Providers

ANANTHAKUMAR THILLAINATHAN, MD

NPI 1285900621, individual, Stratford, CT, Internal Medicine

1
Evidence tier
documented action, then payment
  • Listed on the Medicare revocation list since November 4, 2022.
  • Medicaid still paid claims in 1 later month, $461 in total.
  • Hours beyond a day in 13 months, but with up to 1268 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • A second detector adds a weaker signal.
score 93 of 100, rank 418, $461 at stake

Public list actions

Medicare revocation effective November 4, 2022, barred from re-enrolling until November 4, 2032
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Internal Medicine, NJ
Medicare revocation effective November 4, 2022, barred from re-enrolling until November 4, 2032
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Emergency Medicine, CT
Medicare revocation effective November 4, 2022, barred from re-enrolling until November 4, 2032
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Emergency Medicine, MN
Medicare revocation effective November 4, 2022, barred from re-enrolling until November 4, 2032
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Internal Medicine, AL
Medicare revocation effective November 4, 2022, barred from re-enrolling until November 4, 2032
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Internal Medicine, NY
OIG exclusion March 20, 2024 under section 1128a1
Physician (MD, DO), Internal Medicine, White Deer, PA

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.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
Medicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedNov 4, 2022Nov 4, 20321Dec 2022Dec 2022$461$2.4M

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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Jan 2019More hours than a day holds, even counting one unit per claim line24.710.57.09.5358199204 99213 99214 99401 99402 99409$35K
Feb 2019More hours than a day holds, even counting one unit per claim line32.914.79.813.8498199204 99213 99214 99401 99402 99409$41K
Mar 2019More hours than a day holds, even counting one unit per claim line24.112.18.111.9496199204 99213 99214 99401 99402 99409$37K
Apr 2019More hours than a day holds, even counting one unit per claim line25.012.88.611.7518199204 99213 99214 99401 99402 99409$39K
May 2019More hours than a day holds, even counting one unit per claim line27.514.49.612.9581199204 99213 99214 99401 99402 99409$45K
Jul 2019More hours than a day holds, even counting one unit per claim line24.113.08.711.7460199204 99214 99309 99401 99402 99409$36K
Aug 2019More hours than a day holds, even counting one unit per claim line24.613.79.112.9497199204 99214 99309 99401 99402 99409$38K
Sep 2019More hours than a day holds, even counting one unit per claim line32.916.210.815.5582199204 99214 99309 99401 99402 99409$43K
Oct 2019More hours than a day holds, even counting one unit per claim line42.620.513.718.4701199204 99214 99309 99401 99402 99409$56K
Nov 2019More hours than a day holds, even counting one unit per claim line25.913.99.213.2501199204 99214 99309 99401 99402 99409$36K
Jan 2020More hours than a day holds, even counting one unit per claim line36.021.114.018.9799199204 99214 99309 99401 99402 99409$64K
Oct 2020More hours than a day holds, even counting one unit per claim line25.532.221.530.21123199204 99213 99214 99401 99402 99409$104K
Jan 2022More hours than a day holds, even counting one unit per claim line30.749.733.148.91268199204 99213 99214 99402 99409$164K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameANANTHAKUMAR THILLAINATHAN, MD
TypeIndividual
StatusActive
NPI issuedMarch 29, 2012, last updated July 14, 2020
Practice location3000 MAIN ST, Stratford, CT 06614-4939, 516-582-1948
Mailing address5 CAMDEN PLACE, New Hyde Park, NY 11040
Specialties
Internal Medicine (207R00000X, primary, license 053980 CT)

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
codewhat it ispaidshareper patient-monthtypicalrank among providers
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$1.4M44%$113$60 (top 5% from $133)91st percentile
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$328K11%$148$95 (top 5% from $171)89th percentile
99402Preventive counseling individual 30 min$253K8%$62$36 (top 5% from $131)72nd percentile
95165Professional service for preparation and provision of 1 or more antigens$244K8%$371$187 (top 5% from $1K)82nd percentile
99409Alcohol/substance screening and brief intervention more than 30 min$222K7%$45$30 (top 5% from $156)75th percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$112K4%$65$44 (top 5% from $110)77th percentile
96127Assessment of emotional or behavioral problems$105K3%$18$4.12 (top 5% from $19)95th percentile
99401Preventive counseling individual 15 min$63K2%$37$16 (top 5% from $46)88th percentile

