Providers

SHANNON O DOW

NPI 1952549164, individual, Maryville, TN, Social Worker, Clinical

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 7 months, but with up to 486 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
score 51 of 100, rank 8785, $1.7M 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
Jul 2018More hours than a day holds, even counting one unit per claim line28.231.921.330.0267190791 90832 90834$52K
Aug 2018More hours than a day holds, even counting one unit per claim line30.132.421.629.1308190791 90832 90834$52K
Sep 2018More hours than a day holds, even counting one unit per claim line24.631.420.931.4280190791 90832 90834$49K
Oct 2018More hours than a day holds, even counting one unit per claim line35.843.128.838.8414190791 90832 90834$70K
Aug 2022More hours than a day holds, even counting one unit per claim line30.346.230.841.5321190791 90832 90834 90847 90853$88K
Sep 2022More hours than a day holds, even counting one unit per claim line30.145.230.141.1286190791 90832 90834 90847$82K
Oct 2022More hours than a day holds, even counting one unit per claim line25.337.525.036.9305190791 90832 90834 90837 90847 90853$72K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameSHANNON O DOW
TypeIndividual
StatusActive
NPI issuedJanuary 26, 2009, last updated March 5, 2024
Practice location1652 E BROADWAY AVE, Maryville, TN 37804-2914, 865-681-6990
Mailing address200 TECH CENTER DR, Knoxville, TN 37912-2747
Specialties
Social Worker, Clinical (1041C0700X, primary, license 5710 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
90834Psychotherapy, 45 minutes$1.7M84%$190$101 (top 5% from $318)82nd percentile
90791Psychiatric diagnostic evaluation$123K6%$107$105 (top 5% from $228)52nd percentile
90847Family psychotherapy with patient, 50 minutes$96K5%$114$130 (top 5% from $458)41st percentile
90853Group psychotherapyhistory of abuse$39K2%$113$60 (top 5% from $332)77th percentile
90832Psychotherapy, 30 minutes$35K2%$63$59 (top 5% from $239)55th percentile
90837Psychotherapy, 1 hourhistory of abuse$21K1%$391$191 (top 5% from $442)too few months to rank
90846Family psychotherapy without patient, 50 minutes$11K1%$83$113 (top 5% from $277)23rd percentile
90836Psychotherapy with evaluation and management visit, 45 minutes$1K0%$28$72 (top 5% from $190)too few months to rank

In this area

3 providers in Blount County, TN carry an indicator in the public record, with $1.3M at stake between them. The most common is more hours than a day holds, on 2 of them, followed by part of a provider network on 1.

tierproviderat stakewhy
3COVENANT LIVING AT SHANNONDALE
Maryville, TN, ranked 2388
$0
  • Part of provider network D1-00075, ranked 75 nationally.
4STACY HILLENBRAND
Maryville, TN, ranked 8977
$1.0M
  • Hours beyond a day in 4 months, but with up to 500 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
5CORTNAY SCOTT-DENHAM
Maryville, TN, ranked 11383
$282K

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

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