| 2 | 1 | DAVID SMITH 1780780031, individual, Winston Salem | NC | 100 | $1.1M | - Listed on the Medicare revocation list and the SC Medicaid exclusion list since August 30, 2021.
- Medicaid still paid claims in 7 later months, $1,063,751 in total.
- Medicaid dollars per patient on code 80307 ($557 per patient-month) sit in the top 5% of every provider billing that code.
|
| 12 | 1 | MICHAEL ADIX 1790709111, individual, Shelby | NC | 99 | $155K | - Listed on the Medicare revocation list since April 18, 2023.
- Medicaid still paid claims in 11 later months, $154,645 in total.
- Medicaid dollars per patient on code 74177 ($693 per patient-month) sit in the top 5% of every provider billing that code.
|
| 30 | 1 | CAROLINA FAMILY AND URGENT CARE 1346338159, organization, Lumberton | NC | 98 | $6K | - Listed on the Medicare revocation list since September 8, 2023.
- Medicaid still paid claims in 7 later months, $5,787 in total.
- Medicaid dollars per patient on code 80307 ($100 per patient-month) sit in the top 5% of every provider billing that code.
|
| 48 | 1 | JOSEPH MEYER 1689665283, individual, Fort Bragg | NC | 96 | $26K | - Listed on the Medicare revocation list since October 20, 2006.
- Medicaid still paid claims in 7 later months, $26,252 in total.
- 65% of Medicaid dollars are on codes with a history of abuse.
|
| 68 | 1 | LIFE TOUCH LLC 1487882205, organization, Kinston | NC | 96 | $868K | - Adjudicated (charged, pleaded guilty, sentenced) per a Department of Justice release dated June 30, 2025.
- Medicaid paid $868,112 in the last 12 observed months.
|
| 96 | 1 | ULTIMATE SACRIFICE 1568050573, organization, Winston Salem | NC | 96 | $365K | - Adjudicated (pleaded guilty) per a Department of Justice release dated April 9, 2025.
- Medicaid paid $364,787 in the last 12 observed months.
|
| 116 | 1 | MALIK MUHAMMAD 1326345588, individual, Durham | NC | 95 | $2K | - Listed on the Medicare revocation list since October 12, 2021.
- Medicaid still paid claims in 1 later month, $1,779 in total.
- 98% of Medicaid dollars are on codes with a history of abuse.
|
| 127 | 1 | JACKSON CONSULTING AND SERVICES LLC 1033880059, organization, Charlotte | NC | 95 | $138K | - Adjudicated (sentenced) per a Department of Justice release dated August 27, 2026.
- Medicaid paid $137,561 in the last 12 observed months.
|
| 154 | 1 | COTTAGE HEALTH CARE SERVICES, INC 1386771657, organization, Raleigh | NC | 95 | $87K | - Listed on the Medicare revocation list since December 5, 2023.
- Medicaid still paid claims in 7 later months, $86,552 in total.
|
| 166 | 1 | PAUL TOBIN 1295816106, individual, Chapel Hill | NC | 95 | $68K | - Listed on the Medicare revocation list since January 6, 2023.
- Medicaid still paid claims in 6 later months, $67,978 in total.
|
| 300 | 1 | DUNE MEDICAL SUPPLY LLC 1053027110, organization, High Point | NC | 94 | $8K | - Adjudicated (pleaded guilty) per a Department of Justice release dated February 3, 2025.
- Medicaid paid $8,091 in the last 12 observed months.
|
| 406 | 1 | SANDHILLS ORTHOPAEDIC AND SPINE CLINIC, PA 1740225101, organization, Southern Pines | NC | 93 | $735 | - Listed on the Medicare revocation list since February 10, 2022.
- Medicaid still paid claims in 1 later month, $735 in total.
|
| 407 | 1 | JAMES RICE 1083651863, individual, Pinehurst | NC | 93 | $735 | - Listed on the Medicare revocation list since February 3, 2022.
- Medicaid still paid claims in 1 later month, $735 in total.
|
| 443 | 1 | LAKIA WASHINGTON 1932580099, individual, Clayton | NC | 92 | $0 | - Adjudicated (pleaded guilty, sentenced) per a Department of Justice release dated January 24, 2024.
- No Medicaid payments in the last 12 observed months.
- 87% of Medicaid dollars are on codes with a history of abuse.
|
| 445 | 1 | CRYSTAL JACKSON 1336560861, individual, Charlotte | NC | 92 | $0 | - Adjudicated (sentenced) per a Department of Justice release dated August 27, 2026.
