Providers

MICHELLE L CONNER, LPCC

NPI 1417096207, individual, Bowling Green, KY, Counselor, Professional

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 7 months, but with up to 1491 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 8479, $3.7M 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.

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 line48.679.553.048.91491190791 90832 90834 90837 90846 90847 90853 H0038 H2011 H2019 H2021$219K
Feb 2019More hours than a day holds, even counting one unit per claim line37.954.336.237.51072190791 90832 90834 90837 90847 90853 H0038 H2011 H2021$133K
Mar 2019More hours than a day holds, even counting one unit per claim line31.440.927.232.3840190791 90832 90834 90837 90847 90853 H0038 H2015 H2021$105K
Apr 2019More hours than a day holds, even counting one unit per claim line34.747.531.734.01001190791 90832 90834 90837 90847 90853 H0038 H2011 H2015 H2021$116K
Jun 2019More hours than a day holds, even counting one unit per claim line37.248.732.440.11091190791 90832 90834 90837 90847 90853 H0038 H2015$97K
Jul 2019More hours than a day holds, even counting one unit per claim line47.864.543.049.71369190791 90832 90834 90837 90847 90853 H0038 H2015$133K
Aug 2019More hours than a day holds, even counting one unit per claim line30.140.426.930.9963190791 90832 90834 90837 90847 90853 H0038 H2011 H2015$83K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameMICHELLE L CONNER, LPCC (also MICHELLE DENHARD)
TypeIndividual
StatusActive
NPI issuedFebruary 6, 2007, last updated December 14, 2017
Practice location380 SUWANNEE TRAIL ST, Bowling Green, KY 42103-7956, 270-901-5000
Specialties
Counselor, Professional (101YP2500X, primary, license 104861 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
codewhat it ispaidshareper patient-monthtypicalrank among providers
T2023Medicaid service code$1.8M31%$309$332 (top 5% from $1K)31st percentile
H2021Community-based wrap-around services per 15 min$806K14%$437$845 (top 5% from $4K)37th percentile
90837Psychotherapy, 1 hourhistory of abuse$765K13%$144$191 (top 5% from $442)28th percentile
90834Psychotherapy, 45 minutes$506K9%$100$101 (top 5% from $318)50th percentile
90832Psychotherapy, 30 minutes$408K7%$75$59 (top 5% from $239)66th percentile
90847Family psychotherapy with patient, 50 minutes$310K5%$128$130 (top 5% from $458)49th percentile
H0038Self-help/peer services per 15 min$286K5%$92$147 (top 5% from $2K)38th percentile
90791Psychiatric diagnostic evaluation$258K4%$106$105 (top 5% from $228)52nd percentile

In this area

6 providers in Warren County, KY carry an indicator in the public record, with $7.1M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by paid after a public list action on 2. 3 are tier 1: documented action, then payment.

tierproviderat stakewhy
1THOMAS HUGHES
Bowling Green, KY, ranked 121
$152K
  • Listed on the IN Medicaid exclusion list since November 30, 2016.
  • Medicaid still paid claims in 42 later months, $151,689 in total.
1ACCULAB, LLC
Bowling Green, KY, ranked 278
$12K
  • Adjudicated (civil judgment) per an HHS-OIG enforcement record dated January 30, 2024.
  • Medicaid paid $11,586 in the last 12 observed months.
1ZIA NEUROLOGY ASSOCIATES, LLC
Bowling Green, KY, ranked 299
$8K
  • Listed on the KY Medicaid exclusion list since October 5, 2020.
  • Medicaid still paid claims in 3 later months, $8,176 in total.
4KIMBERLY WILSON
Bowling Green, KY, ranked 8616
$2.6M
  • Hours beyond a day in 3 months under one organization, which can be supervisory billing.
  • Records needed.
4KRISTINA FULLER
Bowling Green, KY, ranked 8632
$2.5M
  • Hours beyond a day in 31 months, but with up to 754 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
5EMILY EDWARDS
Bowling Green, KY, ranked 10829
$1.9M

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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