Providers

Every flagged provider, ranked.

One row per provider. The tier says what the public record can prove; the score, out of 100, rises when independent detectors agree. Dollars at stake come from the strongest finding, never a sum. Every row is a candidate for a records review, not a finding. Use the search box above to look up any provider in the country.

Tiers: 1 on a public list and still paid; 2 more hours than a day holds across organizations; 3 part of a network that touches a public list; 4 network structure alone or hours beyond a day under one organization; 5 worth knowing.
ranktierproviderstatescoreat stakewhy
381EDGEWATER RECOVERY CENTER LLC
1619466141, organization, Morehead
KY97$6.5M
  • Listed on an HHS-OIG enforcement record since January 30, 2024.
  • Medicaid still paid claims in 11 later months, $6,465,610 in total.
  • Adjudicated (civil judgment) per an HHS-OIG enforcement record dated January 30, 2024.
411RECOVERY CENTER OF KENTUCKY, LLC
1376204453, organization, Elizabethtown
KY97$4.5M
  • Adjudicated (civil judgment) per a Department of Justice release dated May 15, 2026.
  • Medicaid paid $4,466,448 in the last 12 observed months.
471PIONEER HEALTH GROUP LLC
1235585126, organization, Louisa
KY96$2.9M
  • Adjudicated (civil judgment) per an HHS-OIG enforcement record dated July 27, 2026.
  • Medicaid paid $2,921,665 in the last 12 observed months.
651MAJA CUPAC
1184997009, individual, Louisville
KY96$9K
  • Listed on the KY Medicaid exclusion list since April 22, 2022.
  • Medicaid still paid claims in 4 later months, $8,911 in total.
  • 98% of Medicaid dollars are on codes with a history of abuse.
761MADISON PRIMARY CARE, LLC
1730473745, organization, Richmond
KY96$612K
  • Listed on the KY Medicaid exclusion list since April 20, 2021.
  • Medicaid still paid claims in 40 later months, $612,164 in total.
1211THOMAS HUGHES
1689668642, individual, Bowling Green
KY95$152K
  • Listed on the IN Medicaid exclusion list since November 30, 2016.
  • Medicaid still paid claims in 42 later months, $151,689 in total.
1391BAKER CHIROPRACTIC CENTER PSC
1851570287, organization, Louisville
KY95$119K
  • Listed on the KY Medicaid exclusion list and the Medicare revocation list since January 4, 2024.
  • Medicaid still paid claims in 10 later months, $119,249 in total.
1401MICHAEL BAKER
1912982927, individual, Louisville
KY95$119K
  • Listed on the Medicare revocation list and the KY Medicaid exclusion list since January 4, 2024.
  • Medicaid still paid claims in 10 later months, $119,249 in total.
2161JAMES FERGUSON
1386792935, individual, Henderson
KY95$33K
  • Listed on the KY Medicaid exclusion list since November 26, 2016.
  • Medicaid still paid claims in 10 later months, $33,218 in total.
2401PRIMARY CARE OF THE BLUEGRASS, LLC
1942463096, organization, Crab Orchard
KY94$21K
  • Listed on the KY Medicaid exclusion list since April 20, 2021.
  • Medicaid still paid claims in 34 later months, $20,782 in total.
2611JORDAN EDELEN
1851764807, individual, Louisville
KY94$14K
  • Listed on the KY Medicaid exclusion list and the Medicare revocation list since December 16, 2019.
  • Medicaid still paid claims in 9 later months, $14,032 in total.
2781ACCULAB, LLC
1710353974, organization, Bowling Green
KY94$12K
  • Adjudicated (civil judgment) per an HHS-OIG enforcement record dated January 30, 2024.
  • Medicaid paid $11,586 in the last 12 observed months.
2861LANA WHITE
1447307319, individual, Ashland
KY94$10K
  • Listed on the KY Medicaid exclusion list since August 20, 2019.
  • Medicaid still paid claims in 1 later month, $10,185 in total.
2971ROBIN FREEMAN
1679676142, individual, Cynthiana
KY94$84
  • Listed on the KY Medicaid exclusion list since February 16, 2015.
  • Medicaid still paid claims in 2 later months, $84 in total.
  • 100% of Medicaid dollars are on codes with a history of abuse.
2991ZIA NEUROLOGY ASSOCIATES, LLC
1730652785, organization, Bowling Green
KY94$8K
  • Listed on the KY Medicaid exclusion list since October 5, 2020.
  • Medicaid still paid claims in 3 later months, $8,176 in total.
3171MICHAEL DUGGER
1568020345, individual, Owensboro
KY94$5K
  • Listed on the KY Medicaid exclusion list since September 25, 2023.
  • Medicaid still paid claims in 5 later months, $5,493 in total.