- No Medicaid payments in the last 12 observed months.
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- 100% of Medicaid dollars are on codes with a history of abuse.
- A second detector adds a weaker signal.
|
| 518 | 1 | WENDELL RANDALL 1902856065, individual, Mount Airy | NC | 90 | $0 | - Adjudicated (sentenced) per a Department of Justice release dated March 14, 2025.
- No Medicaid payments in the last 12 observed months.
|
| 526 | 1 | HARVEST FOCUSED & CONSULTING SERVICES LLC 1427699412, organization, Burlington | NC | 90 | $0 | - Adjudicated (pleaded guilty) per a Department of Justice release dated April 9, 2025.
- No Medicaid payments in the last 12 observed months.
|
| 538 | 1 | NATIONAL INSTITUTE OF TOXICOLOGY, PLLC 1558766501, organization, Mount Airy | NC | 90 | $0 | - Adjudicated (sentenced) per a Department of Justice release dated March 14, 2025.
- No Medicaid payments in the last 12 observed months.
|
| 548 | 1 | COLBY JOYNER 1013376128, individual, Charlotte | NC | 90 | $0 | - Adjudicated (sentenced) per a Department of Justice release dated October 4, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 587 | 1 | ODYSSEY HEALTH GROUP, INC 1952707309, organization, Charlotte | NC | 90 | $0 | - Adjudicated (sentenced, convicted) per a Department of Justice release dated May 17, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 590 | 1 | REIGN & INSPIRATIONS, LLC 1396971685, organization, Greensboro | NC | 90 | $0 | - Adjudicated (civil judgment, sentenced) per a state attorney general release and a Department of Justice release dated September 26, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 680 | 1 | JOELLE'S CENTER OF HOPE INC 1962094284, organization, Greensboro | NC | 90 | $0 | - Adjudicated (pleaded guilty) per a Department of Justice release dated July 9, 2026.
- No Medicaid payments in the last 12 observed months.
|
| 688 | 2 | TERESIA MEDLEY-HOOD 1730330689, individual, Charlotte | NC | 87 | $1.3M | - Billed more hands-on hours than a day holds in 7 months, peaking at 28.5 hours per day across 4 billing organizations.
- Medicaid dollars per patient on code 90837 ($473 per patient-month) sit in the top 5% of every provider billing that code.
- 66% of Medicaid dollars are on codes with a history of abuse.
|
| 693 | 2 | KESHAVPAL REDDY 1942269766, individual, Greensboro | NC | 85 | $2.9M | - Billed more hands-on hours than a day holds in 8 months, peaking at 22.4 hours per day across 3 billing organizations.
- Medicaid dollars per patient on code 99232 ($252 per patient-month) sit in the top 5% of every provider billing that code.
|
| 712 | 2 | MERIDA VALERA 1285132514, individual, Winston Salem | NC | 83 | $1.7M | - Billed more hands-on hours than a day holds in 9 months, peaking at 28.4 hours per day across 3 billing organizations.
- 78% of Medicaid dollars are on codes with a history of abuse.
|
| 960 | 3 | PIUS ONDACHI 1093137929, individual, Durham | NC | 66 | $24K | - Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated.
- Medicaid paid $23,836 in the last 12 observed months.
- 89% of Medicaid dollars are on codes with a history of abuse.
|
| 1224 | 3 | REGINALD CENTER OF TURN AROUND 1881095784, organization, Greensboro | NC | 65 | $303K | - Charged (charged) per a Department of Justice release dated June 23, 2026, not adjudicated.
- Medicaid paid $303,104 in the last 12 observed months.
|
| 1297 | 3 | FISHER OF MEN PROJECT LLC 1942918628, organization, Charlotte | NC | 65 | $169K | - Charged (indicted) per a Department of Justice release dated June 23, 2026, not adjudicated.
- Medicaid paid $168,849 in the last 12 observed months.
|
| 1593 | 3 | CAROLINA CARING, INC. 1801893151, organization, Newton | NC | 64 | $5K | - Part of provider network D1-00086, ranked 86 nationally.
|
| 1719 | 3 | PARTNERS AGAINST SEXUALLY TRANSMITTED DISEASES 1639738073, organization, Sanford | NC | 62 | $0 | - Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated.
