Providers
All 14 in FL
VENESSA THOMAS, LMHC
NPI 1992246961, individual, Altamonte Springs, FL, Counselor, Mental Health
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 13 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90837 ($653 per patient-month) sit in the top 5% of every provider billing that code.
- 74% of Medicaid dollars are on codes with a history of abuse.
score 57 of 100, rank 7318, $1.3M 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.
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 36.5 | 24.2 | 16.2 | 22.8 | 76 | 1 | 90837 | $54K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 44.4 | 26.2 | 17.5 | 24.6 | 116 | 1 | 90837 90847 | $66K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 46.4 | 25.7 | 17.1 | 24.0 | 96 | 1 | 90837 90847 | $58K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 54.4 | 36.3 | 24.2 | 32.7 | 123 | 1 | 90837 90847 | $91K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 62.4 | 50.0 | 33.3 | 50.0 | 179 | 1 | 90837 90847 | $121K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 61.2 | 53.3 | 35.5 | 47.9 | 162 | 1 | 90837 90847 | $134K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 53.6 | 49.4 | 32.9 | 44.9 | 147 | 1 | 90837 90847 | $120K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 32.9 | 29.9 | 19.9 | 29.4 | 147 | 1 | 90837 90847 | $74K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 26.8 | 24.3 | 16.2 | 21.8 | 113 | 1 | 90837 90847 | $60K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 29.2 | 29.2 | 19.5 | 27.8 | 166 | 1 | 90837 90847 | $70K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 28.5 | 28.3 | 18.9 | 26.6 | 153 | 1 | 90837 90847 | $71K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 28.8 | 28.5 | 19.0 | 25.9 | 171 | 1 | 90837 90847 | $69K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 24.6 | 26.8 | 17.9 | 26.4 | 148 | 1 | 90837 90847 | $67K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | VENESSA THOMAS, LMHC |
| Type | Individual |
| Status | Active |
| NPI issued | March 10, 2017, last updated April 2, 2020 |
| Practice location | 1106 DORIS ST, Altamonte Springs, FL 32714-7221, 321-276-2007 |
| Specialties | Behavior Analyst (103K00000X, license MH14419 FL) Counselor, Mental Health (101YM0800X, primary, license MH14419 FL) |
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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $1.3M | 74% | $653 | $191 (top 5% from $442) | 98th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $278K | 16% | $213 | $130 (top 5% from $458) | 78th percentile | |
| H0032 | Medicaid service code | $65K | 4% | $115 | $98 (top 5% from $675) | 55th percentile | |
| 90832 | Psychotherapy, 30 minutes | $61K | 3% | $127 | $59 (top 5% from $239) | 87th percentile | |
| H0031 | Medicaid service code | $45K | 3% | $126 | $100 (top 5% from $540) | 60th percentile | |
| H2019 | Therapeutic behavioral services per 15 min | $2K | 0% | $49 | $226 (top 5% from $1K) | too few months to rank |
In this area
14 providers in Seminole County, FL carry an indicator in the public record, with $40.2M at stake between them. The most common is more hours than a day holds, on 11 of them, followed by part of a provider network on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ADVENTHEALTH HOME HEALTH AND HOSPICE INC Altamonte Springs, FL, ranked 1942 | $0 |
|
| 3 | ADVENTHEALTH HOME HEALTH AND HOSPICE INC Altamonte Springs, FL, ranked 2271 | $0 |
|
| 3 | HOME HEALTH AREA 7, LLC Altamonte Springs, FL, ranked 6577 | $0 |
|
| 4 | TIMOTHY HENDRIX Sanford, FL, ranked 7346 | $25.6M |
|
| 4 | SCOTT VANLUE Altamonte Springs, FL, ranked 7406 | $7.1M |
|
| 4 | PAMELA ROWE Longwood, FL, ranked 7571 | $2.9M |
|
| 5 | GERMANO FALCAO Oviedo, FL, ranked 10080 | $1.2M |
|
| 5 | FRANCO VALLEJO GARCIA Lake Mary, FL, ranked 10132 | $897K |
|
Recent enforcement in FL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyAug 14, 2026
Ocala Mental Health Counselor Pleads Guilty to Aggravated Identity Theft and Wire Fraud
Forsythe used the names and insurance policy information of 22 individuals without their consent to bill two health insurance companies for counseling services she had not provided.
DOJConvictedAug 12, 2026
Cuban National Convicted of Unlawfully Obtaining US Citizenship After Concealing Healthcare Fraud Scheme
Rodriguez concealed on her naturalization application her participation in a seven-year healthcare fraud conspiracy that resulted in approximately $4.6 million in fraudulent healthcare claims.
DOJCivil settlementAug 3, 2026
Medicare Advantage Provider Complete Health to Pay $14,100,000 to Settle False Claims Act Suit
Complete Health caused the submission of diagnosis codes within HCC 55 and HCC 59 that were not clinically valid, not supported by medical records, and/or not considered in the beneficiary's care, increasing Medicare Advantage risk-adjusted payments from which it received a percentage.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses, with one practice receiving remuneration from a third-party testing company to refer patients for the tests.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses and, as to Floral Park Ophthalmology, resulting from remuneration paid by a third-party testing company to induce referrals.
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.