MICHAEL DUGGER, DPT
NPI 1568020345, individual, Owensboro, KY, Physical Therapist
- Listed on the KY Medicaid exclusion list since September 25, 2023.
- Medicaid still paid claims in 5 later months, $5,493 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 | Sep 25, 2023 | still open | 5 | Dec 2023 | Apr 2024 | $5K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MICHAEL DUGGER, DPT |
| Type | Individual |
| Status | Active |
| NPI issued | June 5, 2019, last updated April 18, 2024 |
| Practice location | 1605 SCHERM RD STE 1, Owensboro, KY 42301-5300, 270-685-9499 |
| Mailing address | PROGRESSIVE SPORTS THERAPY, 1605 SCHERM RD SUITE 1, Owensboro, KY 42301 |
| Specialties | Physical Therapist (225100000X, primary, license 006115 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 | |
|---|---|---|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $3K | 61% | $43 | $59 (top 5% from $187) | too few months to rank | |
| 97140 | Therapy procedure using manual technique, each 15 minutes | $2K | 39% | $27 | $47 (top 5% from $120) | too few months to rank |
In this area
3 providers in Daviess County, KY carry an indicator in the public record, with $993K at stake between them. The most common is more hours than a day holds, on 2 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | WELLINGTON PARC HEALTH SYSTEMS, INC. Owensboro, KY, ranked 4394 | $0 |
|
| 4 | CORI DOUGLAS Owensboro, KY, ranked 9022 | $895K |
|
| 5 | TRAVIS MORRISON Owensboro, KY, ranked 11631 | $98K |
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.