- 92% of Medicaid dollars are on codes with a history of abuse.
|
| 1918 | 3 | CENTURY CARE OF THE CRYSTAL COAST, INC 1851375703, organization, Morehead City | NC | 60 | $0 | - Part of provider network D1-00004, ranked 4 nationally.
|
| 2374 | 3 | DGS HEALTHCARE ELKIN INC DBA CHATHAM NURSING AND REHABILITATION 1104950765, organization, Elkin | NC | 60 | $0 | - Part of provider network D1-00004, ranked 4 nationally.
|
| 2376 | 3 | IFEOMA EZUGWU 1184236077, individual, Raleigh | NC | 60 | $0 | - Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated.
|
| 2422 | 3 | DAWN MEACHAM 1215229034, individual, Raleigh | NC | 60 | $0 | - Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated.
|
| 2465 | 3 | HOSPICE OF HENDERSON COUNTY, INC. 1275524621, organization, Flat Rock | NC | 60 | $0 | - Part of provider network D1-00086, ranked 86 nationally.
|
| 2485 | 3 | NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY 1932107547, organization, Mount Airy | NC | 60 | $0 | - Part of provider network D1-00086, ranked 86 nationally.
|
| 2704 | 3 | HILLCREST RALEIGH AT CRABTREE, LLC 1639556806, organization, Raleigh | NC | 60 | $0 | - Part of provider network D1-00075, ranked 75 nationally.
|
| 2712 | 3 | DUKE UNIVERSITY HEALTH SYSTEM, INC. 1760420806, organization, Durham | NC | 60 | $0 | - Part of provider network D1-00088, ranked 88 nationally.
|
| 2722 | 3 | ASHTON HEALTH AND REHABILITATION, LLC 1982130811, organization, MC Leansville | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 2821 | 3 | MADISON HEALTH AND REHABILITATION, LLC 1497058416, organization, Mars Hill | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 2826 | 3 | HOSPICE OF DAVIDSON COUNTY NORTH CAROLINA, INC. 1568415271, organization, Lexington | NC | 60 | $0 | - Part of provider network D1-00004, ranked 4 nationally.
|
| 2905 | 3 | HILLCREST CONVALESCENT CENTER, INC. 1336142470, organization, Durham | NC | 60 | $0 | - Part of provider network D1-00075, ranked 75 nationally.
|
| 2992 | 3 | VILLAGE GREEN HEALTH AND REHABILITATION, LLC 1134660103, organization, Fayetteville | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 3296 | 3 | TARBORO HEALTH AND REHABILITATION, LLC 1235958158, organization, Tarboro | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 3445 | 3 | HENDERSONVILLE HEALTH AND REHABILITATION 1578715504, organization, Flat Rock | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 3452 | 3 | MECKLENBURG HEALTH AND REHABILITATION, LLC 1790317840, organization, Charlotte | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 3825 | 3 | ADAMS FARM LIVING INC 1366552739, organization, Jamestown | NC | 60 | $0 | - Part of provider network D1-00004, ranked 4 nationally.
|
| 3971 | 3 | CENTURY CARE OF LAURINBURG INC 1316921190, organization, Laurinburg | NC | 60 | $0 | - Part of provider network D1-00004, ranked 4 nationally.
|
| 3980 | 3 | BEYSTONE HEALTH AND REHABILITATION CO. 1548293988, organization, Mills River | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 4176 | 3 | STONECREEK HEALTH AND REHABILITATION, LLC 1164725198, organization, Asheville | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 4247 | 3 | HAYMOUNT REHABILITATION AND NURSING CENTER, INC 1104800069, organization, Fayetteville | NC | 60 | $0 | - Part of provider network D1-00004, ranked 4 nationally.
|
| 4411 | 3 | EVERYAGE 1124015458, organization, Thomasville | NC | 60 | $0 | - Part of provider network D1-00004, ranked 4 nationally.
|
| 4448 | 3 | CUMBERLAND CARE, INC. 1902853781, organization, Fayetteville | NC | 60 | $0 | - Part of provider network D1-00004, ranked 4 nationally.
|
| 4464 | 3 | CAROLINA CARE HEALTH AND REHABILITATION, LLC 1295279594, organization, Cherryville | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 4671 | 3 | DUKE UNIVERSITY HEALTH SYSTEM, INC. 1407898315, organization, Durham | NC | 60 | $0 | - Part of provider network D1-00088, ranked 88 nationally.
