CARRIE MEGHANN MITCHELL
NPI 1962946855, individual, Lebanon, IN, Behavior Analyst
- Hours beyond a day in 3 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 97153 ($23419 per patient-month) sit in the top 5% of every provider billing that code.
- 99% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2023 | More hours than a day holds at a conservative unit price | 10.4 | 174.7 | 116.5 | 51.1 | 101 | 1 | 97153 97155 97156 | $4.1M |
| Nov 2023 | More hours than a day holds at a conservative unit price | 10.4 | 178.6 | 119.1 | 61.4 | 129 | 1 | 97151 97153 97155 97156 | $3.8M |
| Dec 2023 | More hours than a day holds at a conservative unit price | 6.0 | 112.1 | 74.7 | 43.0 | 102 | 1 | 97151 97153 97155 97156 | $2.4M |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CARRIE MEGHANN MITCHELL |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | December 12, 2016, last updated October 8, 2018 |
| Practice location | 602 RANSDELL RD, Lebanon, IN 46052, 765-430-8285 |
| Mailing address | 6373 DUSTY LAUREL DR, Whitestown, IN 46075-9727 |
| Specialties | Behavior Analyst (103K00000X, primary, license 1-16-24128 IN) |
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 | |
|---|---|---|---|---|---|---|---|
| 97153 | Adaptive behavior treatment by protocol by technicianhistory of abuse | $41.3M | 88% | $23K | $2K (top 5% from $6K) | 100th percentile | |
| 97155 | Adaptive behavior treatment with protocol modification by QHPhistory of abuse | $5.1M | 11% | $4K | $512 (top 5% from $1K) | 100th percentile | |
| 97151 | Behavior identification assessment by professional, each 15 minutes | $262K | 1% | $2K | $389 (top 5% from $1K) | 100th percentile | |
| 97156 | Family adaptive behavior treatment guidance | $90K | 0% | $393 | $210 (top 5% from $547) | 83rd percentile |
In this area
4 providers in Boone County, IN carry an indicator in the public record, with $2.7M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | DECATUR COUNTY MEMORIAL HOSPITAL Whitestown, IN, ranked 2668 | $0 |
|
| 4 | ANNE CONLEY-GOLDSTEIN Zionsville, IN, ranked 8856 | $1.4M |
|
| 4 | ALYSSA KREGLOH Lebanon, IN, ranked 9071 | $767K |
|
| 4 | ALISHA FUINO Lebanon, IN, ranked 9159 | $576K |
|
Recent enforcement in IN
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.