Providers
MALIK MUHAMMAD, Ph.D.
NPI 1326345588, individual, Durham, NC, Psychologist
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since October 12, 2021.
- Medicaid still paid claims in 1 later month, $1,779 in total.
- 98% of Medicaid dollars are on codes with a history of abuse.
score 95 of 100, rank 116, $2K at stake
Public list actions
Medicare revocation effective October 12, 2021, barred from re-enrolling until October 12, 2031
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Clinical Psychologist, NC
Medicare revocation effective October 12, 2021, barred from re-enrolling until October 12, 2031
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Clinical Psychologist, VA
Medicare revocation effective October 12, 2021, barred from re-enrolling until October 12, 2031
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Clinical Psychologist, CA
Medicare revocation effective October 12, 2021, barred from re-enrolling until October 12, 2031
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Clinical Psychologist, GA
OIG exclusion January 19, 2023 under section 1128a1
Bus Owner/Exec, Psychologic Practice, Petersburg, VA
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)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Oct 12, 2021 | Oct 12, 2031 | 1 | Nov 2021 | Nov 2021 | $2K | $448K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MALIK MUHAMMAD, Ph.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | February 23, 2011, last updated September 29, 2016 |
| Practice location | 20 W COLONY PL, STE 280, Durham, NC 27705-5591, 800-984-3167 |
| Specialties | Psychologist (103T00000X, primary, license 4438 NC) |
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 | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $195K | 98% | $241 | $191 (top 5% from $442) | 69th percentile | |
| 96131 | Evaluation of psychological test, each additional hour | $2K | 1% | $188 | $170 (top 5% from $515) | too few months to rank | |
| 96130 | Evaluation of psychological test, first hour | $585 | 0% | $45 | $84 (top 5% from $233) | too few months to rank |
In this area
6 providers in Durham County, NC carry an indicator in the public record, with $13.2M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PIUS ONDACHI Durham, NC, ranked 960 | $24K |
|
| 3 | DUKE UNIVERSITY HEALTH SYSTEM, INC. Durham, NC, ranked 2712 | $0 |
|
| 3 | HILLCREST CONVALESCENT CENTER, INC. Durham, NC, ranked 2905 | $0 |
|
| 3 | DUKE UNIVERSITY HEALTH SYSTEM, INC. Durham, NC, ranked 4671 | $0 |
|
| 4 | JASON OCEAN Durham, NC, ranked 7371 | $10.6M |
|
| 4 | LISA HOWELL Durham, NC, ranked 7605 | $2.6M |
|
Recent enforcement in NC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedAug 27, 2026
Charlotte Woman Sentenced for Defrauding the North Carolina Medicaid Program
Jackson and her company submitted over $1.9 million in claims to NC Medicaid for urine drug testing and psychotherapy services that were never performed or already paid, using Medicaid recipients' personal information, and she spent the proceeds.
DOJPleaded guiltyJul 9, 2026
Guilford County Woman Pleads Guilty to Health Care Fraud in Connection with Million Dollar Urine Drug Testing Scheme
Singleton owned and operated Joelle's Center of Hope, which submitted approximately $1,735,865 in claims to North Carolina Medicaid for urine drug tests that were not performed, listing a nurse practitioner and a doctor as ordering providers who never ordered the tests.
DOJPleaded guiltyJun 24, 2026
Raleigh Man Pleads Guilty to Receiving More than $60 Million in Fraudulent Claims from Paying Kickbacks for Patient Referrals
Price owned and operated Golden Star Labs, which paid collectors on a per-specimen basis to supply bogus respiratory test samples obtained through identity theft, and billed Medi-Cal and Medicare more than $96 million in false claims, receiving more than $60 million, and he also filed a false federal income tax return.
DOJChargedJun 24, 2026
McLeansville Woman Charged With Health Care Fraud, Part of National Health Care Fraud Takedown
White, the owner of Reginald Center of Turn Around, billed North Carolina Medicaid for thousands of fictitious drug tests resulting in a loss of $2.8 million.
DOJIndictedJun 24, 2026
Felon Indicted in Multimillion Dollar Healthcare Kickback and False Documents Conspiracy
Ayyad is alleged to have solicited and received kickbacks from clinical laboratories in exchange for generating referrals, paid kickbacks to independent contractor sales reps, created dozens of sham invoices and contracts to conceal the payments, and caused the submission of fraudulent claims for laboratory testing to Medicare, HRSA, TRICARE, and other payers through labs and entities he owned and controlled.
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.