SHANNON O DOW
NPI 1952549164, individual, Maryville, TN, Social Worker, Clinical
- 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.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 28.2 | 31.9 | 21.3 | 30.0 | 267 | 1 | 90791 90832 90834 | $52K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 30.1 | 32.4 | 21.6 | 29.1 | 308 | 1 | 90791 90832 90834 | $52K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 24.6 | 31.4 | 20.9 | 31.4 | 280 | 1 | 90791 90832 90834 | $49K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 35.8 | 43.1 | 28.8 | 38.8 | 414 | 1 | 90791 90832 90834 | $70K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 30.3 | 46.2 | 30.8 | 41.5 | 321 | 1 | 90791 90832 90834 90847 90853 | $88K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 30.1 | 45.2 | 30.1 | 41.1 | 286 | 1 | 90791 90832 90834 90847 | $82K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 25.3 | 37.5 | 25.0 | 36.9 | 305 | 1 | 90791 90832 90834 90837 90847 90853 | $72K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SHANNON O DOW |
| Type | Individual |
| Status | Active |
| NPI issued | January 26, 2009, last updated March 5, 2024 |
| Practice location | 1652 E BROADWAY AVE, Maryville, TN 37804-2914, 865-681-6990 |
| Mailing address | 200 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $1.7M | 84% | $190 | $101 (top 5% from $318) | 82nd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $123K | 6% | $107 | $105 (top 5% from $228) | 52nd percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $96K | 5% | $114 | $130 (top 5% from $458) | 41st percentile | |
| 90853 | Group psychotherapyhistory of abuse | $39K | 2% | $113 | $60 (top 5% from $332) | 77th percentile | |
| 90832 | Psychotherapy, 30 minutes | $35K | 2% | $63 | $59 (top 5% from $239) | 55th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $21K | 1% | $391 | $191 (top 5% from $442) | too few months to rank | |
| 90846 | Family psychotherapy without patient, 50 minutes | $11K | 1% | $83 | $113 (top 5% from $277) | 23rd percentile | |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | $1K | 0% | $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.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | COVENANT LIVING AT SHANNONDALE Maryville, TN, ranked 2388 | $0 |
|
| 4 | STACY HILLENBRAND Maryville, TN, ranked 8977 | $1.0M |
|
| 5 | CORTNAY SCOTT-DENHAM Maryville, TN, ranked 11383 | $282K |
Recent enforcement in TN
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.