ALEXANDRA DAWN PETERS, M.Ed., LPCC-S
NPI 1982981742, individual, Louisville, KY, Counselor, Professional
- Hours beyond a day in 3 months, but with up to 720 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 63% 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 2021 | More hours than a day holds, even counting one unit per claim line | 26.9 | 26.6 | 17.8 | 26.2 | 548 | 1 | 90791 90832 90834 90837 | $61K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 35.8 | 38.3 | 25.5 | 34.8 | 720 | 1 | 90791 90832 90834 90837 | $85K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 31.6 | 35.2 | 23.5 | 31.6 | 701 | 1 | 90791 90832 90834 90837 | $80K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ALEXANDRA DAWN PETERS, M.Ed., LPCC-S |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | November 8, 2011, last updated July 19, 2022 |
| Practice location | 4835 POPLAR LEVEL RD STE 110, Louisville, KY 40213-2906, 859-780-3019 |
| Mailing address | PO BOX 1027, London, KY 40743-1027 |
| Specialties | Counselor, Professional (101YP2500X, primary, license 168322 KY) |
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 | $352K | 63% | $156 | $191 (top 5% from $442) | 34th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $91K | 16% | $91 | $105 (top 5% from $228) | 37th percentile | |
| H0032 | Medicaid service code | $73K | 13% | $63 | $98 (top 5% from $675) | 24th percentile | |
| 90834 | Psychotherapy, 45 minutes | $25K | 5% | $60 | $101 (top 5% from $318) | 24th percentile | |
| 90832 | Psychotherapy, 30 minutes | $16K | 3% | $48 | $59 (top 5% from $239) | 39th percentile | |
| 90785 | Psychiatric services complicated by communication factor | $1K | 0% | $12 | $15 (top 5% from $35) | 38th percentile | |
| 90887 | Medicaid service code | $1K | 0% | $69 | $98 (top 5% from $270) | too few months to rank | |
| H0002 | Medicaid service code | $1K | 0% | $74 | $34 (top 5% from $215) | too few months to rank |
In this area
59 providers in Jefferson County, KY carry an indicator in the public record, with $100.8M at stake between them. The most common is more hours than a day holds, on 45 of them, followed by paid after a public list action on 6. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MAJA CUPAC Louisville, KY, ranked 65 | $9K |
|
| 1 | BAKER CHIROPRACTIC CENTER PSC Louisville, KY, ranked 139 | $119K |
|
| 1 | MICHAEL BAKER Louisville, KY, ranked 140 | $119K |
|
| 1 | JORDAN EDELEN Louisville, KY, ranked 261 | $14K |
|
| 3 | CHRISTIAN BERKHAHN Louisville, KY, ranked 1301 | $161K |
|
| 3 | LAWRENCE PETERS Louisville, KY, ranked 1509 | $16K |
|
| 3 | MATTHEW ELKINS Louisville, KY, ranked 1571 | $7K |
|
| 3 | LOUISVILLE KY OPCO LLC Louisville, KY, ranked 1885 | $0 |
|
Recent enforcement in KY
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.