BACHAR MALEK, M.D.
NPI 1043282627, individual, Evansville, IN, Internal Medicine
- Hours beyond a day in 50 months, but with up to 3766 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 ($166 per patient-month) sit in the top 5% of every provider billing that code.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 26.3 | 39.5 | 26.3 | 35.5 | 854 | 1 | 90833 99204 99213 99214 | $110K |
| Feb 2019 | More hours than a day holds at a conservative unit price | 22.5 | 39.6 | 26.4 | 36.9 | 837 | 1 | 90833 99204 99213 99214 | $100K |
| Mar 2019 | More hours than a day holds at a conservative unit price | 18.8 | 36.2 | 24.1 | 35.6 | 834 | 1 | 90833 99204 99213 99214 | $99K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 33.1 | 47.5 | 31.6 | 43.1 | 1240 | 1 | 90791 90832 99203 99204 99213 99214 G0444 | $148K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 32.2 | 48.8 | 32.5 | 45.9 | 1315 | 1 | 90791 90832 99203 99204 99213 99214 99215 | $156K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 30.2 | 45.1 | 30.1 | 43.0 | 1261 | 1 | 90791 90832 99204 99213 99214 | $141K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 28.4 | 43.4 | 28.9 | 39.0 | 1254 | 1 | 90791 90832 99204 99213 99214 | $141K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 27.1 | 44.4 | 29.6 | 43.7 | 1223 | 1 | 90791 90832 99204 99213 99214 | $162K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 29.2 | 49.5 | 33.0 | 46.2 | 1183 | 1 | 90791 90832 90833 99204 99213 99214 | $162K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 28.9 | 48.2 | 32.1 | 43.3 | 1265 | 1 | 90791 90832 90833 99204 99213 99214 | $177K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 27.5 | 45.2 | 30.1 | 42.4 | 1565 | 1 | 90833 99204 99213 99214 99406 99407 | $164K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 34.5 | 47.0 | 31.4 | 42.8 | 1592 | 1 | 90833 99204 99213 99214 99407 | $159K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 25.3 | 39.2 | 26.1 | 38.6 | 1436 | 1 | 90833 99204 99213 99214 99406 99407 | $145K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 27.6 | 45.6 | 30.4 | 41.5 | 1568 | 1 | 90833 99204 99213 99214 99406 99407 | $161K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 27.7 | 47.9 | 31.9 | 43.0 | 1677 | 1 | 99204 99213 99214 99406 99407 | $173K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 29.3 | 42.6 | 28.4 | 41.9 | 1276 | 1 | 99204 99213 99214 99215 99407 | $167K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 30.3 | 52.4 | 34.9 | 48.9 | 1548 | 1 | 99204 99213 99214 99407 | $176K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 33.6 | 59.0 | 39.3 | 53.0 | 1785 | 1 | 99204 99213 99214 99407 | $216K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 33.7 | 58.1 | 38.7 | 55.3 | 1836 | 1 | 99204 99213 99214 99215 99407 | $204K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 33.8 | 57.4 | 38.3 | 53.9 | 1930 | 1 | 99204 99213 99214 99215 99407 | $207K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 39.2 | 68.2 | 45.4 | 62.0 | 2060 | 1 | 99204 99213 99214 99407 | $238K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 38.1 | 60.5 | 40.3 | 58.9 | 2087 | 1 | 96138 99204 99213 99214 99215 99407 | $217K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 49.6 | 83.2 | 55.5 | 74.7 | 2395 | 1 | 99204 99213 99214 99407 | $299K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 51.6 | 82.4 | 54.9 | 74.3 | 2347 | 1 | 96138 99204 99213 99214 99215 99401 99407 G0444 | $284K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 51.4 | 80.8 | 53.9 | 79.5 | 2404 | 1 | 99204 99213 99214 99215 99401 99407 | $289K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 49.0 | 82.0 | 54.7 | 74.3 | 2395 | 1 | 96138 99204 99213 99214 99401 99407 | $281K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 48.8 | 81.1 | 54.1 | 76.0 | 2491 | 1 | 96138 99204 99213 99214 99215 99401 99407 G0444 | $285K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 54.0 | 80.3 | 53.5 | 75.4 | 2070 | 1 | 96132 96138 99204 99213 99214 99215 99401 99407 G0444 | $305K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 62.1 | 90.2 | 60.1 | 84.2 | 2427 | 1 | 90833 99204 99213 99214 99215 99401 99407 | $301K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 64.7 | 100.7 | 67.2 | 90.5 | 2774 | 1 | 90833 99204 99213 99214 99215 99401 99407 | $372K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 61.4 | 98.3 | 65.5 | 98.3 | 2861 | 1 | 90833 99204 99211 99214 99401 99407 G0444 | $349K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 84.7 | 137.7 | 91.8 | 123.7 | 3159 | 1 | 90792 90833 99204 99213 99214 99215 99309 99401 99407 G0444 | $492K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 76.3 | 120.6 | 80.4 | 109.6 | 3189 | 1 | 90792 90833 99204 99213 99214 99215 99309 99401 99407 G0444 | $393K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 64.2 | 100.4 | 66.9 | 98.8 | 2906 | 1 | 90792 90833 99204 99214 99215 99306 99309 99401 99407 G0444 | $344K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 76.2 | 122.8 | 81.9 | 110.4 | 3206 | 1 | 90792 90833 99204 99214 99215 99309 99401 99407 G0444 | $419K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 73.9 | 120.0 | 80.0 | 114.3 | 3128 | 1 | 90792 90833 99204 99214 99215 99309 99401 99407 