Providers
UMALAKSHMI KANURU THOTAKURA, MD
NPI 1689759946, individual, Winston Salem, NC, Psychiatry & Neurology, Psychiatry
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 36 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99233 ($734 per patient-month) sit in the top 5% of every provider billing that code.
score 56 of 100, rank 7446, $5.2M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2018 | More hours than a day holds at a conservative unit price | 17.1 | 39.7 | 26.5 | 37.0 | 150 | 1 | 99223 99233 99239 | $52K |
| Mar 2018 | More hours than a day holds at a conservative unit price | 18.2 | 41.2 | 27.4 | 38.7 | 199 | 1 | 99223 99233 99239 | $60K |
| Apr 2018 | More hours than a day holds at a conservative unit price | 18.4 | 43.3 | 28.9 | 41.3 | 160 | 1 | 99223 99233 99239 | $61K |
| Feb 2019 | More hours than a day holds at a conservative unit price | 17.8 | 37.4 | 24.9 | 34.9 | 160 | 1 | 99223 99233 99239 | $56K |
| Mar 2019 | More hours than a day holds at a conservative unit price | 18.1 | 37.4 | 24.9 | 36.8 | 189 | 1 | 99223 99233 99239 | $62K |
| Apr 2019 | More hours than a day holds at a conservative unit price | 19.9 | 41.0 | 27.3 | 37.2 | 186 | 1 | 99223 99233 99239 | $66K |
| Aug 2019 | More hours than a day holds at a conservative unit price | 17.8 | 37.0 | 24.7 | 34.8 | 176 | 1 | 99223 99233 99239 | $62K |
| Sep 2019 | More hours than a day holds at a conservative unit price | 18.3 | 37.4 | 24.9 | 35.6 | 180 | 1 | 99223 99233 99239 | $60K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 27.1 | 43.7 | 29.1 | 40.8 | 193 | 1 | 99223 99233 99239 | $81K |
| Apr 2022 | More hours than a day holds at a conservative unit price | 22.8 | 36.6 | 24.4 | 34.9 | 174 | 1 | 99223 99233 99239 | $72K |
| May 2022 | More hours than a day holds at a conservative unit price | 23.9 | 37.0 | 24.7 | 34.8 | 207 | 1 | 99223 99233 99239 | $76K |
| Jun 2022 | More hours than a day holds at a conservative unit price | 21.3 | 36.1 | 24.1 | 32.8 | 180 | 1 | 99223 99233 99239 | $71K |
| Sep 2022 | More hours than a day holds at a conservative unit price | 21.1 | 36.8 | 24.6 | 33.5 | 181 | 1 | 99223 99233 99239 | $73K |
| Oct 2022 | More hours than a day holds at a conservative unit price | 23.4 | 40.4 | 26.9 | 39.7 | 188 | 1 | 99223 99233 99239 | $82K |
| Nov 2022 | More hours than a day holds at a conservative unit price | 22.4 | 36.6 | 24.4 | 33.3 | 212 | 1 | 99223 99233 99239 | $73K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 25.9 | 44.3 | 29.5 | 41.6 | 218 | 1 | 99223 99232 99233 99239 | $81K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 26.4 | 42.0 | 28.0 | 39.2 | 178 | 1 | 99223 99233 99239 | $69K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 27.3 | 43.0 | 28.7 | 38.7 | 213 | 1 | 99223 99233 99239 | $79K |
| Apr 2023 | More hours than a day holds at a conservative unit price | 23.9 | 42.0 | 28.0 | 42.0 | 190 | 1 | 99223 99233 99239 | $74K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 25.3 | 47.2 | 31.5 | 42.4 | 274 | 1 | 99223 99231 99232 99233 99239 | $87K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 25.1 | 47.2 | 31.4 | 42.9 | 176 | 1 | 99223 99233 99239 | $83K |
| Jul 2023 | More hours than a day holds at a conservative unit price | 23.0 | 42.3 | 28.2 | 41.6 | 151 | 1 | 99223 99233 99239 | $77K |
| Aug 2023 | More hours than a day holds at a conservative unit price | 22.6 | 41.7 | 27.8 | 37.4 | 198 | 1 | 99223 99233 99239 | $77K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 25.4 | 49.1 | 32.7 | 46.7 | 199 | 1 | 99223 99233 99239 | $87K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 27.7 | 51.5 | 34.4 | 48.4 | 239 | 1 | 99223 99232 99233 99239 | $95K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 26.5 | 51.0 | 34.0 | 46.3 | 181 | 1 | 99223 99233 99239 | $90K |
| Dec 2023 | More hours than a day holds at a conservative unit price | 23.2 | 45.4 | 30.3 | 44.7 | 187 | 1 | 99223 99232 99233 99239 | $82K |
| Jan 2024 | More hours than a day holds at a conservative unit price | 22.1 | 49.6 | 33.1 | 44.6 | 153 | 1 | 99223 99233 99239 | $91K |
| Feb 2024 | More hours than a day holds at a conservative unit price | 22.7 | 48.2 | 32.1 | 44.3 | 172 | 1 | 99223 99233 99239 | $85K |
| Mar 2024 | More hours than a day holds at a conservative unit price | 23.1 | 48.7 | 32.5 | 48.0 | 199 | 1 | 99223 99233 99239 | $90K |
