Providers
KEVIN PATRICK DUGAN, PhD, HSPP
NPI 1548256795, individual, Kokomo, IN, Psychologist, Counseling
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 15 months, but with up to 678 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code T2022 ($898 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7584, $2.8M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 25.7 | 36.6 | 24.4 | 32.9 | 517 | 1 | 90791 90832 90834 90837 90847 | $82K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 25.7 | 36.1 | 24.0 | 32.8 | 531 | 1 | 90791 90832 90834 90837 90846 90847 | $79K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 25.8 | 35.6 | 23.7 | 35.0 | 544 | 1 | 90791 90832 90834 90837 90846 90847 | $80K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 29.1 | 39.7 | 26.4 | 36.1 | 579 | 1 | 90791 90832 90834 90837 90847 | $87K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 29.2 | 40.4 | 26.9 | 37.9 | 606 | 1 | 90791 90832 90834 90837 90846 90847 | $89K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 33.8 | 45.9 | 30.6 | 42.8 | 630 | 1 | 90791 90832 90834 90837 90846 90847 | $91K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 29.5 | 40.7 | 27.1 | 36.6 | 678 | 1 | 90791 90832 90834 90837 90846 90847 | $89K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 31.6 | 44.7 | 29.8 | 44.7 | 653 | 1 | 90791 90832 90834 90837 90846 90847 | $95K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 36.7 | 50.4 | 33.6 | 45.3 | 673 | 1 | 90791 90832 90834 90837 90847 | $111K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 27.8 | 39.0 | 26.0 | 35.5 | 631 | 1 | 90791 90832 90834 90837 90846 90847 | $82K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 26.0 | 35.1 | 23.4 | 34.5 | 581 | 1 | 90791 90832 90834 90837 90847 | $76K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 32.0 | 42.7 | 28.5 | 38.4 | 654 | 1 | 90791 90832 90834 90837 90846 90847 | $93K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 28.6 | 38.8 | 25.9 | 37.0 | 617 | 1 | 90791 90832 90834 90837 90839 90846 90847 | $82K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 25.0 | 33.4 | 22.3 | 31.4 | 573 | 1 | 90791 90832 90834 90837 90847 | $72K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 26.2 | 35.1 | 23.4 | 31.9 | 586 | 1 | 90791 90832 90834 90837 90847 | $74K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KEVIN PATRICK DUGAN, PhD, HSPP |
| Type | Individual |
| Status | Active |
| NPI issued | September 23, 2005, last updated June 11, 2026 |
| Practice location | 2751 ALBRIGHT RD, Kokomo, IN 46902-3996, 765-450-4843 |
| Mailing address | 2751 ALBRIGHT RD STE 375, Kokomo, IN 46902-3996 |
| Specialties | Psychologist, Counseling (103TC1900X, primary, license 20041836A IN) |
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 | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $1.9M | 44% | $138 | $101 (top 5% from $318) | 68th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $787K | 18% | $193 | $191 (top 5% from $442) | 51st percentile | |
| T2022 | Case management per month | $629K | 15% | $898 | $286 (top 5% from $657) | 98th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $322K | 7% | $120 | $105 (top 5% from $228) | 66th percentile | |
| H2014 | Skills training and development per 15 minhistory of abuse | $281K | 7% | $725 | $298 (top 5% from $3K) | 77th percentile | |
| 90832 | Psychotherapy, 30 minutes | $176K | 4% | $71 | $59 (top 5% from $239) | 63rd percentile | |
| H2015 | Comprehensive community support services per 15 minhistory of abuse | $137K | 3% | $358 | $344 (top 5% from $2K) | 51st percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $58K | 1% | $110 | $130 (top 5% from $458) | 38th 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 |
|---|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 284 | 32 | $20K | $183 | $97 | 1.9x | 2.0x (90th percentile 3.6x) |
| 90791 | Psychiatric diagnostic evaluation | 11 | 11 | $1K | $241 | $164 | 1.5x | 1.9x (90th percentile 3.6x) |
| 90832 | Psychotherapy, 30 minutes | 17 | 13 | $874 | $172 | $75 | 2.3x | 2.0x (90th percentile 3.5x) |
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
5 providers in Howard County, IN carry an indicator in the public record, with $22.1M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PUTNAM COUNTY HOSPITAL Greentown, IN, ranked 3456 | $0 |
|
| 4 | JOHN SCHILTZ Kokomo, IN, ranked 8291 | $10.5M |
|
| 4 | LAXESHKUMAR PATEL Kokomo, IN, ranked 8317 | $8.2M |
|
| 5 | MELODY MARLEY Kokomo, IN, ranked 9827 | $2.8M |
|
| 5 | SHERYAR SARWAR Kokomo, IN, ranked 11175 | $573K |
Recent enforcement in IN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedJun 18, 2026
Florida Man Sentenced to 36 Months in Prison
As vice president of a dental practice, he submitted claims to Indiana Medicaid falsely billing for hundreds of dental surgeries that were never performed, used patients' personal identifiers without authorization to support the claims, and committed tax evasion to conceal the income.
DOJSentencedFeb 18, 2026
Highland Physician Sentenced to 97 Months in Prison
Cataldi, sole owner of an otolaryngology practice, billed Medicare and private insurance for thousands of balloon sinuplasty procedures that she did not perform, seeking approximately $50 million and being paid almost $20 million.
DOJCivil settlementJan 28, 2026
Settlement for $1.7 Million With Former Physician Don J. Wagoner and His Business Entity for Fraudulently Billing the Indiana Medicaid Program
Defendants required patients seeking opioid or pain medicine prescriptions to give a single urine sample, tested it with one inexpensive multiplexed screening kit, and billed Indiana Medicaid $171.27 or more per patient by falsely certifying that nine or more separate samples had been collected and analyzed.
DOJSentencedJan 8, 2026
Indiana Woman Sentenced to 84 Months in Prison
Reese falsely claimed to be a licensed clinical psychologist, used forged documents to obtain employment and stole the identities and license numbers of three medical professionals to enroll in Indiana Medicaid and bill for therapy services.
DOJSentencedOct 3, 2024
Merrillville Doctor Sentenced to Prison and Ordered to Pay Restitution
Farley submitted claims to Medicaid and Medicare falsely representing that he had complex, extended visits with patients at his addiction treatment practice, billing for more than 7,000 services he did not provide.
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.