CHELSEA ELIZABETH GREENE, Masters degree psych
NPI 1972737401, individual, Elizabeth City, NC, Counselor, Mental Health
- Hours beyond a day in 15 months under one organization, which can be supervisory billing.
- Records needed.
- 98% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 42.0 | 8.2 | 5.4 | 7.7 | 75 | 1 | 90837 | $20K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 35.6 | 7.8 | 5.2 | 7.3 | 75 | 1 | 90837 | $19K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 34.5 | 6.4 | 4.3 | 6.3 | 62 | 1 | 90837 | $15K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 37.3 | 11.8 | 7.9 | 10.7 | 113 | 2 | 90837 | $27K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 29.4 | 14.8 | 9.9 | 13.3 | 112 | 2 | 90837 | $35K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 27.4 | 12.9 | 8.6 | 12.7 | 114 | 2 | 90837 | $31K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 24.2 | 12.5 | 8.3 | 11.2 | 111 | 2 | 90837 | $30K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 24.5 | 15.1 | 10.1 | 14.4 | 91 | 2 | 90837 | $35K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 24.3 | 10.4 | 7.0 | 9.4 | 95 | 2 | 90834 90837 | $25K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 39.1 | 10.6 | 7.1 | 10.5 | 126 | 1 | 90791 90837 | $27K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 31.6 | 9.6 | 6.4 | 9.0 | 96 | 1 | 90837 | $23K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 24.5 | 6.5 | 4.3 | 6.4 | 75 | 1 | 90837 | $20K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 50.8 | 11.2 | 7.5 | 10.1 | 143 | 1 | 90791 90837 | $36K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 32.5 | 8.9 | 5.9 | 8.3 | 86 | 1 | 90837 | $27K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 25.3 | 9.2 | 6.1 | 8.8 | 81 | 1 | 90837 | $27K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CHELSEA ELIZABETH GREENE, Masters degree psych (also CHELSEA GREENE) |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | May 12, 2009, last updated December 16, 2021 |
| Practice location | 1851 W EHRINGHAUS ST STE 180, Elizabeth City, NC 27909-4555, 910-585-3407 |
| Specialties | Counselor, Mental Health (101YM0800X, primary, license 9115 NC) |
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 | $1.3M | 98% | $256 | $191 (top 5% from $442) | 74th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $19K | 1% | $112 | $105 (top 5% from $228) | 59th percentile | |
| 90834 | Psychotherapy, 45 minutes | $7K | 1% | $167 | $101 (top 5% from $318) | too few months to rank | |
| 98968 | Telephone medical discussion provided by nonphysician professional, 21-30 minutes | $560 | 0% | $29 | $38 (top 5% from $253) | too few months to rank |
In this area
167 providers in NC carry an indicator in the public record, with $185.4M at stake between them. The most common is more hours than a day holds, on 84 of them, followed by part of a provider network on 42. 22 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DAVID SMITH Winston Salem, NC, ranked 2 | $1.1M |
|
| 1 | MICHAEL ADIX Shelby, NC, ranked 12 | $155K |
|
| 1 | CAROLINA FAMILY AND URGENT CARE Lumberton, NC, ranked 30 | $6K |
|
| 1 | JOSEPH MEYER Fort Bragg, NC, ranked 48 | $26K |
|
| 1 | LIFE TOUCH LLC Kinston, NC, ranked 68 | $868K |
|
| 1 | ULTIMATE SACRIFICE Winston Salem, NC, ranked 96 | $365K |
|
| 1 | MALIK MUHAMMAD Durham, NC, ranked 116 | $2K |
|
| 1 | JACKSON CONSULTING AND SERVICES LLC Charlotte, NC, ranked 127 | $138K |
|
Recent enforcement in NC
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.