Providers
All 59 in KY
ERIKA JACLYN RUTH, M.D.
NPI 1053511949, individual, Jeffersontown, KY, Psychiatry & Neurology, Addiction Psychiatry
4
Evidence tier
structure or single-organization volume
- 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.
score 55 of 100, rank 7563, $3.0M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 28.1 | 9.5 | 6.3 | 8.6 | 665 | 3 | 90832 90834 90853 99213 99408 | $22K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 69.4 | 29.3 | 19.5 | 26.3 | 779 | 3 | 90791 90832 90853 99213 99408 | $88K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 128.6 | 49.2 | 32.8 | 45.9 | 840 | 3 | 90832 99213 99214 99408 | $135K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 176.0 | 67.7 | 45.1 | 66.6 | 1185 | 3 | 90832 90853 99213 99214 99408 | $203K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 101.8 | 26.4 | 17.6 | 24.0 | 1731 | 3 | 90832 90853 99211 99213 99214 99408 | $101K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 61.8 | 27.2 | 18.1 | 24.4 | 1219 | 3 | 90791 90832 90853 99211 99213 99214 | $109K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 60.0 | 29.6 | 19.8 | 29.6 | 1117 | 3 | 90832 90853 99211 99214 | $119K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 63.0 | 28.5 | 19.0 | 25.6 | 1206 | 3 | 90791 90832 90853 99204 99211 99214 | $137K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 77.0 | 33.2 | 22.1 | 31.2 | 1295 | 3 | 90791 90832 90853 99204 99211 99213 99214 | $168K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 62.1 | 12.8 | 8.5 | 12.2 | 1234 | 3 | 90832 99204 99211 99213 99214 | $67K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 76.8 | 34.7 | 23.1 | 33.0 | 854 | 3 | 99204 99211 99213 99214 99215 | $185K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 76.5 | 35.0 | 23.3 | 32.8 | 837 | 3 | 99211 99213 99214 | $194K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 75.3 | 44.0 | 29.4 | 39.6 | 791 | 3 | 90832 99211 99214 | $208K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 65.8 | 49.2 | 32.8 | 47.5 | 924 | 3 | 90833 99211 99213 99214 | $217K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 54.9 | 46.4 | 30.9 | 43.6 | 932 | 3 | 90833 99211 99213 99214 | $218K |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 55.4 | 42.3 | 28.2 | 38.5 | 960 | 3 | 90833 99203 99211 99213 99214 99441 | $193K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 39.7 | 29.8 | 19.9 | 29.3 | 1061 | 3 | 90833 99203 99211 99213 99214 99441 | $139K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 35.9 | 28.2 | 18.8 | 25.6 | 1054 | 3 | 90833 99203 99211 99213 99214 99441 | $127K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 34.4 | 31.4 | 20.9 | 28.2 | 1026 | 3 | 99203 99211 99213 99214 99441 | $147K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 34.9 | 33.4 | 22.2 | 32.8 | 1037 | 3 | 99203 99211 99213 99441 | $156K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ERIKA JACLYN RUTH, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | July 19, 2007, last updated March 23, 2026 |
| Practice location | 3310 RUCKRIEGEL PKWY, Jeffersontown, KY 40299-3764, 502-212-0071 |
| Mailing address | 110 CHASE WAY STE 2, Elizabethtown, KY 42701-7827 |
| Specialties | Psychiatry & Neurology, Addiction Psychiatry (2084P0802X, primary, license 45485 KY) Psychiatry & Neurology, Psychiatry (2084P0800X, license 45485 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 | $12.0M | 64% | $353 | $214 (top 5% from $529) | 73rd percentile | |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $2.5M | 13% | $179 | $16 (top 5% from $128) | 98th percentile | |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | $1.0M | 6% | $184 | $98 (top 5% from $199) | 94th percentile | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $582K | 3% | $78 | $45 (top 5% from $110) | 85th percentile | |
| T1007 | Medicaid service code | $531K | 3% | $78 | $71 (top 5% from $331) | 57th percentile | |
| H0016 | Medicaid service code | $408K | 2% | $185 | $245 (top 5% from $397) | 25th percentile | |
| 99408 | Alcohol/substance screening and brief intervention 15-30 min | $397K | 2% | $181 | $0.49 (top 5% from $42) | 98th percentile | |
| H0033 | Medicaid service code | $362K | 2% | $128 | $168 (top 5% from $732) | 42nd percentile |
In this area
59 providers in Jefferson County, KY carry an indicator in the public record, with $98.1M at stake between them. The most common is more hours than a day holds, on 45 of them, followed by paid after a public list action on 6. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MAJA CUPAC Louisville, KY, ranked 65 | $9K |
|
| 1 | BAKER CHIROPRACTIC CENTER PSC Louisville, KY, ranked 139 | $119K |
|
| 1 | MICHAEL BAKER Louisville, KY, ranked 140 | $119K |
|
| 1 | JORDAN EDELEN Louisville, KY, ranked 261 | $14K |
|
| 3 | CHRISTIAN BERKHAHN Louisville, KY, ranked 1301 | $161K |
|
| 3 | LAWRENCE PETERS Louisville, KY, ranked 1509 | $16K |
|
| 3 | MATTHEW ELKINS Louisville, KY, ranked 1571 | $7K |
|
| 3 | LOUISVILLE KY OPCO LLC Louisville, KY, ranked 1885 | $0 |
|
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.