ABDOLREZA RABIEE, MD

NPI 1407877509, individual, Lexington, KY, Emergency Medicine

Evidence tier

structure or single-organization volume

Hours beyond a day in 70 months, but with up to 6545 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
Records needed.

score 52 of 100, rank 8284, $11.7M at stake

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.

month	what was found	hours per day, lower bound	hours per day, at price	hours per day, conservative	per working day	patients	billing organizations	codes	paid
Jan 2018	More hours than a day holds, even counting one unit per claim line	30.5	33.2	22.2	29.9	2187	2	99203 99213 99214	$111K
Feb 2018	More hours than a day holds, even counting one unit per claim line	36.9	40.3	26.9	37.6	2398	2	99203 99213 99214	$122K
Mar 2018	More hours than a day holds, even counting one unit per claim line	28.5	30.6	20.4	28.7	2068	2	99203 99213 99214	$102K
Apr 2018	More hours than a day holds, even counting one unit per claim line	26.4	27.9	18.6	26.6	1833	2	99203 99211 99213 99214	$91K
May 2018	More hours than a day holds, even counting one unit per claim line	25.0	26.6	17.8	23.9	1833	2	99203 99213 99214	$89K
Aug 2018	More hours than a day holds, even counting one unit per claim line	24.9	26.9	18.0	24.2	1821	2	99203 99213 99214	$89K
Sep 2018	More hours than a day holds, even counting one unit per claim line	30.5	32.6	21.7	32.6	2107	2	99203 99213 99214	$105K
Oct 2018	More hours than a day holds, even counting one unit per claim line	29.5	32.4	21.6	29.1	2115	2	99203 99213 99214	$108K
Nov 2018	More hours than a day holds, even counting one unit per claim line	32.7	34.9	23.3	31.7	2242	2	99203 99213 99214	$113K
Dec 2018	More hours than a day holds, even counting one unit per claim line	34.6	37.8	25.2	37.2	2472	2	99203 99213 99214	$127K
Jan 2019	More hours than a day holds, even counting one unit per claim line	39.0	40.0	26.7	36.0	2825	2	99203 99213 99214	$139K
Feb 2019	More hours than a day holds, even counting one unit per claim line	40.9	43.2	28.8	40.3	2688	2	99203 99213 99214	$135K
Mar 2019	More hours than a day holds, even counting one unit per claim line	35.8	37.3	24.9	36.7	2451	2	99203 99213 99214	$127K
Apr 2019	More hours than a day holds, even counting one unit per claim line	31.9	35.7	23.8	32.4	1997	2	99203 99213 99214	$114K
May 2019	More hours than a day holds, even counting one unit per claim line	36.0	37.6	25.1	33.8	2088	2	99203 99213 99214	$122K
Jun 2019	More hours than a day holds, even counting one unit per claim line	25.6	27.0	18.0	27.0	1585	2	99203 99213 99214	$87K
Aug 2019	More hours than a day holds, even counting one unit per claim line	28.6	33.4	22.3	31.4	1951	2	99203 99213 99214	$111K
Sep 2019	More hours than a day holds, even counting one unit per claim line	39.3	42.6	28.4	40.5	2385	2	99203 99211 99213 99214	$135K
Oct 2019	More hours than a day holds, even counting one unit per claim line	33.3	36.0	24.0	32.3	2305	2	99203 99211 99213 99214	$120K
Nov 2019	More hours than a day holds, even counting one unit per claim line	39.9	44.2	29.5	42.1	2610	2	99203 99211 99213 99214	$142K
Dec 2019	More hours than a day holds, even counting one unit per claim line	47.1	52.0	34.6	48.8	3027	2	99203 99211 99213 99214	$171K
Jan 2020	More hours than a day holds, even counting one unit per claim line	42.7	47.1	31.4	42.3	2840	2	99203 99213 99214	$166K
Feb 2020	More hours than a day holds, even counting one unit per claim line	49.6	54.0	36.0	52.2	3048	2	99203 99211 99213 99214	$178K
Mar 2020	More hours than a day holds, even counting one unit per claim line	34.2	37.3	24.9	35.1	2261	2	99203 99213 99214	$131K
Aug 2020	More hours than a day holds, even counting one unit per claim line	26.9	26.6	17.7	26.1	2292	2	99202 99203 99212 99213 99214	$109K
