Providers
WILLIAM HAROLD WOLFE, M.D.
NPI 1083779904, individual, Anderson, IN, Emergency Medicine, Emergency Medical Services
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 1 month, but with up to 257 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 ($148 per patient-month) sit in the top 5% of every provider billing that code.
score 51 of 100, rank 8795, $169 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 |
|---|---|---|---|---|---|---|---|---|---|
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 106.1 | 0.1 | 0.0 | 0.1 | 100 | 1 | 99213 99214 | $169 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | WILLIAM HAROLD WOLFE, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | December 22, 2006, last updated March 7, 2023 |
| Practice location | 2015 JACKSON ST, Anderson, IN 46016-4337, 765-646-6331 |
| Mailing address | 3800 S. SCATTERFIELD ROAD, Anderson, IN 46013 |
| Specialties | Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (2083P0500X, license 01046449 IN) Emergency Medicine, Emergency Medical Services (207PE0004X, primary, license 01046449 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.
Medicaid, largest codes
| 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 | $934K | 43% | $148 | $60 (top 5% from $133) | 97th percentile | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $602K | 28% | $94 | $45 (top 5% from $110) | 92nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $491K | 23% | $94 | $44 (top 5% from $110) | 93rd percentile | |
| G0480 | 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 | $103K | 5% | $72 | $58 (top 5% from $129) | 66th percentile | |
| 81025 | Urine pregnancy test | $5K | 0% | $6.05 | $5.49 (top 5% from $12) | 55th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $5K | 0% | $42 | $28 (top 5% from $147) | too few months to rank | |
| 87389 | Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies | $3K | 0% | $19 | $19 (top 5% from $42) | 52nd percentile | |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | $3K | 0% | $20 | $7.24 (top 5% from $18) | too few months to rank |
In this area
8 providers in Madison County, IN carry an indicator in the public record, with $5.0M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PUTNAM COUNTY HOSPITAL Elwood, IN, ranked 5782 | $0 |
|
| 3 | PUTNAM COUNTY HOSPITAL Summitville, IN, ranked 6929 | $0 |
|
| 3 | PUTNAM COUNTY HOSPITAL Anderson, IN, ranked 7089 | $0 |
|
| 4 | JUDI KNOWLES Anderson, IN, ranked 8733 | $2.0M |
|
| 4 | SARAH DROSS-GONZALEZ Anderson, IN, ranked 8779 | $1.8M |
|
| 4 | BRENDA BARKER Anderson, IN, ranked 9421 | $239K |
|
| 5 | ANDREW SKINNER Anderson, IN, ranked 11068 | $881K | |
| 5 | HAILEE CARTER Anderson, IN, ranked 11599 | $118K |
Recent enforcement in IN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedJun 18, 2026
Florida Man Sentenced to 36 Months in Prison
As vice president of a dental practice, he submitted claims to Indiana Medicaid falsely billing for hundreds of dental surgeries that were never performed, used patients' personal identifiers without authorization to support the claims, and committed tax evasion to conceal the income.
DOJSentencedFeb 18, 2026
Highland Physician Sentenced to 97 Months in Prison
Cataldi, sole owner of an otolaryngology practice, billed Medicare and private insurance for thousands of balloon sinuplasty procedures that she did not perform, seeking approximately $50 million and being paid almost $20 million.
DOJCivil settlementJan 28, 2026
Settlement for $1.7 Million With Former Physician Don J. Wagoner and His Business Entity for Fraudulently Billing the Indiana Medicaid Program
Defendants required patients seeking opioid or pain medicine prescriptions to give a single urine sample, tested it with one inexpensive multiplexed screening kit, and billed Indiana Medicaid $171.27 or more per patient by falsely certifying that nine or more separate samples had been collected and analyzed.
DOJSentencedJan 8, 2026
Indiana Woman Sentenced to 84 Months in Prison
Reese falsely claimed to be a licensed clinical psychologist, used forged documents to obtain employment and stole the identities and license numbers of three medical professionals to enroll in Indiana Medicaid and bill for therapy services.
DOJSentencedOct 3, 2024
Merrillville Doctor Sentenced to Prison and Ordered to Pay Restitution
Farley submitted claims to Medicaid and Medicare falsely representing that he had complex, extended visits with patients at his addiction treatment practice, billing for more than 7,000 services he did not provide.
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.