GENE ALLEN BAKER, Psy.D, HSPP
NPI 1972871440, individual, Jeffersonvlle, IN, Psychologist, Clinical
- Hours beyond a day in 16 months, but with up to 2501 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 72% 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 |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 51.8 | 65.1 | 43.4 | 23.7 | 1892 | 1 | 90791 90832 90834 90837 H0004 H2014 T1016 | $292K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 52.1 | 66.0 | 44.0 | 25.2 | 1995 | 1 | 90791 90832 90834 90837 H0004 H2014 T1016 | $286K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 56.3 | 74.2 | 49.5 | 30.2 | 2206 | 1 | 90791 90832 90834 90837 H0004 H2014 T1016 | $311K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 66.3 | 83.8 | 55.8 | 35.8 | 2193 | 1 | 90791 90832 90834 90837 90847 H0004 H2014 T1016 | $319K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 49.9 | 71.4 | 47.6 | 23.4 | 2194 | 1 | 90791 90832 90834 90837 H0004 H2014 T1016 | $305K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 63.6 | 79.0 | 52.6 | 36.7 | 2226 | 1 | 90791 90832 90834 90837 H0004 H2014 T1016 | $317K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 74.9 | 92.3 | 61.5 | 41.6 | 2501 | 1 | 90791 90832 90834 90837 90847 90853 H0004 H2014 T1016 | $362K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 60.5 | 76.3 | 50.9 | 27.2 | 2211 | 1 | 90791 90832 90834 90837 H0004 H2014 T1016 | $329K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 62.6 | 76.6 | 51.0 | 28.9 | 2144 | 1 | 90791 90832 90834 90837 H0004 H2014 T1016 | $331K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 52.1 | 71.3 | 47.5 | 22.7 | 2174 | 1 | 90791 90832 90834 90837 90847 H0004 H2014 T1016 | $317K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 57.3 | 74.8 | 49.9 | 26.4 | 2152 | 1 | 90791 90832 90834 90837 H0004 H2014 T1016 | $309K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 53.7 | 94.8 | 63.2 | 26.6 | 1974 | 1 | 90791 90832 90834 90837 H0004 H2014 T1016 | $316K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 54.6 | 95.4 | 63.6 | 29.9 | 2045 | 1 | 90791 90832 90834 90837 H0004 H2014 T1016 | $334K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 61.5 | 89.0 | 59.3 | 29.8 | 1955 | 1 | 90791 90832 90834 90837 H0004 H2014 T1016 | $306K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 49.1 | 85.2 | 56.8 | 24.2 | 1924 | 1 | 90791 90832 90834 90837 H0004 H2014 T1016 | $305K |
| Nov 2024 | More hours than a day holds, even counting one unit per claim line | 56.4 | 82.6 | 55.1 | 28.4 | 1903 | 1 | 90791 90832 90834 90837 H0004 H2014 T1016 | $280K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | GENE ALLEN BAKER, Psy.D, HSPP |
| Type | Individual |
| Status | Active |
| NPI issued | December 12, 2011, last updated November 18, 2013 |
| Practice location | 335 SPRING ST, Jeffersonvlle, IN 47130-4480, 812-258-0310 |
| Mailing address | 645 S ROGERS ST, Bloomington, IN 47403-2353 |
| Specialties | Marriage & Family Therapist (106H00000X, license 35001453A IN) Marriage & Family Therapist (106H00000X, license 0219 KY) Psychologist, Clinical (103TC0700X, primary, license 20042705A IN) Marriage & Family Therapist (106H00000X, license F . 1100008 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 | |
|---|---|---|---|---|---|---|---|
| H2014 | Skills training and development per 15 minhistory of abuse | $8.8M | 64% | $296 | $298 (top 5% from $3K) | 50th percentile | |
| T1016 | Case management each 15 min | $1.7M | 12% | $61 | $98 (top 5% from $507) | 34th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $1.1M | 8% | $144 | $191 (top 5% from $442) | 28th percentile | |
| 90834 | Psychotherapy, 45 minutes | $733K | 5% | $92 | $101 (top 5% from $318) | 44th percentile | |
| H0031 | Medicaid service code | $433K | 3% | $88 | $100 (top 5% from $540) | 45th percentile | |
| 90832 | Psychotherapy, 30 minutes | $396K | 3% | $64 | $59 (top 5% from $239) | 56th percentile | |
| H0004 | Behavioral health counseling and therapy per 15 minhistory of abuse | $250K | 2% | $169 | $174 (top 5% from $559) | 49th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $231K | 2% | $102 | $105 (top 5% from $228) | 47th percentile |
In this area
6 providers in Clark County, IN carry an indicator in the public record, with $70.5M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PULASKI MEMORIAL HOSPITAL Sellersburg, IN, ranked 6350 | $0 |
|
| 4 | IRFAN AFAQ Jeffersonville, IN, ranked 7390 | $8.1M |
|
| 4 | ERIC JAGGERS Jeffersonville, IN, ranked 7912 | $60.4M |
|
| 4 | MARY BOULDIN Jeffersonville, IN, ranked 8923 | $1.2M |
|
| 4 | JANNA JOHNSON Charlestown, IN, ranked 9124 | $643K |
|
| 5 | WILLIAM COLLINS Sellersburg, IN, ranked 11830 | $31K |
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.