Sep 2020	More hours than a day holds, even counting one unit per claim line	26.0	23.9	15.9	21.7	1964	2	99202 99203 99211 99212 99213 99214	$92K
Oct 2020	More hours than a day holds, even counting one unit per claim line	29.8	27.0	18.0	25.4	2213	2	99202 99203 99211 99212 99213 99214	$105K
Jan 2021	More hours than a day holds, even counting one unit per claim line	25.1	25.9	17.3	25.5	2026	2	99202 99203 99212 99213 99214	$102K
Mar 2021	More hours than a day holds, even counting one unit per claim line	26.0	28.2	18.8	25.3	1996	2	99202 99203 99212 99213 99214	$107K
Apr 2021	More hours than a day holds, even counting one unit per claim line	27.4	30.2	20.1	27.5	2183	2	99202 99203 99212 99213 99214	$112K
May 2021	More hours than a day holds, even counting one unit per claim line	29.7	31.3	20.9	30.8	2454	2	99202 99203 99212 99213 99214	$121K
Jul 2021	More hours than a day holds, even counting one unit per claim line	28.6	30.4	20.3	28.5	2359	2	99202 99203 99212 99213 99214	$117K
Aug 2021	More hours than a day holds, even counting one unit per claim line	47.2	51.4	34.2	48.2	3834	2	99202 99203 99212 99213 99214	$197K
Sep 2021	More hours than a day holds, even counting one unit per claim line	43.6	47.8	31.9	43.4	3592	2	99202 99203 99212 99213 99214	$180K
Oct 2021	More hours than a day holds, even counting one unit per claim line	35.7	38.3	25.5	37.7	3190	2	99202 99203 99211 99212 99213 99214	$151K
Nov 2021	More hours than a day holds, even counting one unit per claim line	42.5	45.6	30.4	41.5	3445	2	99202 99203 99212 99213 99214	$169K
Dec 2021	More hours than a day holds, even counting one unit per claim line	59.2	62.8	41.8	56.4	4764	2	99202 99203 99204 99212 99213 99214	$240K
Jan 2022	More hours than a day holds, even counting one unit per claim line	70.4	73.2	48.8	72.0	5724	2	99202 99203 99204 99212 99213 99214	$281K
Feb 2022	More hours than a day holds, even counting one unit per claim line	45.7	44.2	29.5	41.3	3563	2	99202 99203 99211 99212 99213 99214	$157K
Mar 2022	More hours than a day holds, even counting one unit per claim line	40.8	41.0	27.4	36.9	3271	2	99202 99203 99204 99211 99212 99213 99214	$153K
Apr 2022	More hours than a day holds, even counting one unit per claim line	41.5	42.1	28.0	40.1	3178	2	99202 99203 99204 99212 99213 99214	$152K
May 2022	More hours than a day holds, even counting one unit per claim line	46.1	46.3	30.9	43.5	3742	2	99202 99203 99204 99211 99212 99213 99214	$174K
Jun 2022	More hours than a day holds, even counting one unit per claim line	38.3	38.5	25.7	35.0	3064	2	99202 99203 99204 99212 99213 99214	$142K
Jul 2022	More hours than a day holds, even counting one unit per claim line	43.7	44.7	29.8	44.0	3668	2	99202 99203 99204 99212 99213 99214	$173K
Aug 2022	More hours than a day holds, even counting one unit per claim line	62.5	63.1	42.0	56.7	5299	2	99202 99203 99204 99212 99213 99214	$246K
Sep 2022	More hours than a day holds, even counting one unit per claim line	55.7	57.8	38.5	52.6	4296	2	99202 99203 99204 99212 99213 99214	$211K
Oct 2022	More hours than a day holds, even counting one unit per claim line	62.2	63.6	42.4	62.6	4561	2	99202 99203 99204 99212 99213 99214	$234K
Nov 2022	More hours than a day holds, even counting one unit per claim line	94.4	98.5	65.7	89.6	6545	2	99202 99203 99204 99212 99213 99214	$348K
Dec 2022	More hours than a day holds, even counting one unit per claim line	60.6	62.3	41.5	58.5	4366	2	99202 99203 99204 99212 99213 99214	$227K
Jan 2023	More hours than a day holds, even counting one unit per claim line	57.3	59.1	39.4	55.5	4169	2	99202 99203 99204 99212 99213 99214	$214K
Feb 2023	More hours than a day holds, even counting one unit per claim line	63.5	66.7	44.4	62.2	4191	2	99202 99203 99204 99212 99213 99214	$216K
Mar 2023	More hours than a day holds, even counting one unit per claim line	56.1	59.5	39.6	53.4	4086	2	99203 99204 99212 99213 99214	$213K
