JAMES FERGUSON, D.C.
NPI 1386792935, individual, Henderson, KY, Chiropractor
- Listed on the KY Medicaid exclusion list since November 26, 2016.
- Medicaid still paid claims in 10 later months, $33,218 in total.
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 | Nov 26, 2016 | still open | 10 | Jan 2018 | Nov 2018 | $33K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JAMES FERGUSON, D.C. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | January 8, 2007, last updated March 30, 2017 |
| Practice location | 724B BARRETT BLVD, Henderson, KY 42420-4931, 270-844-8162 |
| Mailing address | 7350 AIRLINE RD, Henderson, KY 42420-9560 |
| Specialties | Chiropractor (111N00000X, primary, license 4902 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 | |
|---|---|---|---|---|---|---|---|
| 98941 | Chiropractic manipulative treatment, 3-4 spinal regions | $12K | 37% | $68 | $45 (top 5% from $86) | 87th percentile | |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $9K | 26% | $66 | $76 (top 5% from $314) | 43rd percentile | |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $7K | 21% | $65 | $59 (top 5% from $187) | 56th percentile | |
| 98943 | Medicaid service code | $5K | 15% | $51 | $34 (top 5% from $62) | 90th percentile |
In this area
3 providers in Henderson County, KY carry an indicator in the public record, with $1.2M at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | HENDERSON COUNTY HEALTH CARE CORPORATION Henderson, KY, ranked 2647 | $0 |
|
| 4 | RHONDA ROPER Henderson, KY, ranked 8945 | $1.1M |
|
| 5 | PROREHAB, INC Henderson, KY, ranked 11822 | $33K |
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.