Providers
MAZHAR SALIM, M.D.
NPI 1013075449, individual, Corbin, KY, Psychiatry & Neurology, Psychiatry
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 2 months, but with up to 850 patients a month across 5 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8734, $2.0M at stake
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 |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 25.6 | 28.6 | 19.0 | 26.0 | 850 | 5 | 90837 90838 90853 99205 99213 99214 99223 99232 99238 99239 | $51K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 24.2 | 26.2 | 17.5 | 23.6 | 799 | 5 | 90837 90838 90853 99205 99213 99214 99215 99223 99232 99238 99239 | $51K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MAZHAR SALIM, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | December 5, 2006, last updated June 15, 2026 |
| Practice location | 1 TRILLIUM WAY, Corbin, KY 40701-8426, 606-523-8779 |
| Mailing address | 2700 STANLEY GAULT PKWY STE 129, Louisville, KY 40223-5176 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, license 19331 MS) Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 40049 KY) |
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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| H0020 | Medicaid service code | $21.6M | 68% | $432 | $214 (top 5% from $529) | 88th percentile | |
| T2023 | Medicaid service code | $5.9M | 19% | $330 | $332 (top 5% from $1K) | 49th percentile | |
| T1007 | Medicaid service code | $779K | 2% | $67 | $71 (top 5% from $331) | 39th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $526K | 2% | $63 | $44 (top 5% from $110) | 75th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $469K | 1% | $76 | $67 (top 5% from $174) | 59th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $459K | 1% | $108 | $81 (top 5% from $170) | 72nd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $445K | 1% | $83 | $60 (top 5% from $133) | 73rd percentile | |
| H0015 | Alcohol/drug intensive outpatient per diemhistory of abuse | $373K | 1% | $662 | $666 (top 5% from $2K) | 50th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 210 | 52 | $13K | $137 | $76 | 1.8x | 2.6x (90th percentile 4.3x) |
| G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month | 35 | 18 | $9K | $402 | $398 | 1.0x | 1.5x (90th percentile 2.8x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 37 | 32 | $4K | $379 | $164 | 2.3x | 3.0x (90th percentile 5.6x) |
| 99239 | Hospital discharge day management, more than 30 minutes | 27 | 26 | $2K | $204 | $108 | 1.9x | 2.8x (90th percentile 5.6x) |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 17 | 16 | $1K | $192 | $80 | 2.4x | 3.1x (90th percentile 5.2x) |
| 99238 | Hospital discharge day management, 30 minutes or less | 17 | 15 | $1K | $137 | $78 | 1.8x | 2.6x (90th percentile 4.7x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
4 providers in Whitley County, KY carry an indicator in the public record, with $3.8M at stake between them. The most common is more hours than a day holds, on 4 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | REBA MOORE Corbin, KY, ranked 7679 | $2.0M |
|
| 4 | MELISSA PATTERSON Corbin, KY, ranked 9001 | $967K |
|
| 4 | PAMELA MCGEORGE Corbin, KY, ranked 9262 | $422K |
|
| 4 | DIANE HUGHLETT Corbin, KY, ranked 9276 | $405K |
|
Recent enforcement in KY
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedAug 27, 2026
Kentucky Medical Biller Indicted for Healthcare Fraud and Money Laundering Charges
Sanders recruited individuals to open behavioral health entities, handled their Kentucky Medicaid credentialing and enrollment, and directed submission of fraudulent Medicaid claims across ten behavioral health providers for services never provided, including for incarcerated, hospitalized, or deceased members, using licensed professionals' NPIs without authorization.
DOJChargedJun 23, 2026
5 Individuals and 2 Companies Charged as Part of Department of Justice National Health Care Fraud Takedown
Seven defendants were charged in four cases with schemes including billing Kentucky Medicaid for peer support and psychoeducation services that were fraudulent, unauthorized, or not rendered using providers' NPIs, using a DEA number to order controlled substances in others' names, credentialing a company with Medicare and billing for services not rendered using a doctor's NPI, and stealing controlled substances from hospitals and falsely documenting administration.
DOJCivil settlementJun 23, 2026
Civil Settlements Reached as Part of Department of Justice National Health Care Fraud Takedown
Three Home and Community Based Waiver providers and their owners, who had shared financial interests, referred Medicaid waiver beneficiaries for attendant care services and billed Medicaid for attendant care hours that were not fully provided or not provided at all.
DOJCivil judgmentMay 15, 2026
Operators of Day Treatment Program for Children Agree to $15.2 Million Civil Judgment to Resolve Medicaid Fraud Allegations
The Government alleged that from August 2022 through June 2025 the Recovery Centers sought Medicaid payments for time children spent on education, recreation, and lunch breaks at the Aspire Day Program and that Recovery Center of Kentucky falsely represented clinician qualifications to obtain higher reimbursements.
DOJSentencedApr 24, 2026
Former Sober Home Owner and Operator Sentenced for Kickback Conspiracy and Health Care Fraud
Jordan solicited and received kickbacks in exchange for referring urine drug testing from her sober home company to three labs, and Serenity Keepers billed Medicaid for peer support services not provided by licensed peer support specialists, with Williams reporting that residents received six hours of peer support services per day knowing that was not true.
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.