Providers

MARY MCNABB

NPI 1962860692, individual, Conway, AR, Day Training/Habilitation Specialist

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 7 months, but with up to 224 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 9125, $640K 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
Jan 2018More hours than a day holds, even counting one unit per claim line28.019.813.217.8217197530 97535$89K
Feb 2018More hours than a day holds, even counting one unit per claim line32.222.615.121.1216197530 97535$91K
Mar 2018More hours than a day holds, even counting one unit per claim line30.221.214.119.9222197530 97535$95K
Apr 2018More hours than a day holds, even counting one unit per claim line36.323.215.522.1218197530 97535$101K
May 2018More hours than a day holds, even counting one unit per claim line32.021.814.619.6215197530 97535$98K
Jun 2018More hours than a day holds, even counting one unit per claim line43.020.613.719.6215197530 97535$89K
Jul 2018More hours than a day holds, even counting one unit per claim line26.017.211.416.1224197530 97535$77K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameMARY MCNABB
TypeIndividual
StatusActive
NPI issuedFebruary 9, 2016, last updated February 9, 2016
Practice location2740 COLLEGE AVE, Conway, AR 72034-6141, 501-329-5459
Specialties
Day Training/Habilitation Specialist (373H00000X, 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
codewhat it ispaidshareper patient-monthtypicalrank among providers
T1015Medicaid service code$572K35%$1K$182 (top 5% from $488)too few months to rank
97532Medicaid service code$391K24%$513$211 (top 5% from $490)97th percentile
97535Training for self-care or home management, each 15 minutes$374K23%$489$48 (top 5% from $459)96th percentile
97530Therapy procedure using functional activities$266K16%$350$124 (top 5% from $387)93rd percentile
99367Medicaid service code$17K1%$41$41 (top 5% from $92)52nd percentile
G0515Medicaid service code$2K0%$98$123 (top 5% from $1K)too few months to rank

In this area

2 providers in Faulkner County, AR carry an indicator in the public record, with $1.0M at stake between them. The most common is more hours than a day holds, on 2 of them.

tierproviderat stakewhy
4SYDNEY CUMMINGS
Conway, AR, ranked 7933
$520K
  • Hours beyond a day in 5 months, but with up to 304 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4DEANDRE GRIDER
Conway, AR, ranked 9204
$515K
  • Hours beyond a day in 5 months, but with up to 338 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.

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.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.