4171CAROLINE HENDY
1114978723, individual, London
KY93$473
  • Listed on the Medicare revocation list and the KY Medicaid exclusion list since March 28, 2022.
  • Medicaid still paid claims in 2 later months, $473 in total.
4741PIONEER HEALTH GROUP LLC
1023691599, organization, Louisa
KY90$0
  • Adjudicated (civil judgment) per an HHS-OIG enforcement record dated July 27, 2026.
  • No Medicaid payments in the last 12 observed months.
5601SERENITY KEEPERS
1396373304, organization, Lexington
KY90$0
  • Adjudicated (indicted, convicted, sentenced) per a Department of Justice release dated November 21, 2024.
  • No Medicaid payments in the last 12 observed months.
6051SCIENCE HILL FAMILY CARE
1124547757, organization, Science Hill
KY90$0
  • Adjudicated (civil judgment) per an HHS-OIG enforcement record dated July 27, 2026.
  • No Medicaid payments in the last 12 observed months.
6321LABTOX, LLC
1235576398, organization, Lexington
KY90$0
  • Adjudicated (civil judgment) per a Department of Justice release dated February 15, 2024.
  • No Medicaid payments in the last 12 observed months.
6391PIONEER HEALTH GROUP LLC
1366123705, organization, Louisa
KY90$0
  • Adjudicated (civil judgment) per an HHS-OIG enforcement record dated July 27, 2026.
  • No Medicaid payments in the last 12 observed months.
6541AMR MOHAMED
1992988257, individual, Lexington
KY90$0
  • Adjudicated (sentenced) per a Department of Justice release dated May 7, 2024.
  • No Medicaid payments in the last 12 observed months.
6561TIMOTHY EHN
1306929047, individual, Florence
KY90$0
  • Adjudicated (sentenced) per a Department of Justice release and a state attorney general release dated April 11, 2024.
  • No Medicaid payments in the last 12 observed months.
13013CHRISTIAN BERKHAHN
1518005156, individual, Louisville
KY65$161K
  • Charged (charged) per a Department of Justice release dated June 23, 2026, not adjudicated.
  • Medicaid paid $161,424 in the last 12 observed months.
13873ADVENTHEALTH HOME HEALTH AND HOSPICE INC
1194744664, organization, Manchester
KY65$71K
  • Part of provider network D1-00071, ranked 71 nationally.
15093LAWRENCE PETERS
1417927229, individual, Louisville
KY64$16K
  • Charged (charged) per a Department of Justice release dated June 27, 2024, not adjudicated.
  • Medicaid paid $16,372 in the last 12 observed months.
15713MATTHEW ELKINS
1528305109, individual, Louisville
KY64$7K
  • Charged (charged) per a Department of Justice release dated July 1, 2025, not adjudicated.
  • Medicaid paid $6,952 in the last 12 observed months.
17713BAPTIST CONVALESCENT CENTER, INC.
1336298470, organization, Alexandria
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
17923COMMONWEALTH OF KENTUCKY
1972506731, organization, Glasgow
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
18853LOUISVILLE KY OPCO LLC
1063272540, organization, Louisville
KY60$0
  • Part of provider network D1-00087, ranked 87 nationally.
20053SPRING CREEK REHAB LLC
1912614231, organization, Murray
KY60$0
  • Part of provider network D1-00083, ranked 83 nationally.
21503DAWSON POINTE, LLC
1063451953, organization, Dawson Springs
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
22303BRIGHTON CORNERSTONE GROUP, LLC
1588049019, organization, Madisonville
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
23343COMMONWEALTH OF KENTUCKY
1134124167, organization, Hopkinsville
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
24093BAPTIST HEALTH HOME CARE KY LLC
1780498030, organization, Paducah
KY60$0
  • Part of provider network D1-00115, ranked 115 nationally.
26473HENDERSON COUNTY HEALTH CARE CORPORATION
1194704999, organization, Henderson
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
26483NAZARETH HOME, INC.
1205292893, organization, Louisville
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
27983BAPTIST HEALTH HOME CARE KY LLC
1881408128, organization, Lexington
KY60$0
  • Part of provider network D1-00115, ranked 115 nationally.
28473VILLASPRING HEALTH CARE CENTER, LLC
1942208103, organization, Erlanger
KY60$0
  • Part of provider network D1-00115, ranked 115 nationally.
31873PHELPS KY OPCO LLC
1477101889, organization, Phelps
KY60$0
  • Part of provider network D1-00087, ranked 87 nationally.
