Providers
All 15 in OH
LAKKARAJ RAJASEKHAR, MD
NPI 1083799365, individual, West Chester, OH, Internal Medicine, Cardiovascular Disease
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since September 30, 2020.
- Medicaid still paid claims in 45 later months, $226,119 in total.
- Medicaid dollars per patient on code 99214 ($229 per patient-month) sit in the top 5% of every provider billing that code.
score 99 of 100, rank 10, $226K at stake
Public list actions
Medicare revocation effective September 30, 2020, barred from re-enrolling until September 29, 2030
424.535(a)(10) failure to document, Practitioner - Cardiovascular Disease (Cardiology), OH
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(10) failure to document | Exact NPI, name verified | Sep 30, 2020 | Sep 29, 2030 | 45 | Oct 2020 | Jun 2024 | $226K | $141K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | LAKKARAJ RAJASEKHAR, MD |
| Type | Individual |
| Status | Active |
| NPI issued | October 26, 2006, last updated April 17, 2025 |
| Practice location | 7218 STONE HARBOUR LN STE 200, West Chester, OH 45069-6569, 513-266-2458 |
| Mailing address | 7218 STONE HARBOUR LANE, STE 200, West Chester, OH 45069-1690 |
| Specialties | Internal Medicine, Cardiovascular Disease (207RC0000X, license 45929 KY) Internal Medicine, Cardiovascular Disease (207RC0000X, license ME111239 FL) Internal Medicine, Cardiovascular Disease (207RC0000X, primary, license 45497 OH) |
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 | $276K | 55% | $229 | $60 (top 5% from $133) | 99th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $179K | 36% | $114 | $44 (top 5% from $110) | 95th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $18K | 4% | $79 | $28 (top 5% from $147) | 89th percentile | |
| H0048 | Medicaid service code | $16K | 3% | $23 | $23 (top 5% from $57) | 49th percentile | |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | $6K | 1% | $46 | $30 (top 5% from $115) | too few months to rank | |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $2K | 0% | $25 | $16 (top 5% from $128) | too few months to rank | |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | $1K | 0% | $9.11 | $7.24 (top 5% from $18) | 66th percentile | |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | $852 | 0% | $27 | $17 (top 5% from $105) | too few months to rank |
In this area
15 providers in Butler County, OH carry an indicator in the public record, with $19.8M at stake between them. The most common is part of a provider network, on 6 of them, followed by more hours than a day holds on 6.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | HEARTS OF CARE HOME HEALTH CARE AGENCY West Chester, OH, ranked 1037 | $1.1M |
|
| 3 | HILLANDALE NURSING CARE, LTD. Hamilton, OH, ranked 2312 | $0 |
|
| 3 | CYNTHIA LANGE Middletown, OH, ranked 2314 | $0 |
|
| 3 | HILLANDALE NURSING CARE, LTD. Hamilton, OH, ranked 2487 | $0 |
|
| 3 | ARLINGTON POINTE INVESTMENT GROUP, LLC Middletown, OH, ranked 2947 | $0 |
|
| 3 | MUSTAFA ISSA West Chester, OH, ranked 3204 | $0 |
|
| 3 | CHESTERWOOD NURSING CARE, LTD. West Chester, OH, ranked 4616 | $0 |
|
| 3 | HERITAGESPRING HEALTH CARE CENTER West Chester, OH, ranked 5216 | $0 |
|
Recent enforcement in OH
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementJun 23, 2026
Ohio Dentist Agrees to Pay $500,000 to Resolve Allegations of Submitting False Claims to Medicaid
Meckler billed the Ohio Department of Medicaid for services provided by Ball, who was excluded from the Medicaid program, by listing Meckler as the rendering provider instead of Ball.
DOJSentencedJun 15, 2026
Ohio Doctor Ordered to Pay Nearly $1M for Facilitating Fraud on Medicare
A physician working as an independent contractor for a telemedicine company signed doctor's orders for durable medical equipment braces and genetic testing without meaningfully reviewing patient records or performing required in-person assessments, and those orders were used to bill Medicare more than $1,842,524.
DOJCivil settlementApr 2, 2026
Trinity Hospital Agrees to Pay $1.7M to Resolve Alleged Stark Law Violations
Trinity agreed to pay $1.7 million to resolve allegations that from 2014 through 2020 it made improper financial contributions to two referring physicians through office space rental arrangements that exceeded fair market value, in violation of the Stark Law.
DOJComplaint filedFeb 20, 2026
Justice Department Sues OhioHealth for Anticompetitive Healthcare Contracts That Increase Costs for Ohio Patients
The Justice Department and Ohio Attorney General filed a civil antitrust complaint alleging OhioHealth used its market power to impose contractual restrictions that prevent insurers from offering lower-cost health plans and limit access to price information.
DOJSentencedJan 14, 2026
Ohio Doctor Sentenced to Prison for $14M Healthcare Fraud Scheme
A licensed Ohio physician employed by two Florida telemedicine companies signed pre-completed orders for durable medical equipment and cancer genetic testing, falsely affirming he had examined the patients, causing more than $14.5 million in fraudulent Medicare claims.
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.