MAJA CUPAC, LPCC, NCC
NPI 1184997009, individual, Louisville, KY, Counselor, Professional
- Listed on the KY Medicaid exclusion list since April 22, 2022.
- Medicaid still paid claims in 4 later months, $8,911 in total.
- 98% of Medicaid dollars are on codes with a history of abuse.
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 |
|---|---|---|---|---|---|---|---|---|
| KY Medicaid exclusion list state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap) | Exact NPI, name verified | Apr 22, 2022 | still open | 4 | May 2022 | Aug 2022 | $9K | $56K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MAJA CUPAC, LPCC, NCC |
| Type | Individual |
| Status | Active |
| NPI issued | February 23, 2012, last updated September 15, 2021 |
| Practice location | 1100 E MARKET ST, Louisville, KY 40206-1838, 502-596-1213 |
| Mailing address | 926 WILLOW POINTE DR, Louisville, KY 40299-6604 |
| Specialties | Counselor, Professional (101YP2500X, primary, license KY-1116 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $122K | 98% | $178 | $191 (top 5% from $442) | 44th percentile | |
| 90785 | Psychiatric services complicated by communication factor | $880 | 1% | $9.89 | $15 (top 5% from $35) | too few months to rank | |
| 90791 | Psychiatric diagnostic evaluation | $780 | 1% | $65 | $105 (top 5% from $228) | too few months to rank | |
| H0032 | Medicaid service code | $680 | 1% | $57 | $98 (top 5% from $675) | too few months to rank |
In this area
59 providers in Jefferson County, KY carry an indicator in the public record, with $101.1M at stake between them. The most common is more hours than a day holds, on 46 of them, followed by paid after a public list action on 5. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 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 |
|
| 3 | NAZARETH HOME, INC. Louisville, KY, ranked 2648 | $0 |
|
Recent enforcement in KY
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.