32713MCKENZIE HEALTH CARE, LLC
1700960820, organization, Louisa
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
33403RICHWOODIDENCE OPCO, LLC
1326464843, organization, LA Grange
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
33443COMMONWEALTH OF KENTUCKY
1386863561, organization, Wilmore
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
35973PIONEER TRACE GROUP, LLC
1285186924, organization, Flemingsburg
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
38233NAZARETH HOME INC
1346312824, organization, Louisville
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
38973RIDGEWOOD TERRACE, LLC
1902847361, organization, Madisonville
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
39073WILLOWBROOK HEALTHCARE GROUP, LLC
1033943428, organization, Carlisle
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
41683COMMONWEALTH OF KENTUCKY
1043686900, organization, Radcliff
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
43943WELLINGTON PARC HEALTH SYSTEMS, INC.
1598763898, organization, Owensboro
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
45473COLDSPRING TRANSITIONAL CARE CENTER, LLC
1184038259, organization, Cold Spring
KY60$0
  • Part of provider network D1-00115, ranked 115 nationally.
48153COMMONWEALTH OF KENTUCKY
1396962551, organization, Hazard
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
48963BAPTIST CONVALESCENT CENTER, INC.
1619026754, organization, Erlanger
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
50503JUSTRIGHT MEDICAL EQUIPMENT LLC
1396349874, organization, Crestwood
KY60$0
  • Charged (charged) per a Department of Justice release dated June 27, 2024, not adjudicated.
52463BEAVER DAM NURSING & REHAB CENTER, INC
1669543716, organization, Beaver Dam
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
56063REDBANKS COLONIAL TERRACE INC.
1962780809, organization, Sebree
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
56093EVAN GRAY, LLC
1326020348, organization, Florence
KY60$0
  • Part of provider network D1-00115, ranked 115 nationally.
57223BAPTIST HEALTHCARE SYSTEM INC
1215545777, organization, Elizabethtown
KY60$0
  • Part of provider network D1-00115, ranked 115 nationally.
58323HARDIN KY OPCO LLC
1255174330, organization, Elizabethtown
KY60$0
  • Part of provider network D1-00087, ranked 87 nationally.
58913HIGHLANDSPRING HEALTH CARE AND REHABILITATION LLC
1669944690, organization, Fort Thomas
KY60$0
  • Part of provider network D1-00115, ranked 115 nationally.
58973GALLATINIDENCE OPCO, LLC
1477979904, organization, Warsaw
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
59493LOUISVILLE EAST POST ACUTE, LLC
1659743854, organization, Louisville
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
59583PROVIDENCE POINT HEALTHCARE, INC.
1578163697, organization, Paducah
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
61773BOONESPRING TRANSITIONAL CARE CENTER, LLC
1104307271, organization, Union
KY60$0
  • Part of provider network D1-00115, ranked 115 nationally.
64513BRECKINRIDGE SERVICES INC
1073847729, organization, Morganfield
KY60$0
  • Part of provider network D1-00087, ranked 87 nationally.
66413BRACKEN KY OPCO LLC
1760123319, organization, Augusta
KY60$0
  • Part of provider network D1-00087, ranked 87 nationally.
67783TRADEWATER POINTE, LLC
1851331672, organization, Dawson Springs
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
68243WESLEY MANOR RETIREMENT COMMUNITY INC.
1780661868, organization, Louisville
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
68373MAPLE GROVE SENIOR LIVING LLC
1871326710, organization, Shelbyville
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
68493AIDMEN MEDICAL EQUIPMENT LLC
1073170494, organization, LA Grange
KY60$0
  • Charged (charged) per a Department of Justice release dated June 27, 2024, not adjudicated.
71203FREEDOM CENTER, LLC
1174104681, organization, Louisville
KY60$0
  • Charged (charged) per a Department of Justice release dated June 23, 2026, not adjudicated.
71233METCALFE HEALTH SERVICES, INC.
1215902291, organization, Edmonton
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
72043COMMONWEALTH OF KENTUCKY
1063784197, organization, Hanson
KY60$0
  • Part of provider network D1-00059, ranked 59 nationally.
73294ANASTACIA HUDGINS
1861932642, individual, Somerset
KY57$883K
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • Medicaid dollars per patient on code 99354 ($1102 per patient-month) sit in the top 5% of every provider billing that code.
  • 73% of Medicaid dollars are on codes with a history of abuse.
74164DEIRDRE CUMMINGS
1588951826, individual, Louisville
KY56$6.5M
  • Hours beyond a day in 53 months under one organization, which can be supervisory billing.
  • Records needed.
  • Medicaid dollars per patient on code 99354 ($568 per patient-month) sit in the top 5% of every provider billing that code.
74484SUNIL CHHIBBER
1831142850, individual, Louisville
KY56$5.1M
  • Hours beyond a day in 75 months, but with up to 742 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code 99232 ($206 per patient-month) sit in the top 5% of every provider billing that code.
