Providers
MICHAEL L CANTWELL, M.D.
NPI 1750381059, individual, Vincennes, IN, Psychiatry & Neurology, Psychiatry
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 24 months, but with up to 1238 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8656, $2.4M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 25.8 | 27.3 | 18.2 | 24.6 | 952 | 1 | 90791 90832 90834 90847 90853 99213 99214 99223 99231 99238 H0034 H2014 T1016 | $61K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 28.1 | 28.2 | 18.8 | 25.6 | 982 | 1 | 90791 90832 90834 90847 90853 99214 99223 99231 99238 H0034 H2014 T1016 | $61K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 26.3 | 25.7 | 17.1 | 23.1 | 947 | 1 | 90791 90832 90834 90847 90853 99213 99214 99223 99231 99238 H0034 H2014 T1016 | $58K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 27.4 | 26.4 | 17.6 | 26.4 | 930 | 1 | 90791 90832 90834 90847 90853 99214 99223 99231 H0034 H2014 T1016 | $56K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 35.7 | 36.2 | 24.1 | 32.5 | 1179 | 1 | 90791 90832 90834 90847 90853 99213 99214 99223 99231 99233 99238 H0034 H2014 T1016 | $74K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 35.6 | 36.1 | 24.1 | 33.9 | 1145 | 1 | 90791 90832 90834 90847 90853 99213 99214 99223 99231 99232 99233 99238 H0034 H2014 T1016 | $76K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 30.4 | 32.0 | 21.3 | 30.5 | 1006 | 1 | 90791 90832 90834 90847 90853 99214 99223 99231 99232 99238 H0034 H2014 T1016 | $67K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 33.2 | 35.8 | 23.8 | 32.1 | 1091 | 1 | 90791 90832 90834 90847 90853 99214 99223 99231 99238 H0034 H2014 T1016 | $77K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 28.8 | 31.1 | 20.8 | 29.7 | 974 | 1 | 90791 90832 90834 90847 90853 99214 99222 99231 99238 H0034 H2014 T1016 | $66K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 25.5 | 28.1 | 18.7 | 26.4 | 901 | 1 | 90791 90832 90834 90847 90853 99214 99222 99231 99238 H0034 H2014 T1016 | $60K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 36.6 | 37.4 | 24.9 | 33.6 | 1172 | 1 | 90791 90832 90834 90847 90853 99214 99222 99231 99238 H0034 H2014 T1016 | $86K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 35.9 | 36.6 | 24.4 | 35.4 | 1113 | 1 | 90791 90832 90834 90847 90853 99214 99222 99231 99238 H0034 H2014 T1016 | $80K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 32.0 | 30.6 | 20.4 | 28.8 | 1068 | 1 | 90791 90832 90834 90847 90853 99214 99222 99231 99232 99238 H0034 H2014 T1016 | $70K |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 35.4 | 35.2 | 23.5 | 32.0 | 1121 | 1 | 90791 90832 90834 90847 90853 99214 99222 99231 99232 99238 H0034 H2014 T1016 | $77K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 38.3 | 26.1 | 17.4 | 25.7 | 948 | 1 | 90791 90832 90834 90847 90853 99214 99222 99231 99238 H0034 H2014 T1016 | $60K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 48.0 | 28.5 | 19.0 | 25.9 | 1002 | 1 | 90791 90832 90834 90847 90853 99214 99221 99222 99231 99238 H0034 H2014 T1016 | $65K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 44.2 | 33.1 | 22.0 | 29.7 | 1067 | 1 | 90791 90832 90834 90837 90847 90853 99214 99221 99223 99231 99232 99238 H0034 H2014 T1016 | $76K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 47.3 | 33.2 | 22.1 | 32.7 | 1103 | 1 | 90791 90832 90834 90847 90853 99213 99214 99221 99222 99231 99232 99238 H0034 H2014 T1016 | $78K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 49.5 | 37.7 | 25.1 | 34.3 | 1055 | 1 | 90791 90832 90834 90837 90847 90853 99214 99231 99232 99238 H0034 H2014 T1016 | $85K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 41.2 | 35.0 | 23.3 | 32.9 | 1126 | 1 | 90791 90832 90834 90837 90847 90853 99213 99214 99231 99238 H0034 