EDGEWATER RECOVERY CENTER LLC

NPI 1619466141, organization, Morehead, KY, Substance Abuse Rehabilitation Facility

Evidence tier

documented action, then payment

Listed on an HHS-OIG enforcement record since January 30, 2024.
Medicaid still paid claims in 11 later months, $6,465,610 in total.
Adjudicated (civil judgment) per an HHS-OIG enforcement record dated January 30, 2024.

Public enforcement record: Kentucky Lab Agrees to $4.9 Million Civil Judgment and Drug Treatment Center Enters Settlement to Pay $2.2 Million to Resolve False Claims Act Allegations

score 97 of 100, rank 38, $6.5M 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
oig adjudicated enforcement record (civil judgment): kentucky lab agrees to $4.9 million civil judgment and drug treatment center enters settlement to pay $2.2 million to resolve false claims act allegations	No NPI on the list; matched by name at high confidence	Jan 30, 2024	still open	11	Feb 2024	Dec 2024	$6.5M	$14.1M

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	EDGEWATER RECOVERY CENTER LLC
Type	Organization
Status	Active
NPI issued	May 10, 2018, last updated August 28, 2023
Practice location	259 OLD FLEMINGSBURG RD, Morehead, KY 40351-1090, 606-462-3001
Authorized official	Ashley Adkins (Ceo)
Specialties	Substance Abuse Rehabilitation Facility (324500000X, primary, license 800278 KY)

In this area

260 providers in KY carry an indicator in the public record, with $428.4M at stake between them. The most common is more hours than a day holds, on 185 of them, followed by part of a provider network on 43. 23 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	RECOVERY CENTER OF KENTUCKY, LLC Elizabethtown, KY, ranked 41	$4.5M	Adjudicated (civil judgment) per a Department of Justice release dated May 15, 2026. Medicaid paid $4,466,448 in the last 12 observed months.
1	PIONEER HEALTH GROUP LLC Louisa, KY, ranked 47	$2.9M	Adjudicated (civil judgment) per an HHS-OIG enforcement record dated July 27, 2026. Medicaid paid $2,921,665 in the last 12 observed months.
1	MAJA CUPAC Louisville, KY, ranked 65	$9K	Listed on the KY Medicaid exclusion list since April 22, 2022. Medicaid still paid claims in 4 later months, $8,911 in total. and 1 more
1	MADISON PRIMARY CARE, LLC Richmond, KY, ranked 76	$612K	Listed on the KY Medicaid exclusion list since April 20, 2021. Medicaid still paid claims in 40 later months, $612,164 in total.
1	THOMAS 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.
1	BAKER CHIROPRACTIC CENTER PSC Louisville, KY, ranked 139	$119K	Listed on the KY Medicaid exclusion list and the Medicare revocation list since January 4, 2024. Medicaid still paid claims in 10 later months, $119,249 in total.
1	MICHAEL BAKER Louisville, KY, ranked 140	$119K	Listed on the Medicare revocation list and the KY Medicaid exclusion list since January 4, 2024. Medicaid still paid claims in 10 later months, $119,249 in total.
1	JAMES FERGUSON Henderson, KY, ranked 216	$33K	Listed on the KY Medicaid exclusion list since November 26, 2016. Medicaid still paid claims in 10 later months, $33,218 in total.

All 260 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

Answers come only from the evidence tables, and every sentence cites the record it used.