75634ERIKA RUTH
1053511949, individual, Jeffersontown
KY55$3.0M
  • Hours beyond a day in 20 months, but with up to 1731 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code 99211 ($179 per patient-month) sit in the top 5% of every provider billing that code.
75824MANISH PARIKH
1457390791, individual, Ashland
KY55$2.8M
  • Hours beyond a day in 13 months, but with up to 1230 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code 80307 ($121 per patient-month) sit in the top 5% of every provider billing that code.
76554LAURIE BALLEW
1639141948, individual, Paducah
KY55$2.3M
  • Hours beyond a day in 7 months, but with up to 1278 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code G0482 ($256 per patient-month) sit in the top 5% of every provider billing that code.
76794REBA MOORE
1659546638, individual, Corbin
KY55$2.0M
  • Hours beyond a day in 11 months, but with up to 530 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code 96130 ($533 per patient-month) sit in the top 5% of every provider billing that code.
77094JOHN SULLIVAN
1356355531, individual, Louisville
KY55$1.8M
  • Hours beyond a day in 10 months, but with up to 561 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code 99232 ($265 per patient-month) sit in the top 5% of every provider billing that code.
77314JIGNESH DESAI
1265857114, individual, Louisville
KY55$1.6M
  • Hours beyond a day in 5 months, but with up to 409 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code 99232 ($210 per patient-month) sit in the top 5% of every provider billing that code.
77764PATRICK WAGNER
1053680082, individual, Louisville
KY55$1.3M
  • Hours beyond a day in 4 months, but with up to 608 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code H2018 ($7694 per patient-month) sit in the top 5% of every provider billing that code.
78284JARED LEET
1639251192, individual, Madisonville
KY55$1.0M
  • Hours beyond a day in 2 months, but with up to 531 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code H2019 ($3360 per patient-month) sit in the top 5% of every provider billing that code.
79924MARY MORRISON
1841447059, individual, Campbellsville
KY54$312K
  • Hours beyond a day in 4 months, but with up to 1097 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code G0481 ($227 per patient-month) sit in the top 5% of every provider billing that code.
81134TAMME MORSE
1891025771, individual, Harrodsburg
KY53$2.8M
  • Hours beyond a day in 4 months under one organization, which can be supervisory billing.
  • Records needed.
  • 65% of Medicaid dollars are on codes with a history of abuse.
81594SARAH JARVIS
1104249218, individual, Somerset
KY53$1.3M
  • Hours beyond a day in 15 months, but with up to 717 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • 64% of Medicaid dollars are on codes with a history of abuse.
81644KATHERINE JONES
1972907251, individual, Lexington
KY53$1.2M
  • Hours beyond a day in 11 months under one organization, which can be supervisory billing.
  • Records needed.
  • 61% of Medicaid dollars are on codes with a history of abuse.
81964ASHLEE STEWART
1710316021, individual, Richmond
KY53$884K
  • Hours beyond a day in 6 months, but with up to 387 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • 67% of Medicaid dollars are on codes with a history of abuse.
82494ALEXANDRA PETERS
1982981742, individual, Louisville
KY53$349K
  • 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.
82704MISTI HOLBROOK
1154333938, individual, Morehead
KY52$16.9M
  • Hours beyond a day in 54 months, but with up to 2646 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
82844ABDOLREZA RABIEE
1407877509, individual, Lexington
KY52$11.7M
  • Hours beyond a day in 70 months, but with up to 6545 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
82934TERRY NELSON
1518388321, individual, Somerset
KY52$10.3M
  • Hours beyond a day in 79 months, but with up to 1850 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
82944SHANAE CARPENTER
1992981781, individual, Somerset
KY52$10.0M
  • Hours beyond a day in 71 months, but with up to 2051 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
83024BENJAMIN STEVENS
1699964957, individual, Munfordville
KY52$9.2M
  • Hours beyond a day in 62 months, but with up to 1343 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
83064THERESA RUST
1093197089, individual, Somerset
KY52$9.0M
  • Hours beyond a day in 2 months, but with up to 1372 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
83364LISA ORR
1629432414, individual, Louisville
KY52$7.2M
  • Hours beyond a day in 31 months, but with up to 635 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
83534CURTIS NELSON
1194932939, individual, Louisville
KY52$6.6M
  • Hours beyond a day in 21 months, but with up to 524 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
84054LOVONNE FLEMING-RICHARDSON
1770843286, individual, Pikeville
KY52$5.1M
  • Hours beyond a day in 59 months, but with up to 1536 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
84064ASAD ISMAIL
1144227026, individual, Louisville
KY52$5.1M
  • Hours beyond a day in 13 months, but with up to 2720 patients a month across 5 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
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