ALLEA CORTINA

NPI 1952702771, individual, Holyoke, MA, Counselor, Mental Health

Evidence tier

structure or single-organization volume

Hours beyond a day in 1 month under one organization, which can be supervisory billing.
Records needed.
94% of Medicaid dollars are on codes with a history of abuse.

score 51 of 100, rank 8637, $25K 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
Oct 2024	More hours than a day holds, even counting one unit per claim line	24.9	6.8	4.5	6.1	229	2	90832 90834 90837	$25K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	ALLEA CORTINA
Type	Individual
Status	Active
NPI issued	September 11, 2014, last updated April 15, 2016
Practice location	319 BEECH ST, Holyoke, MA 01040-3968, 413-540-1214
Specialties	Counselor, Mental Health (101YM0800X, primary)

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
90837	Psychotherapy, 1 hourhistory of abuse	$367K	94%	$96	$191 (top 5% from $442)	13th percentile
90832	Psychotherapy, 30 minutes	$12K	3%	$23	$59 (top 5% from $239)	23rd percentile
90834	Psychotherapy, 45 minutes	$9K	2%	$32	$101 (top 5% from $318)	14th percentile
90791	Psychiatric diagnostic evaluation	$4K	1%	$41	$105 (top 5% from $228)	too few months to rank

In this area

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

tier	provider	at stake	why
3	JEWISH NURSING HOME OF WESTERN MASS., INC. Longmeadow, MA, ranked 1131	$551K	Part of provider network D1-00123, ranked 123 nationally.
3	SPECTRUM HOME HEALTH AND HOSPICE CARE, INC. Longmeadow, MA, ranked 1231	$291K	Part of provider network D1-00123, ranked 123 nationally.
3	SPECTRUM HOME HEALTH AND HOSPICE CARE, INC. Longmeadow, MA, ranked 2231	$0	Part of provider network D1-00123, ranked 123 nationally.
4	DOROTHY EARLEY Granville, MA, ranked 9220	$492K	Hours beyond a day in 1 month, but with up to 868 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.

Recent enforcement in MA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedSep 4, 2026

Illegal Alien from Georgia Charged for Conspiracy to Launder Proceeds of $1.3B Health Care Fraud Scheme

Gugava purportedly owned ND Medical Solutions LLC, a durable medical equipment company that submitted at least $1.3 billion in fraudulent DME claims to Medicare and other insurers using stolen identities, and he opened bank accounts to deposit and transfer the fraud proceeds to overseas accounts.

DOJIndictedSep 4, 2026

Georgian National Charged for Conspiracy to Launder Proceeds of $1.3 Billion Health Care Fraud Scheme

Gugava allegedly served as purported owner of ND Medical Solutions, LLC, which submitted at least $1.3 billion in fraudulent durable medical equipment claims to Medicare and private insurers using stolen identities, and he opened bank accounts to deposit and transfer the proceeds overseas.

DOJSentencedAug 20, 2026

Former Owner of Telemedicine Companies Sentenced to Two Years in Prison for $110 Million Medicare Fraud Scheme

Through his telemedicine companies, Richardson generated prepopulated durable medical equipment orders signed by doctors and nurses without beneficiary contact and sold them to telemarketers who resold them to DME suppliers that billed Medicare for medically unnecessary equipment.

DOJCivil settlementAug 10, 2026

Veloxis Pharmaceuticals Agrees to Pay $46 Million to Resolve Criminal and Civil Liability for Kickback Scheme

Veloxis paid kickbacks in the form of lavish meals, alcohol, luxury resort stays, personal gifts and sham consulting payments to transplant health care professionals, and per-patient and per-month payments to specialty pharmacies, to induce prescriptions and purchases of Envarsus XR, causing false claims to federal health care programs and underreporting payments under the Open Payments Program.

DOJCivil settlementAug 10, 2026

Veloxis Pharmaceuticals Agrees to Pay Over $46M to Resolve Criminal and Civil Liability for Kickback Schemes

Veloxis paid kickbacks in the form of lavish meals, alcohol, gifts, trips and resort stays, and purported consulting fees to health care providers, and per-patient and per-month payments to specialty pharmacies, to induce prescriptions and purchases of Envarsus XR, and concealed those payments through falsified expense reports that resulted in underreporting to CMS's Open Payments Program.

Referral packet

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