| Apr 2024 | More hours than a day holds at a conservative unit price | 21.3 | 45.3 | 30.2 | 41.2 | 198 | 1 | 99223 99233 99239 | $82K |
| May 2024 | More hours than a day holds at a conservative unit price | 21.9 | 46.2 | 30.8 | 41.5 | 244 | 1 | 99223 99233 99239 | $87K |
| Jun 2024 | More hours than a day holds at a conservative unit price | 18.8 | 41.3 | 27.5 | 41.3 | 190 | 1 | 99223 99233 99239 | $75K |
| Jul 2024 | More hours than a day holds at a conservative unit price | 20.7 | 47.8 | 31.9 | 43.0 | 215 | 1 | 99223 99233 99239 | $89K |
| Aug 2024 | More hours than a day holds at a conservative unit price | 18.0 | 37.6 | 25.1 | 35.3 | 193 | 1 | 99223 99233 99239 | $70K |
| Sep 2024 | More hours than a day holds at a conservative unit price | 17.6 | 38.8 | 25.9 | 37.0 | 176 | 1 | 99223 99233 99239 | $70K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | UMALAKSHMI KANURU THOTAKURA, MD (also UMALAKSHMI KANURU) |
| Type | Individual |
| Status | Active |
| NPI issued | October 26, 2006, last updated June 7, 2012 |
| Practice location | 125 ASHLEYBROOK SQUARE, Winston Salem, NC 27103, 336-765-6577 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 9300343 NC) |
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 | |
|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $4.0M | 78% | $734 | $96 (top 5% from $249) | 100th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $748K | 14% | $181 | $81 (top 5% from $170) | 96th percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $405K | 8% | $98 | $49 (top 5% from $101) | 94th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $7K | 0% | $132 | $67 (top 5% from $174) | too few months to rank | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $665 | 0% | $51 | $37 (top 5% from $103) | too few months to rank |
In this area
2 providers in Forsyth County, NC carry an indicator in the public record, with $2.0M at stake between them. The most common is named in an enforcement record, on 1 of them, followed by more hours than a day holds on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ULTIMATE SACRIFICE Winston Salem, NC, ranked 96 | $365K |
|
| 2 | MERIDA VALERA Winston Salem, NC, ranked 712 | $1.7M |
|
Recent enforcement in NC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedAug 27, 2026
Charlotte Woman Sentenced for Defrauding the North Carolina Medicaid Program
Jackson and her company submitted over $1.9 million in claims to NC Medicaid for urine drug testing and psychotherapy services that were never performed or already paid, using Medicaid recipients' personal information, and she spent the proceeds.
DOJPleaded guiltyJul 9, 2026
Guilford County Woman Pleads Guilty to Health Care Fraud in Connection with Million Dollar Urine Drug Testing Scheme
Singleton owned and operated Joelle's Center of Hope, which submitted approximately $1,735,865 in claims to North Carolina Medicaid for urine drug tests that were not performed, listing a nurse practitioner and a doctor as ordering providers who never ordered the tests.
DOJPleaded guiltyJun 24, 2026
Raleigh Man Pleads Guilty to Receiving More than $60 Million in Fraudulent Claims from Paying Kickbacks for Patient Referrals
Price owned and operated Golden Star Labs, which paid collectors on a per-specimen basis to supply bogus respiratory test samples obtained through identity theft, and billed Medi-Cal and Medicare more than $96 million in false claims, receiving more than $60 million, and he also filed a false federal income tax return.
DOJChargedJun 24, 2026
McLeansville Woman Charged With Health Care Fraud, Part of National Health Care Fraud Takedown
White, the owner of Reginald Center of Turn Around, billed North Carolina Medicaid for thousands of fictitious drug tests resulting in a loss of $2.8 million.
DOJIndictedJun 24, 2026
Felon Indicted in Multimillion Dollar Healthcare Kickback and False Documents Conspiracy
Ayyad is alleged to have solicited and received kickbacks from clinical laboratories in exchange for generating referrals, paid kickbacks to independent contractor sales reps, created dozens of sham invoices and contracts to conceal the payments, and caused the submission of fraudulent claims for laboratory testing to Medicare, HRSA, TRICARE, and other payers through labs and entities he owned and controlled.
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.