OIG excluded
Mcpherson, Heather
Mcpherson, Heather was paid $1K by Medicaid between Apr 2024 and Apr 2024, across 1 billing code. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoMCPHERSON, HEATHER
DUBLIN, OH 43017
DUBLIN, OH 43017
33aNPI1295432268assigned 02/10/2023
33bProvider typeCase Manager/Care Coordinator
28Total paid$1K
24GClaims13
24DCodes billed1
24AFirst – last monthApr 2024 – Apr 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in Ohio
Rank by total paid#381 of 440
Median peer was paid$8K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (05/20/2025).
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 13 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 100% | 13 | 12 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.