Gundy, Stephen

Gundy, Stephen was paid $1.57M by Medicaid between Jan 2018 and Aug 2021, across 1 billing code. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 100% of everything it billed.

33Billing provider infoGUNDY, STEPHEN
GRANGER, IN 46530

33aNPI1437600228assigned 10/17/2016

33bProvider typeSocial Worker

28Total paid$1.57M

24GClaims3,990

24DCodes billed1

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other Social Worker providers in Indiana

Rank by total paid#4 of 24

Median peer was paid$80K

This provider vs. median20×

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.

Single-Code Concentration100% of spending on code H0004 with only 1 total codes billed. Highly concentrated billing profile.

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
2018	617	$262K
2019	1,120	$481K
2020	1,271	$466K
2021	982	$365K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0004	Behavioral health counseling and therapy, per 15 minutes	100%	3,990	3,447	$1.57M

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.