In this area

23 providers in Stratford, CT carry an indicator in the public record, with $8.8M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by paid after a public list action on 5. 4 are tier 1: documented action, then payment.

tierproviderat stakewhy
1MDCARENOW LLC
Stratford, CT, ranked 453
$45
  • Listed on the Medicare revocation list since November 4, 2022.
  • Medicaid still paid claims in 4 later months, $45 in total.
1JEANNIE PASACRETA
Newtown, CT, ranked 494
$0
  • Adjudicated (civil judgment) per a state attorney general release dated August 1, 2024.
  • No Medicaid payments in the last 12 observed months.
1HELPING HANDS ACADEMY
Bridgeport, CT, ranked 606
$0
  • Adjudicated (sentenced) per a Department of Justice release dated February 26, 2025.
  • No Medicaid payments in the last 12 observed months.
1HAMED GHORBANI-MOGHADDAM
Bridgeport, CT, ranked 617
$0
  • Adjudicated (pleaded guilty) per a Department of Justice release dated September 4, 2024.
  • No Medicaid payments in the last 12 observed months.
3SOUTHPORT CENTER FOR NURSING & REHABILITATION, LLC
Southport, CT, ranked 1478
$25K
  • Part of provider network D1-00091, ranked 91 nationally.
3HEWITT HEALTH & REHABILITATION
Shelton, CT, ranked 5555
$0
  • Part of provider network D1-00123, ranked 123 nationally.
3GARDNER HEIGHTS HEALTH CARE CENTER
Shelton, CT, ranked 5752
$0
  • Part of provider network D1-00123, ranked 123 nationally.
3SHELTON LAKES HEALTH CARE CENTER, INC
Shelton, CT, ranked 5781
$0
  • Part of provider network D1-00123, ranked 123 nationally.
All 23 in CT

Recent enforcement in CT

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementJun 23, 2026
Connecticut Lab and its Owner Pay Over $145K to Settle Allegations of Medicaid Enrollment Fraud
Coastal Diagnostics and its owner made material misrepresentations in a Connecticut Medicaid Provider Enrollment Application by denying any relationship to another enrolled provider, Genco Lab, and then submitted claims for laboratory services.
DOJPleaded guiltyJun 23, 2026
Middletown Man Pleads Guilty to Operating Unlawful Money Transmitting Business
Habib registered a company and opened a bank account through which fraudulent claims were submitted to Medicare Advantage plans for durable medical equipment, including orthotics and braces, that beneficiaries did not request, consent to, or receive, and he wired proceeds to Pakistan without a money transmitting license.
DOJComplaint filedMay 22, 2026
APRN Charged with Defrauding Connecticut’s Medicaid Program
An APRN was charged with submitting fraudulent Medicaid claims for medication management services that were not provided, including for patients who had stopped seeing her or who were hospitalized, incarcerated, or deceased.
DOJSentencedApr 30, 2026
Cheshire Nurse Who Illegally Distributed Controlled Substances is Sentenced
An Advanced Practice Registered Nurse enrolled as a Medicare and Medicaid provider unlawfully distributed amphetamines and benzodiazepines to individuals without legitimate medical need, charging $200 cash for office visits, and Medicaid paid $287.58 for prescriptions written for an undercover agent.
DOJSentencedFeb 10, 2026
Bloomfield Man Sentenced to Federal Prison for Health Care Fraud
Tyson and Epps submitted fraudulent Medicaid claims for psychotherapy counseling sessions that were not provided, billed under Tyson's provider number for services purportedly provided by the suspended Epps, and Tyson provided fraudulent patient records during a Medicaid audit.

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.

Ask this case

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