Apr 2023	More hours than a day holds, even counting one unit per claim line	50.2	52.4	34.9	52.4	3587	2	99203 99204 99212 99213 99214	$182K
May 2023	More hours than a day holds, even counting one unit per claim line	47.4	50.4	33.6	45.3	3253	2	99203 99204 99213 99214	$178K
Jun 2023	More hours than a day holds, even counting one unit per claim line	33.1	35.5	23.6	32.2	2303	2	99203 99204 99213 99214	$122K
Jul 2023	More hours than a day holds, even counting one unit per claim line	32.1	34.2	22.8	33.6	2288	2	99203 99204 99213 99214	$121K
Aug 2023	More hours than a day holds, even counting one unit per claim line	59.1	64.9	43.3	58.4	4180	2	99202 99203 99204 99212 99213 99214	$230K
Sep 2023	More hours than a day holds, even counting one unit per claim line	64.0	70.0	46.7	66.6	4353	2	99202 99203 99204 99212 99213 99214	$240K
Oct 2023	More hours than a day holds, even counting one unit per claim line	53.1	56.0	37.4	52.7	4008	2	99203 99204 99212 99213 99214	$202K
Nov 2023	More hours than a day holds, even counting one unit per claim line	61.4	64.3	42.9	58.4	4340	2	99203 99204 99212 99213 99214	$222K
Dec 2023	More hours than a day holds, even counting one unit per claim line	53.7	55.0	36.7	54.2	4020	2	99202 99203 99204 99212 99213 99214	$199K
Jan 2024	More hours than a day holds, even counting one unit per claim line	45.5	43.2	28.8	38.8	3505	2	99203 99212 99213 99214	$170K
Feb 2024	More hours than a day holds, even counting one unit per claim line	53.1	50.3	33.5	46.3	3740	2	99203 99212 99213 99214	$185K
Mar 2024	More hours than a day holds, even counting one unit per claim line	48.0	46.5	31.0	45.7	3568	2	99203 99212 99213 99214	$182K
Apr 2024	More hours than a day holds, even counting one unit per claim line	38.9	37.1	24.7	33.7	2901	2	99203 99212 99213 99214	$141K
May 2024	More hours than a day holds, even counting one unit per claim line	34.0	32.1	21.4	28.8	2606	2	99203 99212 99213 99214	$126K
Jun 2024	More hours than a day holds, even counting one unit per claim line	25.2	23.8	15.9	23.8	1937	2	99203 99213 99214	$91K
Jul 2024	More hours than a day holds, even counting one unit per claim line	25.8	24.6	16.4	22.1	2009	2	99203 99212 99213 99214	$97K
Aug 2024	More hours than a day holds, even counting one unit per claim line	39.4	37.2	24.8	35.0	3061	2	99202 99203 99212 99213 99214	$147K
Sep 2024	More hours than a day holds, even counting one unit per claim line	34.9	33.6	22.4	32.0	2632	2	99203 99212 99213 99214	$128K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	ABDOLREZA RABIEE, MD
Type	Individual
Status	Active
NPI issued	July 22, 2006, last updated March 28, 2023
Practice location	1221 S BROADWAY, Lexington, KY 40504-2701, 859-258-4000
Specialties	Emergency Medicine (207P00000X, primary, license 38022 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.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$5.3M	26%	$43	$44 (top 5% from $110)	49th percentile
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	$3.8M	19%	$41	$40 (top 5% from $69)	51st percentile
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$3.0M	15%	$69	$67 (top 5% from $121)	54th percentile
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$2.3M	11%	$61	$60 (top 5% from $133)	51st percentile
87804	Detection test by immunoassay with direct visual observation for influenza virus	$2.1M	10%	$27	$22 (top 5% from $33)	73rd percentile
87880	Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	$803K	4%	$13	$12 (top 5% from $18)	60th percentile
99285	Emergency department visit with high level of medical decision making	$613K	3%	$84	$100 (top 5% from $264)	29th percentile
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	$506K	2%	$31	$28 (top 5% from $147)	56th percentile

