TAYLOR PALEN, LCSW
NPI 1992356703, individual, Denver, CO, Social Worker
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90785 ($518 per patient-month) sit in the top 5% of every provider billing that code.
- 92% 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 2022 | More hours than a day holds, even counting one unit per claim line | 29.0 | 39.1 | 26.1 | 38.5 | 100 | 1 | 90791 90837 | $113K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | TAYLOR PALEN, LCSW |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | September 23, 2019, last updated July 17, 2026 |
| Practice location | 3946 S MAGNOLIA WAY, Denver, CO 80237-2014, 720-432-6101 |
| Specialties | Social Worker (104100000X, primary, license CSW.0009922595 CO) |
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 | $939K | 92% | $518 | $191 (top 5% from $442) | 97th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $33K | 3% | $213 | $105 (top 5% from $228) | 94th percentile | |
| 90785 | Psychiatric services complicated by communication factor | $33K | 3% | $45 | $15 (top 5% from $35) | 98th percentile | |
| H0032 | Medicaid service code | $15K | 1% | $61 | $98 (top 5% from $675) | 21st percentile |
In this area
37 providers in Denver County, CO carry an indicator in the public record, with $30.6M at stake between them. The most common is more hours than a day holds, on 20 of them, followed by part of a provider network on 15. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | NEW GENESIS LLC Denver, CO, ranked 153 | $90K |
|
| 1 | SAMIR HADDAD Denver, CO, ranked 309 | $7K |
|
| 3 | MGA HOME HEALTHCARE COLORADO, LLC Glendale, CO, ranked 1396 | $66K |
|
| 3 | GREATER DENVER HOME HEALTH CARE INC Denver, CO, ranked 1711 | $0 |
|
| 3 | FIRST COLORADO HOME HEALTH CARE INC Denver, CO, ranked 2046 | $0 |
|
| 3 | CENTER AT LOWRY, LLC Denver, CO, ranked 2093 | $0 |
|
| 3 | AURORA PALLIATIVE AND HOSPICE CARE INC Denver, CO, ranked 2099 | $0 |
|
| 3 | OPTIMAL HOME CARE INC. Denver, CO, ranked 2214 | $0 |
|
Recent enforcement in CO
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.