G0444 | $400K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 74.0 | 120.9 | 80.6 | 113.6 | 3211 | 1 | 90792 90833 99204 99214 99215 99309 99401 99407 G0444 | $410K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 74.5 | 120.8 | 80.5 | 109.8 | 3104 | 1 | 90792 90833 99204 99214 99215 99309 99401 99407 G0444 | $394K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 68.3 | 112.3 | 74.9 | 110.5 | 3016 | 1 | 90792 90833 99204 99214 99215 99309 99401 99407 G0444 | $380K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 67.2 | 103.6 | 69.1 | 93.1 | 2719 | 1 | 90833 99204 99214 99215 99306 99308 99309 99401 99407 G0444 | $365K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 75.1 | 115.3 | 76.9 | 106.2 | 3185 | 1 | 90792 90833 99204 99214 99215 99308 99309 99401 99407 G0444 | $410K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 74.3 | 112.3 | 74.8 | 110.5 | 3367 | 1 | 90792 90833 99204 99214 99215 99309 99401 99407 G0444 | $430K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 88.1 | 130.3 | 86.9 | 118.4 | 3600 | 1 | 90792 90833 99204 99214 99215 99309 99401 99407 | $484K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 108.7 | 137.8 | 91.9 | 123.8 | 3766 | 1 | 90792 90833 99204 99214 99215 99309 99401 99407 | $519K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 80.0 | 117.9 | 78.6 | 117.9 | 3276 | 1 | 90792 90833 99204 99214 99215 99407 | $445K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 85.8 | 127.5 | 85.0 | 114.5 | 3370 | 1 | 90792 90833 99204 99214 99215 99407 | $501K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 88.6 | 135.0 | 90.0 | 126.8 | 3384 | 1 | 90792 90833 99204 99205 99214 99215 99407 | $523K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 81.7 | 128.4 | 85.6 | 122.3 | 3176 | 1 | 90792 90833 99204 99205 99214 99215 99407 | $479K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 83.6 | 123.6 | 82.4 | 111.1 | 3198 | 1 | 90792 90833 99204 99214 99215 99407 | $475K |
| Nov 2024 | More hours than a day holds, even counting one unit per claim line | 67.2 | 102.1 | 68.1 | 97.2 | 2650 | 1 | 90792 90833 99204 99214 99215 99407 | $370K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BACHAR MALEK, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | February 7, 2006, last updated April 3, 2020 |
| Practice location | 4972 LINCOLN AVE, SUIT 101, Evansville, IN 47715-7909, 812-402-3700 |
| Specialties | Internal Medicine (207R00000X, primary, license 01061287A IN) |
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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $12.4M | 63% | $166 | $60 (top 5% from $133) | 98th percentile | |
| 99407 | Smoking and tobacco use intensive counseling, more than 10 minutes | $999K | 5% | $39 | $14 (top 5% from $36) | 95th percentile | |
| 99395 | Medicaid service code | $747K | 4% | $107 | $73 (top 5% from $138) | 85th percentile | |
| 99396 | Medicaid service code | $668K | 3% | $112 | $70 (top 5% from $132) | 86th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $643K | 3% | $80 | $49 (top 5% from $109) | 86th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $641K | 3% | $89 | $44 (top 5% from $110) | 91st percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $617K | 3% | $146 | $95 (top 5% from $171) | 88th percentile | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $495K | 3% | $80 | $45 (top 5% from $110) | 86th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,534 | 308 | $69K | $120 | $57 | 2.1x | 1.8x (90th percentile 2.9x) |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,543 | 282 | $54K | $120 | $44 | 2.7x | 1.9x (90th percentile 3.1x) |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 472 | 58 | $14K | $100 | $37 | 2.7x | 2.2x (90th percentile 3.5x) |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 282 | 62 | $10K | $150 | $45 | 3.3x | 2.2x (90th percentile 3.5x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 126 | 45 | $10K | $354 | $119 | 3.0x | 2.3x (90th percentile 3.8x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 83 | 55 | $6K | $125 | $99 | 1.3x | 2.0x (90th percentile 3.3x) |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 167 | 42 | $6K | $120 | $43 | 2.8x | 2.6x (90th percentile 4.2x) |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 65 | 65 | $3K | $110 | $51 | 2.2x | 2.0x (90th percentile 3.4x) |
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
8 providers in Vanderburgh County, IN carry an indicator in the public record, with $31.2M at stake between them. The most common is more hours than a day holds, on 6 of them, followed by part of a provider network on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PULASKI MEMORIAL HOSPITAL Evansville, IN, ranked 2200 | $0 |
|
| 3 | PULASKI MEMORIAL HOSPITAL Evansville, IN, ranked 6968 | $0 |
|
| 4 | WILLARD WHITEHEAD Evansville, IN, ranked 8037 | $19.2M |
|
| 4 | DAVID CERLING Evansville, IN, ranked 8675 | $2.3M |
|
| 4 | MELISSA JONES Evansville, IN, ranked 8790 | $1.7M |
|
| 5 | ROBERT ALLEY Evansville, IN, ranked 10487 | $6.7M |
|
| 5 | SHANNON JONES Evansville, IN, ranked 10949 | $1.2M | |
| 5 | MEREDITH BEAN Evansville, IN, ranked 11523 | $156K |
Recent enforcement in IN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.