Providers
All 11 in GA
RAJASHAKHER P REDDY, M.D.
NPI 1568448421, individual, Alpharetta, GA, Radiology, Diagnostic Radiology
1
Evidence tier
documented action, then payment
- Listed on the NY Medicaid exclusion list since September 6, 2011.
- Medicaid still paid claims in 31 later months, $95,663 in total.
score 95 of 100, rank 151, $96K at stake
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 |
|---|---|---|---|---|---|---|---|---|
| NY Medicaid exclusion list ny omig medicaid exclusion list (tab-delimited, sept 2026) | Exact NPI, name verified | Sep 6, 2011 | still open | 31 | Oct 2021 | Nov 2024 | $96K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RAJASHAKHER P REDDY, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | December 21, 2005, last updated October 2, 2021 |
| Practice location | 560 BLUE HERON WAY, Alpharetta, GA 30004-2770, 404-692-3493 |
| Mailing address | 11675 GREAT OAKS WAY STE 150, Alpharetta, GA 30022-2497 |
| Specialties | Radiology, Body Imaging (2085B0100X, license 041934 GA) (2085N0904X, license 041934 GA) Radiology, Diagnostic Ultrasound (2085U0001X, license 041934 GA) Radiology, Diagnostic Radiology (2085R0202X, primary, license 041934 GA) |
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 | |
|---|---|---|---|---|---|---|---|
| 77067 | Screening mammography | $55K | 58% | $65 | $33 (top 5% from $122) | 74th percentile | |
| 77063 | Screening 3d breast mammography | $15K | 16% | $29 | $22 (top 5% from $52) | 74th percentile | |
| 76641 | Complete ultrasound scan of 1 breast | $14K | 15% | $51 | $71 (top 5% from $158) | 36th percentile | |
| 76642 | Limited ultrasound scan of 1 breast | $8K | 9% | $35 | $32 (top 5% from $119) | 54th percentile | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | $2K | 2% | $27 | $20 (top 5% from $48) | 71st percentile | |
| 77065 | Diagnostic mammography of 1 breast | $583 | 1% | $45 | $40 (top 5% from $117) | too few months to rank |
In this area
11 providers in Fulton County, GA carry an indicator in the public record, with $15.3M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 3. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JEFFREY GALLUPS Alpharetta, GA, ranked 172 | $61K |
|
| 1 | ANAND LALAJI Atlanta, GA, ranked 245 | $19K |
|
| 2 | SIGRID ELSTON Atlanta, GA, ranked 686 | $14.1M |
|
| 3 | CREATIVE HOSPICE CARE INC Roswell, GA, ranked 2511 | $0 |
|
| 3 | AFFINITY CARE OF GEORGIA LLC Atlanta, GA, ranked 3336 | $0 |
|
| 3 | RUTLEDGE MEDICAL ASSOCIATES LLC East Point, GA, ranked 5925 | $0 |
|
| 3 | ENNOBLE HOSPICE GA LLC Sandy Springs, GA, ranked 7024 | $0 |
|
| 4 | PANCHAJANYA PAUL Atlanta, GA, ranked 7929 | $532K |
|
Recent enforcement in GA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedAug 24, 2026
Southern District of Georgia federal indictments include murder, drug- and firearm-related charges and healthcare fraud
Perry Patalano was indicted for Healthcare Fraud, Theft of Government Money, Property or Records, and Aggravated Identity Theft.
DOJChargedJun 24, 2026
Two Georgia Men Charged in National Health Care Fraud Takedown
Rutledge billed Georgia Medicaid for thousands of wound care, cyst removal, psychotherapy, and allergy testing services that were never performed, and Releford obtained nursing jobs by lying about his qualifications and stealing a licensed practical nurse's identity, causing providers to bill Medicare and Medicaid for services he could not legally perform.
DOJSentencedMay 4, 2026
Two Sentenced to Prison for $522M Genetic Testing Fraud and Illegal Kickback Scheme Targeting Medicare and Medicaid
Two men who controlled four laboratories paid kickbacks and bribes to marketers to obtain DNA samples and fraudulent requisition forms from medical providers, resulting in approximately $522 million in false claims for medically unnecessary genetic tests.
DOJPleaded guiltyApr 14, 2026
Behavioral therapist pleads guilty to health care fraud for submitting inflated insurance reimbursement claims
From June 2020 through May 2023, Stallings submitted false and fraudulent billing claims to TRICARE for individual and group therapy services that were not provided or were not provided as presented, and also obtained COVID-19 Economic Injury Disaster Loan funds that she spent on personal purposes.
DOJSentencedDec 2, 2025
Georgia Man Sentenced for $24M Kickback and Medicare Fraud Conspiracy
Moore instructed a network of recruiters to induce Medicare beneficiaries to accept medically unnecessary genetic tests, received approximately $4.3 million in kickbacks for referring beneficiary information, DNA specimens and doctors' orders, and concealed the payments with sham invoices.
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.