Providers
All 13 in TN
MELANIE MADISON DAUGHERTY, LCSW
NPI 1952430571, individual, Clarksville, TN, Social Worker, Clinical
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 31 months, but with up to 723 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 8395, $5.3M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 32.7 | 29.5 | 19.7 | 27.7 | 486 | 1 | 90791 90832 90834 90837 90846 | $55K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 24.9 | 43.4 | 28.9 | 39.4 | 578 | 1 | 90791 90832 90834 90837 90846 | $78K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 24.7 | 36.2 | 24.2 | 35.7 | 516 | 1 | 90791 90832 90834 90837 | $67K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 34.8 | 44.5 | 29.7 | 40.4 | 570 | 1 | 90791 90832 90834 90837 90846 | $80K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 29.9 | 33.8 | 22.6 | 30.4 | 570 | 1 | 90791 90832 90834 90837 | $63K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 27.6 | 47.7 | 31.8 | 44.5 | 608 | 1 | 90791 90832 90834 90837 | $82K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 25.7 | 42.7 | 28.5 | 38.4 | 659 | 1 | 90791 90832 90834 90837 90846 90847 | $82K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 25.9 | 43.7 | 29.2 | 41.7 | 654 | 1 | 90791 90832 90834 90837 90846 | $81K |
| May 2022 | More hours than a day holds at a conservative unit price | 21.4 | 38.2 | 25.5 | 35.9 | 587 | 1 | 90791 90832 90834 90837 | $72K |
| Jul 2022 | More hours than a day holds at a conservative unit price | 19.9 | 39.4 | 26.3 | 38.8 | 295 | 1 | 90791 90832 90834 90837 | $75K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 42.7 | 80.0 | 53.3 | 71.9 | 552 | 1 | 90791 90832 90834 90837 90846 | $154K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 57.5 | 108.2 | 72.1 | 98.4 | 645 | 1 | 90791 90832 90834 90837 90846 | $201K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 49.4 | 92.1 | 61.4 | 90.7 | 675 | 1 | 90791 90832 90834 90837 90846 90847 | $177K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 53.1 | 100.1 | 66.7 | 91.0 | 652 | 1 | 90791 90832 90834 90837 90846 | $184K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 30.1 | 56.7 | 37.8 | 53.3 | 524 | 1 | 90791 90832 90834 90837 90846 | $109K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 37.7 | 69.0 | 46.0 | 64.8 | 645 | 1 | 90791 90832 90834 90837 90846 90847 | $135K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 38.4 | 72.8 | 48.5 | 68.0 | 663 | 1 | 90791 90832 90834 90837 90846 90847 | $129K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 28.6 | 51.3 | 34.2 | 46.1 | 723 | 1 | 90791 90832 90834 90837 90846 90847 | $102K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 36.5 | 46.4 | 30.9 | 46.4 | 595 | 1 | 90791 90832 90834 90837 90846 90847 | $89K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 28.4 | 32.6 | 21.7 | 29.3 | 537 | 1 | 90832 90834 90837 90846 90847 | $64K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 29.2 | 56.9 | 38.0 | 51.2 | 376 | 1 | 90832 90834 90837 90846 90847 | $113K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 39.0 | 77.7 | 51.8 | 74.0 | 448 | 1 | 90791 90832 90834 90837 90846 90847 | $149K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 40.8 | 81.3 | 54.2 | 76.4 | 548 | 1 | 90791 90832 90834 90837 90846 90847 | $161K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 43.9 | 88.7 | 59.1 | 80.6 | 568 | 1 | 90791 90832 90834 90837 90846 | $168K |
| Dec 2023 | More hours than a day holds at a conservative unit price | 19.9 | 40.2 | 26.8 | 39.5 | 384 | 1 | 90791 90832 90834 90837 90846 | $79K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 45.1 | 83.3 | 55.5 | 74.8 | 611 | 1 | 90791 90832 90834 90837 90846 90847 | $178K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 50.4 | 93.2 | 62.2 | 85.8 | 687 | 1 | 90791 90832 90834 90837 90846 90847 | $186K |
| Mar 2024 | More hours than a day holds at a conservative unit price | 23.9 | 44.8 | 29.9 | 44.1 | 629 | 1 | 90791 90832 90834 90837 90846 90847 | $96K |
| Sep 2024 | More hours than a day holds at a conservative unit price | 23.6 | 44.1 | 29.4 | 42.0 | 535 | 1 | 90791 90832 90834 90837 90846 90847 | $92K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 29.8 | 41.8 | 27.9 | 37.6 | 535 | 1 | 90791 90832 90834 90837 90846 90847 | $89K |
| Nov 2024 | More hours than a day holds at a conservative unit price | 21.9 | 40.2 | 26.8 | 38.3 | 541 | 1 | 90791 90832 90834 90837 90846 90847 | $84K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MELANIE MADISON DAUGHERTY, LCSW |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | March 2, 2007, last updated July 8, 2007 |
| Practice location | 511 8TH ST, Clarksville, TN 37040-3093, 931-920-7330 |
| Mailing address | 918 S RIDGE TRL, Clarksville, TN 37043-8275 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license 4107 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 | $2.8M | 52% | $189 | $101 (top 5% from $318) | 82nd percentile | |
| 90832 | Psychotherapy, 30 minutes | $1.1M | 21% | $113 | $59 (top 5% from $239) | 84th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $980K | 18% | $253 | $191 (top 5% from $442) | 73rd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $242K | 4% | $170 | $105 (top 5% from $228) | 88th percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $110K | 2% | $80 | $113 (top 5% from $277) | 20th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $103K | 2% | $105 | $130 (top 5% from $458) | 35th percentile |
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 | 130 | 35 | $4K | $147 | $49 | 3.0x | 2.0x (90th percentile 3.5x) |
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
13 providers in Montgomery County, TN carry an indicator in the public record, with $13.1M at stake between them. The most common is more hours than a day holds, on 6 of them, followed by named in an enforcement record on 4. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | RAMON AQUINO Clarksville, TN, ranked 357 | $3K |
|
| 3 | CLARKSVILLE HOME CARE SERVICES LLC Clarksville, TN, ranked 1560 | $8K |
|
| 3 | PAIN INSTITUTE OF NASHVILLE, PLC Clarksville, TN, ranked 1613 | $3K |
|
| 3 | CLARKSVILLE HOME CARE SERVICES LLC Clarksville, TN, ranked 2162 | $0 |
|
| 3 | CLARKSVILLE PAIN INSTITUTE, LLC Clarksville, TN, ranked 3522 | $0 |
|
| 3 | CLARKSVILLE PAIN INSTITUTE, LLC Clarksville, TN, ranked 4778 | $0 |
|
| 3 | CLARKSVILLE NURSING AND REHABILITATION CENTER LLC Clarksville, TN, ranked 7249 | $0 |
|
| 4 | ANDREA SONNABEND Clarksville, TN, ranked 8339 | $7.0M |
|
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.