Medicare Part B 2024, largest codes

code	what it is	services	beneficiaries	paid	submitted per service	allowed per service	charge to allowed	usual for this code
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	1,447	1,016	$65K	$75	$71	1.1x	2.2x (90th percentile 3.8x)
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	571	571	$34K	$110	$98	1.1x	2.4x (90th percentile 3.9x)
99285	Emergency department visit with high level of medical decision making	272	262	$34K	$496	$165	3.0x	6.9x (90th percentile 11.7x)
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	596	533	$30K	$70	$50	1.4x	2.0x (90th percentile 4.8x)
87428	Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	325	294	$22K	$85	$69	1.2x	1.9x (90th percentile 3.1x)
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	155	$11K	$110	$103	1.1x	2.3x (90th percentile 3.8x)
87804	Detection test by immunoassay with direct visual observation for influenza virus	674	535	$11K	$30	$16	1.9x	2.5x (90th percentile 3.9x)
99284	Emergency department visit with moderate level of medical decision making	109	107	$9K	$338	$111	3.1x	6.7x (90th percentile 11.3x)

A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.

In this area

22 providers in Fayette County, KY carry an indicator in the public record, with $19.0M at stake between them. The most common is more hours than a day holds, on 18 of them, followed by named in an enforcement record on 3. 3 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	SERENITY KEEPERS Lexington, KY, ranked 560	$0	Adjudicated (indicted, convicted, sentenced) per a Department of Justice release dated November 21, 2024. No Medicaid payments in the last 12 observed months.
1	LABTOX, LLC Lexington, KY, ranked 632	$0	Adjudicated (civil judgment) per a Department of Justice release dated February 15, 2024. No Medicaid payments in the last 12 observed months.
1	AMR MOHAMED Lexington, KY, ranked 654	$0	Adjudicated (sentenced) per a Department of Justice release dated May 7, 2024. No Medicaid payments in the last 12 observed months.
3	BAPTIST HEALTH HOME CARE KY LLC Lexington, KY, ranked 2798	$0	Part of provider network D1-00115, ranked 115 nationally.
4	KATHERINE JONES Lexington, KY, ranked 8164	$1.2M	Hours beyond a day in 11 months under one organization, which can be supervisory billing. Records needed. and 1 more
4	THOMAS HOWARD, III Lexington, KY, ranked 8540	$3.1M	Hours beyond a day in 32 months, but with up to 2083 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
4	ANTHONY FLYNN Lexington, KY, ranked 8920	$1.2M	Hours beyond a day in 14 months, but with up to 820 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
4	TONI WEBB Lexington, KY, ranked 9019	$904K	Hours beyond a day in 8 months, but with up to 1601 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.

All 22 in KY

Recent enforcement in KY

All releases

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

DOJIndictedAug 27, 2026

Kentucky Medical Biller Indicted for Healthcare Fraud and Money Laundering Charges

Sanders recruited individuals to open behavioral health entities, handled their Kentucky Medicaid credentialing and enrollment, and directed submission of fraudulent Medicaid claims across ten behavioral health providers for services never provided, including for incarcerated, hospitalized, or deceased members, using licensed professionals' NPIs without authorization.

DOJChargedJun 23, 2026

5 Individuals and 2 Companies Charged as Part of Department of Justice National Health Care Fraud Takedown

Seven defendants were charged in four cases with schemes including billing Kentucky Medicaid for peer support and psychoeducation services that were fraudulent, unauthorized, or not rendered using providers' NPIs, using a DEA number to order controlled substances in others' names, credentialing a company with Medicare and billing for services not rendered using a doctor's NPI, and stealing controlled substances from hospitals and falsely documenting administration.

DOJCivil settlementJun 23, 2026

Civil Settlements Reached as Part of Department of Justice National Health Care Fraud Takedown

Three Home and Community Based Waiver providers and their owners, who had shared financial interests, referred Medicaid waiver beneficiaries for attendant care services and billed Medicaid for attendant care hours that were not fully provided or not provided at all.

DOJCivil judgmentMay 15, 2026

Operators of Day Treatment Program for Children Agree to $15.2 Million Civil Judgment to Resolve Medicaid Fraud Allegations

The Government alleged that from August 2022 through June 2025 the Recovery Centers sought Medicaid payments for time children spent on education, recreation, and lunch breaks at the Aspire Day Program and that Recovery Center of Kentucky falsely represented clinician qualifications to obtain higher reimbursements.

DOJSentencedApr 24, 2026

Former Sober Home Owner and Operator Sentenced for Kickback Conspiracy and Health Care Fraud

Jordan solicited and received kickbacks in exchange for referring urine drug testing from her sober home company to three labs, and Serenity Keepers billed Medicaid for peer support services not provided by licensed peer support specialists, with Williams reporting that residents received six hours of peer support services per day knowing that was not true.

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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