ALVIN MARES, PhD
NPI 1962817627, individual, Chillicothe, OH, Social Worker, Clinical
- Hours beyond a day in 5 months, but with up to 504 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 81% 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 2023 | More hours than a day holds, even counting one unit per claim line | 27.1 | 22.2 | 14.8 | 20.8 | 393 | 1 | 90832 90837 90846 90847 | $62K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 27.6 | 21.2 | 14.1 | 19.7 | 450 | 1 | 90832 90837 90846 90847 | $53K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 25.5 | 19.5 | 13.0 | 17.5 | 457 | 1 | 90832 90837 90846 90847 | $54K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 29.0 | 23.0 | 15.3 | 23.0 | 504 | 1 | 90832 90834 90837 90846 90847 | $62K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 24.8 | 19.9 | 13.3 | 17.9 | 472 | 1 | 90832 90837 90846 90847 90853 | $56K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ALVIN MARES, PhD |
| Type | Individual |
| Status | Active |
| NPI issued | June 20, 2014, last updated June 19, 2025 |
| Practice location | 841 E MAIN ST STE B, Chillicothe, OH 45601-3509, 740-804-6800 |
| Specialties | Social Worker, Clinical (1041C0700X, primary, license I1600682 OH) |
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 | $997K | 81% | $155 | $191 (top 5% from $442) | 33rd percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $111K | 9% | $75 | $113 (top 5% from $277) | 17th percentile | |
| 90832 | Psychotherapy, 30 minutes | $64K | 5% | $65 | $59 (top 5% from $239) | 56th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $37K | 3% | $108 | $130 (top 5% from $458) | 37th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $10K | 1% | $96 | $105 (top 5% from $228) | too few months to rank | |
| 90834 | Psychotherapy, 45 minutes | $4K | 0% | $65 | $101 (top 5% from $318) | too few months to rank | |
| 90853 | Group psychotherapyhistory of abuse | $1K | 0% | $39 | $60 (top 5% from $332) | too few months to rank | |
| 90785 | Psychiatric services complicated by communication factor | $204 | 0% | $15 | $15 (top 5% from $35) | 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 | 59 | 12 | $4K | $107 | $99 | 1.1x | 1.6x (90th percentile 2.9x) |
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
7 providers in Ross County, OH carry an indicator in the public record, with $3.2M at stake between them. The most common is part of a provider network, on 5 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ADENA HOSPICE, LLC Chillicothe, OH, ranked 812 | $158K |
|
| 3 | NATIONAL CHURCH RESIDENCES AT HOME HOSPICE Chillicothe, OH, ranked 985 | $1.8M |
|
| 3 | ADENA HOME HEALTH, LLC Chillicothe, OH, ranked 1469 | $28K |
|
| 3 | NATIONAL CHURCH RESIDENCES AT HOME, INC Chillicothe, OH, ranked 5030 | $0 |
|
| 3 | TRADITIONS AT CHILLICOTHE Chillicothe, OH, ranked 6023 | $0 |
|
| 4 | CHARLEY ROMAN Chillicothe, OH, ranked 9185 | $550K |
|
| 5 | JACQUELYN CARO Chillicothe, OH, ranked 11132 | $698K |
Recent enforcement in OH
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.