Providers
MICHAEL EUGENE FLETCHER, MD
NPI 1063476216, individual, Florence, KY, Pain Medicine, Interventional Pain Medicine
5
Evidence tier
informational
- Medicaid dollars per patient on code 80307 ($229 per patient-month) sit in the top 5% of every provider billing that code.
score 34 of 100, rank 10493, $56K at stake
Public list actions
Medicare revocation effective May 9, 2025, barred from re-enrolling until May 9, 2035
424.535(a)(3) felonies, Practitioner - Anesthesiology, FL
Medicare revocation effective May 9, 2025, barred from re-enrolling until May 9, 2035
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Pain Management, KY
Medicare revocation effective May 9, 2025, barred from re-enrolling until May 9, 2035
424.535(a)(3) felonies, Practitioner - Interventional Pain Management, OH
OIG exclusion November 20, 2025 under section 1128a4
Physician (MD, DO), Pain Management, Tulsa, OK
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 27.6 | 29.7 | 19.8 | 27.0 | 1138 | 1 | 90792 90832 90837 99203 99204 99211 99213 99214 H0038 H2027 | $89K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MICHAEL EUGENE FLETCHER, MD |
| Type | Individual |
| Status | Active |
| NPI issued | April 14, 2006, last updated February 7, 2022 |
| Practice location | 8780 US HIGHWAY 42 STE E, Florence, KY 41042-6936, 859-495-7246 |
| Specialties | Anesthesiology, Addiction Medicine (207LA0401X, license 31154 KY) Family Medicine, Addiction Medicine (207QA0401X, license 31154 KY) Family Medicine, Addiction Medicine (207QA0401X, license 35.092370 OH) Pain Medicine, Interventional Pain Medicine (208VP0014X, primary, license 31154 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 | |
|---|---|---|---|---|---|---|---|
| 80307 | Testing for presence of drug, by chemistry analyzers | $5.2M | 40% | $229 | $45 (top 5% from $110) | 99th percentile | |
| H0018 | Behavioral health short-term residential per diem | $1.9M | 14% | $2K | $3K (top 5% from $7K) | 34th percentile | |
| H2027 | Psychoeducational service per 15 min | $945K | 7% | $585 | $161 (top 5% from $4K) | 68th percentile | |
| H0011 | Alcohol/drug acute detox residential per diem | $835K | 6% | $3K | $2K (top 5% from $4K) | 70th percentile | |
| H0038 | Self-help/peer services per 15 min | $759K | 6% | $387 | $147 (top 5% from $2K) | 77th percentile | |
| S9485 | Crisis intervention mental health services per diem | $595K | 5% | $1K | $749 (top 5% from $2K) | 82nd percentile | |
| H0015 | Alcohol/drug intensive outpatient per diemhistory of abuse | $475K | 4% | $626 | $666 (top 5% from $2K) | 46th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $472K | 4% | $58 | $44 (top 5% from $110) | 69th percentile |
In this area
6 providers in Boone County, KY carry an indicator in the public record, with $3.6M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TIMOTHY EHN Florence, KY, ranked 656 | $0 |
|
| 3 | EVAN GRAY, LLC Florence, KY, ranked 5609 | $0 |
|
| 3 | BOONESPRING TRANSITIONAL CARE CENTER, LLC Union, KY, ranked 6177 | $0 |
|
| 5 | KHEDER KUTMAH Florence, KY, ranked 10878 | $1.6M | |
| 5 | NELSON TAURO Florence, KY, ranked 10982 | $1.1M | |
| 5 | BRETT BLEVINS Florence, KY, ranked 11084 | $847K |
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.