|
| 4789 | 3 | ELIZABETH CITY HEALTH AND REHABILITATION, LLC 1952766271, organization, Elizabeth City | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 4826 | 3 | WILKESBORO HEALTH AND REHABILITATION, LLC 1528606225, organization, North Wilkesboro | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 4871 | 3 | GRACE HEIGHTS REHABILITATION AND SKILLED NURSING CENTER, LLC 1962066480, organization, Morganton | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 4961 | 3 | CAMDEN HEALTH AND REHABILITATION, LLC 1306372230, organization, Greensboro | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 5266 | 3 | OUR TREATMENT CENTER 1134424542, organization, Raleigh | NC | 60 | $0 | - Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated.
|
| 5468 | 3 | CAROMONT SERIOUS ILLNESS PARTNERS, LLC 1780419523, organization, Gastonia | NC | 60 | $0 | - Part of provider network D1-00086, ranked 86 nationally.
|
| 5472 | 3 | COLLEGE PINES REHABILITATION AND SKILLED NURSING CENTER, LLC 1841854361, organization, Connelly Springs | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 5489 | 3 | ROCKY MOUNT HEALTH AND REHABILITATION, LLC 1417368143, organization, Rocky Mount | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 5623 | 3 | ANSON HEALTH AND REHABILITATION 1487060893, organization, Wadesboro | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 5776 | 3 | CAROMONT HEALTH SERVICES INC. 1073599510, organization, Gastonia | NC | 60 | $0 | - Part of provider network D1-00086, ranked 86 nationally.
|
| 5928 | 3 | HEARTLAND OF GREENSBORO, INC 1326143504, organization, Greensboro | NC | 60 | $0 | - Part of provider network D1-00004, ranked 4 nationally.
|
| 6032 | 3 | GRANITE FALLS HEALTH AND REHABILITATION, LLC 1376926519, organization, Granite Falls | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 6152 | 3 | ADVENTHEALTH HOME HEALTH AND HOSPICE INC 1558179804, organization, Fletcher | NC | 60 | $0 | - Part of provider network D1-00071, ranked 71 nationally.
|
| 6214 | 3 | HOSPICE OF SURRY COUNTY, INC 1851355424, organization, Dobson | NC | 60 | $0 | - Part of provider network D1-00086, ranked 86 nationally.
|
| 6282 | 3 | SANFORD HEALTH AND REHABILITATION CO LLC 1811920267, organization, Sanford | NC | 60 | $0 | - Part of provider network D1-00130, ranked 130 nationally.
|
| 6322 | 3 | CENTURY CARE OF NEW BERN, INC. 1649254582, organization, New Bern | NC | 60 | $0 | - Part of provider network D1-00004, ranked 4 nationally.
|
| 6401 | 3 | QUEENSLY ONUZULIKE 1376073056, individual, Raleigh | NC | 60 | $0 | - Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated.
|
| 6469 | 3 | EVERYAGE 1245227578, organization, Newton | NC | 60 | $0 | - Part of provider network D1-00004, ranked 4 nationally.
|
| 6606 | 3 | MURPHY REHABILITATION, INC. 1952486771, organization, Murphy | NC | 60 | $0 | - Part of provider network D1-00004, ranked 4 nationally.
|
| 7195 | 3 | PROVIDENCE PLACE, LLC 1700616208, organization, High Point | NC | 60 | $0 | - Part of provider network D1-00004, ranked 4 nationally.
|
| 7316 | 4 | BOBBY KATO 1386021798, individual, Charlotte | NC | 57 | $1.5M | - Hours beyond a day in 7 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90837 ($695 per patient-month) sit in the top 5% of every provider billing that code.
- 99% of Medicaid dollars are on codes with a history of abuse.
|
| 7363 | 4 | JANA-RAE LOCKLEAR 1396178638, individual, Pembroke | NC | 56 | $123K | - Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90837 ($672 per patient-month) sit in the top 5% of every provider billing that code.
