Providers
WHITNEY RAE HALL
NPI 1699125971, individual, Richmond, KY, Speech-Language Pathologist,
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 9 months under one organization, which can be supervisory billing.
- Records needed.
score 51 of 100, rank 8814, $1.6M 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 2024 | More hours than a day holds, even counting one unit per claim line | 24.5 | 25.4 | 16.9 | 23.4 | 355 | 1 | 92507 92523 92526 | $59K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 24.5 | 24.1 | 16.1 | 23.7 | 362 | 1 | 92507 92523 92526 | $60K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 28.5 | 27.5 | 18.3 | 25.0 | 392 | 1 | 92507 92523 92526 | $66K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 27.0 | 22.9 | 15.3 | 20.6 | 367 | 1 | 92507 92523 92526 | $56K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 25.4 | 25.5 | 17.0 | 25.5 | 406 | 1 | 92507 92523 92526 | $62K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 29.7 | 29.3 | 19.5 | 26.3 | 453 | 1 | 92507 92523 92526 92609 | $74K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 27.9 | 27.6 | 18.4 | 25.9 | 455 | 1 | 92507 92523 92526 92609 | $70K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 27.1 | 29.1 | 19.4 | 27.7 | 448 | 1 | 92507 92523 92526 92609 | $72K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 29.8 | 31.6 | 21.1 | 28.4 | 445 | 1 | 92507 92523 92526 92609 | $81K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | WHITNEY RAE HALL (also WHITNEY SHENEFIELD) |
| Type | Individual |
| Status | Active |
| NPI issued | June 16, 2016, last updated March 20, 2019 |
| Practice location | 1010 BRANDY LN STE B, Richmond, KY 40475-8498, 859-661-9807 |
| Specialties | Speech-Language Pathologist, (235Z00000X, license 167280 KY) Speech-Language Pathologist, (235Z00000X, primary, license 174562 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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | $1.6M | 77% | $165 | $190 (top 5% from $477) | 41st percentile | |
| 92526 | Treatment of swallowing and feeding disorder | $240K | 12% | $124 | $141 (top 5% from $421) | 41st percentile | |
| 92523 | Evaluation of speech sound production with evaluation of language comprehension and expression | $184K | 9% | $130 | $137 (top 5% from $251) | 45th percentile | |
| 92609 | Therapy service for use of speech-generating device with programming | $24K | 1% | $152 | $181 (top 5% from $466) | 40th percentile | |
| 92610 | Evaluation of swallowing function | $18K | 1% | $45 | $61 (top 5% from $209) | 32nd percentile |
In this area
5 providers in Madison County, KY carry an indicator in the public record, with $3.9M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MADISON PRIMARY CARE, LLC Richmond, KY, ranked 76 | $612K |
|
| 4 | ASHLEE STEWART Richmond, KY, ranked 8196 | $884K |
|
| 4 | DAVID SNYDER Richmond, KY, ranked 8873 | $1.4M |
|
| 4 | CHARLOTTE ALLISON Richmond, KY, ranked 9106 | $691K |
|
| 5 | ELIZABETH PERKINS Richmond, KY, ranked 11292 | $377K |
Recent enforcement in KY
All releasesDepartment 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.