 54.8 | 77.3 | 430 | 2 | 90834 90837 90853 | $164K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 67.5 | 83.9 | 55.9 | 75.4 | 469 | 3 | 90834 90837 | $165K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 47.5 | 60.3 | 40.2 | 60.3 | 356 | 3 | 90834 90837 | $113K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 49.1 | 62.8 | 41.8 | 56.4 | 319 | 3 | 90834 90837 | $121K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 54.5 | 64.2 | 42.8 | 58.4 | 377 | 3 | 90834 90837 | $119K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 64.9 | 75.2 | 50.1 | 74.0 | 495 | 3 | 90834 90837 | $147K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 71.6 | 68.1 | 45.4 | 61.2 | 454 | 3 | 90834 90837 | $149K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 74.6 | 68.6 | 45.8 | 64.1 | 413 | 3 | 90834 90837 | $134K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 58.6 | 64.4 | 42.9 | 63.4 | 410 | 3 | 90834 90837 | $140K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 66.2 | 72.7 | 48.5 | 66.1 | 417 | 3 | 90834 90837 | $152K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 65.3 | 70.7 | 47.1 | 63.5 | 395 | 3 | 90834 90837 | $153K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 50.3 | 54.4 | 36.3 | 54.4 | 444 | 3 | 90834 90837 90847 | $116K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 57.2 | 60.3 | 40.2 | 54.2 | 363 | 3 | 90834 90837 90847 | $133K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 58.3 | 61.5 | 41.0 | 57.7 | 458 | 4 | 90834 90837 90847 | $134K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 47.4 | 47.7 | 31.8 | 45.5 | 378 | 3 | 90834 90837 90847 | $97K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 49.0 | 44.0 | 29.3 | 39.5 | 444 | 4 | 90791 90834 90837 90847 | $92K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 63.5 | 48.6 | 32.4 | 46.3 | 549 | 5 | 90791 90834 90837 90853 | $100K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 63.6 | 55.6 | 37.0 | 52.2 | 663 | 5 | 90791 90834 90837 90853 | $121K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 62.8 | 61.3 | 40.8 | 54.6 | 676 | 4 | 90791 90834 90837 H0038 | $141K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 75.2 | 65.1 | 43.4 | 62.3 | 749 | 5 | 90791 90834 90837 90853 H0038 | $140K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 57.1 | 55.2 | 36.8 | 51.8 | 697 | 6 | 90791 90834 90837 90853 | $129K |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 59.5 | 54.4 | 36.3 | 49.5 | 686 | 5 | 90791 90834 90837 | $125K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 54.8 | 53.4 | 35.6 | 52.5 | 700 | 5 | 90791 90834 90837 | $127K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 59.7 | 60.3 | 40.2 | 54.8 | 734 | 5 | 90791 90834 90837 | $139K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 72.0 | 69.5 | 46.4 | 62.5 | 767 | 5 | 90791 90834 90837 | $165K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 61.8 | 57.7 | 38.5 | 56.8 | 701 | 4 | 90791 90834 90837 | $136K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 60.5 | 59.6 | 39.7 | 54.1 | 744 | 5 | 90791 90832 90834 90837 | $136K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 60.1 | 59.5 | 39.6 | 55.9 | 764 | 5 | 90791 90832 90834 90837 | $140K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 59.1 | 61.5 | 41.0 | 58.5 | 796 | 5 | 90791 90832 90834 90837 | $140K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 59.8 | 61.3 | 40.8 | 55.0 | 796 | 5 | 90791 90832 90834 90837 | $145K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 50.6 | 53.9 | 35.9 | 53.0 | 759 | 5 | 90791 90834 90837 | $133K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 40.7 | 42.3 | 28.2 | 39.4 | 749 | 5 | 90791 90834 90837 | $97K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 45.0 | 45.7 | 30.5 | 41.0 | 722 | 4 | 90791 90834 90837 | $116K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 36.9 | 38.7 | 25.8 | 35.2 | 606 | 4 | 90791 90834 90837 | $95K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 36.4 | 37.4 | 25.0 | 36.8 | 709 | 4 | 90791 90834 90837 90847 | $95K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 41.9 | 44.4 | 29.6 | 40.4 | 742 | 4 | 90791 90834 90837 90847 | $109K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 42.3 | 44.6 | 29.7 | 41.9 | 777 | 5 | 90791 90834 90837 | $112K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 43.4 | 44.3 | 29.6 | 41.6 | 803 | 5 | 90791 90834 90837 | $111K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 42.2 | 45.9 | 30.6 | 41.8 | 804 | 5 | 90791 90834 90837 | $111K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 45.8 | 44.5 | 29.7 | 43.8 | 771 | 5 | 90791 90834 90837 | $112K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 50.5 | 40.4 | 27.0 | 36.8 | 1077 | 6 | 90791 90834 90837 90847 | $94K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 58.7 | 44.3 | 29.6 | 39.8 | 924 | 5 | 90791 90834 90837 90847 | $111K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 62.8 | 52.4 | 35.0 | 51.6 | 959 | 6 | 90791 90834 90837 | $129K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 49.8 | 53.4 | 35.6 | 49.9 | 972 | 5 | 90791 90834 90837 | $117K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 49.0 | 51.5 | 34.3 | 46.2 | 1034 | 5 | 90791 90834 90837 90847 | $125K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 54.9 | 51.4 | 34.3 | 49.0 | 1031 | 6 | 90791 90834 90837 90847 | $120K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 44.6 | 46.4 | 30.9 | 43.6 | 1006 | 5 | 90791 90834 90837 | $111K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 46.4 | 50.1 | 33.4 | 45.5 | 1018 | 4 | 90791 90834 90837 | $115K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 38.3 | 44.8 | 29.9 | 44.1 | 955 | 5 | 90791 90834 90837 90847 | $99K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 38.1 | 44.2 | 29.5 | 39.7 | 933 | 4 | 90791 90834 90837 | $98K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 40.8 | 49.2 | 32.8 | 44.7 | 972 | 5 | 90791 90834 90837 | $107K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 38.8 | 46.7 | 31.1 | 46.0 | 976 | 5 | 90791 90834 90837 | $106K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 45.5 | 51.6 | 34.4 | 47.0 | 1009 | 5 | 90791 90834 90837 90847 | $114K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 44.2 | 53.3 | 35.5 | 50.1 | 1010 | 5 | 90791 90834 90837 | $122K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 49.6 | 57.9 | 38.6 | 54.4 | 1148 | 5 | 90791 90834 90837 | $132K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 45.7 | 56.6 | 37.7 | 52.8 | 1085 | 5 | 90791 90834 90837 90847 | $117K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 49.3 | 59.8 | 39.9 | 53.7 | 1141 | 4 | 90791 90834 90837 90847 | $138K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 46.1 | 54.8 | 36.5 | 54.8 | 1067 | 3 | 90791 90834 90837 90847 | $121K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 54.2 | 59.8 | 39.8 | 53.7 | 1112 | 2 | 90791 90834 90837 | $135K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 41.8 | 50.7 | 33.8 | 46.1 | 1059 | 2 | 90791 90834 90837 | $112K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 41.3 | 49.2 | 32.8 | 48.5 | 1092 | 2 | 90791 90834 90837 | $112K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 45.8 | 55.1 | 36.7 | 49.5 | 1164 | 2 | 90791 90834 90837 | $126K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 46.8 | 54.8 | 36.5 | 52.2 | 1055 | 2 | 90791 90834 90837 | $122K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 49.6 | 51.9 | 34.6 | 48.7 | 1112 | 2 | 90791 90834 90837 | $120K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 50.5 | 55.6 | 37.1 | 50.6 | 1084 | 3 | 90791 90834 90837 | $125K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 40.5 | 48.3 | 32.2 | 47.6 | 1050 | 2 | 90791 90834 90837 | $111K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 33.5 | 31.7 | 21.1 | 28.4 | 850 | 2 | 90791 90834 90837 | $86K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 36.4 | 36.6 | 24.4 | 33.7 | 862 | 2 | 90791 90834 90837 | $94K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 49.5 | 38.4 | 25.6 | 37.7 | 972 | 2 | 90791 90834 90837 | $105K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 67.6 | 35.5 | 23.7 | 32.3 | 952 | 1 | 90791 90834 90837 | $92K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 81.7 | 32.9 | 21.9 | 29.6 | 949 | 1 | 90791 90834 90837 | $88K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 61.1 | 29.7 | 19.8 | 29.7 | 916 | 1 | 90791 90834 90837 | $77K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 30.2 | 26.1 | 17.4 | 23.4 | 850 | 1 | 90791 90834 90837 | $70K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 27.5 | 26.4 | 17.6 | 24.8 | 855 | 1 | 90791 90834 90837 | $70K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 26.3 | 25.2 | 16.8 | 24.0 | 820 | 1 | 90791 90834 90837 | $65K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 29.2 | 28.3 | 18.8 | 25.4 | 844 | 1 | 90791 90834 90837 | $75K |
| Nov 2024 | More hours than a day holds, even counting one unit per claim line | 28.1 | 28.2 | 18.8 | 26.8 | 837 | 1 | 90791 90834 90837 | $72K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ROGER W PERRY, PHD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | August 6, 2007, last updated August 6, 2007 |
| Practice location | 546 E 17TH ST, Indianapolis, IN 46202-1702, 317-536-1225 |
| Mailing address | 9959 PARKWAY DR, Fishers, IN 46037-9332 |
| Specialties | Psychologist (103T00000X, primary, license 20040411A 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 | $6.8M | 68% | $181 | $191 (top 5% from $442) | 46th percentile | |
| 90834 | Psychotherapy, 45 minutes | $2.8M | 28% | $118 | $101 (top 5% from $318) | 59th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $345K | 3% | $104 | $105 (top 5% from $228) | 49th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $68K | 1% | $272 | $130 (top 5% from $458) | 86th percentile | |
| 90832 | Psychotherapy, 30 minutes | $4K | 0% | $40 | $59 (top 5% from $239) | too few months to rank | |
| 90853 | Group psychotherapyhistory of abuse | $3K | 0% | $41 | $60 (top 5% from $332) | too few months to rank | |
| H0038 | Self-help/peer services per 15 min | $1K | 0% | $39 | $147 (top 5% from $2K) | too few months to rank | |
| 98960 | Medicaid service code | $139 | 0% | $9.94 | $0.86 (top 5% from $182) | 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 | 160 | 44 | $12K | $148 | $107 | 1.4x | 1.6x (90th percentile 2.9x) |
| 90834 | Psychotherapy, 45 minutes | 153 | 39 | $8K | $130 | $74 | 1.8x | 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
59 providers in Marion County, IN carry an indicator in the public record, with $289.3M at stake between them. The most common is more hours than a day holds, on 50 of them, followed by part of a provider network on 9.
| tier | provider | at stake | why |
|---|---|---|---|
| 2 | BRIAN GRANT Indianapolis, IN, ranked 716 | $703K |
|
| 3 | UNION HEALTHCARE SERVICES INC Indianapolis, IN, ranked 1146 | $506K |
|
| 3 | TRANSITIONS INDIANA, LLC Indianapolis, IN, ranked 1379 | $77K |
|
| 3 | CARE PLUS HOMEHEALTH CARE, LLC Indianapolis, IN, ranked 1432 | $45K |
|
| 3 | AFFINITY CARE OF INDIANA LLC Indianapolis, IN, ranked 1592 | $5K |
|
| 3 | TRADITIONS HOSPICE OF INDIANAPOLIS, LLC Indianapolis, IN, ranked 2726 | $0 |
|
| 3 | REHAB MANAGEMENT GROUP, LLC Indianapolis, IN, ranked 3615 | $0 |
|
| 3 | PULASKI MEMORIAL HOSPITAL Indianapolis, IN, ranked 4267 | $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.