- 98% of Medicaid dollars are on codes with a history of abuse.
|
| 7371 | 4 | JASON OCEAN 1992108658, individual, Durham | NC | 56 | $10.6M | - Hours beyond a day in 29 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code H2020 ($4487 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7392 | 4 | KIMBERLY FOX 1093809782, individual, Smithfield | NC | 56 | $8.0M | - Hours beyond a day in 24 months, but with up to 1478 patients a month across 3 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 90460 ($134 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7412 | 4 | PATRICK SMITH 1992020481, individual, Chapel Hill | NC | 56 | $6.7M | - Hours beyond a day in 2 months, but with up to 1043 patients a month across 5 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 99213 ($230 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7446 | 4 | UMALAKSHMI THOTAKURA 1689759946, individual, Winston Salem | NC | 56 | $5.2M | - Hours beyond a day in 36 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99233 ($734 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7480 | 4 | JEFFREY CHILDERS 1740361013, individual, Raleigh | NC | 56 | $4.4M | - Hours beyond a day in 24 months, but with up to 564 patients a month across 3 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 99232 ($358 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7511 | 4 | BENEDICT OKWARA 1487613840, individual, Monroe | NC | 56 | $3.7M | - Hours beyond a day in 3 months, but with up to 1964 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 95165 ($1085 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7541 | 4 | KANDIE TITO 1609004852, individual, Wilmington | NC | 56 | $3.2M | - Hours beyond a day in 9 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 92507 ($674 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7544 | 4 | REBECCA RUSSELL 1285893354, individual, Laurinburg | NC | 56 | $3.2M | - Hours beyond a day in 12 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 92507 ($523 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7590 | 4 | ERICH SMITH 1689996613, individual, LA Grange | NC | 55 | $2.7M | - Hours beyond a day in 7 months, but with up to 721 patients a month across 3 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 99308 ($64 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7605 | 4 | LISA HOWELL 1902943285, individual, Durham | NC | 55 | $2.6M | - Hours beyond a day in 3 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 92523 ($291 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7673 | 4 | ADRIENNE NORWOOD 1548453079, individual, Gastonia | NC | 55 | $2.1M | - Hours beyond a day in 10 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90846 ($475 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7740 | 4 | RICKY BROOKS 1609944727, individual, Ahoskie | NC | 55 | $1.6M | - Hours beyond a day in 6 months, but with up to 690 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 99214 ($324 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7788 | 4 | NGONDA'YEBENIT NGO MAYEBA 1598020430, individual, Morganton | NC | 55 | $1.2M | - Hours beyond a day in 7 months, but with up to 1746 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 99214 ($156 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7794 | 4 | DOROTHY AGBAFE-MOSLEY 1881898187, individual, Wilmington | NC | 55 | $1.2M | - Hours beyond a day in 12 months, but with up to 674 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 99215 ($422 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7804 | 4 | SAKA SALAMI 1457518524, individual, Leland | NC | 55 | $1.2M | - Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99233 ($375 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7845 | 4 | MY LE 1528497732, individual, Greensboro | NC | 55 | $938K | - Hours beyond a day in 1 month, but with up to 1399 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 S0620 ($113 per patient-month) sit in the top 5% of every provider billing that code.
|
| 8000 | 4 | WAYLAND MCKENZIE 1235273509, individual, Greensboro | NC | 54 | $283K | - Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99214 ($281 per patient-month) sit in the top 5% of every provider billing that code.
|
| 8001 | 4 | VICENTE HILL 1578527636, individual, Franklin | NC | 54 | $279K | - Hours beyond a day in 2 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99408 ($206 per patient-month) sit in the top 5% of every provider billing that code.
|
| 8059 | 4 | DANA HINES 1396250254, individual, Concord | NC | 54 | $120K | - Hours beyond a day in 1 month, but with up to 564 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 ($368 per patient-month) sit in the top 5% of every provider billing that code.
|
| 8189 | 4 | SHENAE WHITEHEAD 1609146380, individual, Fayetteville | NC | 53 | $977K | - Hours beyond a day in 7 months under one organization, which can be supervisory billing.
- Records needed.
- 87% of Medicaid dollars are on codes with a history of abuse.
|
| 8234 | 4 | MONIQUE WILLETT 1912242165, individual, Charlotte | NC | 53 | $437K | - Hours beyond a day in 2 months under one organization, which can be supervisory billing.
- Records needed.
- 78% of Medicaid dollars are on codes with a history of abuse.
|
| 8241 | 4 | KATHERINE DICKERSON 1780816603, individual, Denver | NC | 53 | $397K | - Hours beyond a day in 4 months, but with up to 452 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 80% of Medicaid dollars are on codes with a history of abuse.
|
| 8242 | 4 | CHELSEA GREENE 1972737401, individual, Elizabeth City | NC | 53 | $397K | - Hours beyond a day in 15 months under one organization, which can be supervisory billing.
- Records needed.
- 98% of Medicaid dollars are on codes with a history of abuse.
|