H2014 T1016 | $82K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 35.9 | 36.6 | 24.4 | 34.8 | 1107 | 1 | 90791 90832 90834 90837 90847 90853 99214 99221 99223 99231 99232 99238 H0034 H2014 T1016 | $80K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 35.8 | 38.1 | 25.4 | 34.3 | 1189 | 1 | 90791 90832 90834 90837 90847 90853 99214 99223 99231 99232 99238 H0034 H2014 T1016 | $87K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 41.4 | 45.9 | 30.6 | 45.2 | 1238 | 1 | 90791 90832 90834 90847 90853 99213 99214 99223 99231 99232 99238 H0034 H2014 T1016 | $110K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 35.9 | 39.8 | 26.5 | 37.1 | 1078 | 1 | 90791 90832 90834 90847 90853 99213 99214 99222 99231 99232 99238 H0034 H2014 T1016 | $87K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MICHAEL L CANTWELL, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | July 28, 2005, last updated July 21, 2022 |
| Practice location | 515 BAYOU ST., Vincennes, IN 47591-1034, 812-886-6800 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 01038101A IN) |
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 | |
|---|---|---|---|---|---|---|---|
| H2014 | Skills training and development per 15 minhistory of abuse | $5.3M | 57% | $377 | $298 (top 5% from $3K) | 59th percentile | |
| T1016 | Case management each 15 min | $928K | 10% | $79 | $98 (top 5% from $507) | 43rd percentile | |
| 90834 | Psychotherapy, 45 minutes | $860K | 9% | $67 | $101 (top 5% from $318) | 27th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $695K | 7% | $68 | $60 (top 5% from $133) | 59th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $340K | 4% | $70 | $130 (top 5% from $458) | 13th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $285K | 3% | $79 | $105 (top 5% from $228) | 30th percentile | |
| 90832 | Psychotherapy, 30 minutes | $213K | 2% | $44 | $59 (top 5% from $239) | 35th percentile | |
| H0031 | Medicaid service code | $189K | 2% | $77 | $100 (top 5% from $540) | 40th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 24 | 17 | $2K | $208 | $116 | 1.8x | 2.3x (90th percentile 3.8x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
3 providers in Knox County, IN carry an indicator in the public record, with $644K at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PULASKI MEMORIAL HOSPITAL Vincennes, IN, ranked 6646 | $0 |
|
| 5 | MICHAEL DRAKE Vincennes, IN, ranked 10646 | $143K |
|
| 5 | GOOD SAMARITAN EMS, INC. Vincennes, IN, ranked 11214 | $501K |
Recent enforcement in IN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedJun 18, 2026
Florida Man Sentenced to 36 Months in Prison
As vice president of a dental practice, he submitted claims to Indiana Medicaid falsely billing for hundreds of dental surgeries that were never performed, used patients' personal identifiers without authorization to support the claims, and committed tax evasion to conceal the income.
DOJSentencedFeb 18, 2026
Highland Physician Sentenced to 97 Months in Prison
Cataldi, sole owner of an otolaryngology practice, billed Medicare and private insurance for thousands of balloon sinuplasty procedures that she did not perform, seeking approximately $50 million and being paid almost $20 million.
DOJCivil settlementJan 28, 2026
Settlement for $1.7 Million With Former Physician Don J. Wagoner and His Business Entity for Fraudulently Billing the Indiana Medicaid Program
Defendants required patients seeking opioid or pain medicine prescriptions to give a single urine sample, tested it with one inexpensive multiplexed screening kit, and billed Indiana Medicaid $171.27 or more per patient by falsely certifying that nine or more separate samples had been collected and analyzed.
DOJSentencedJan 8, 2026
Indiana Woman Sentenced to 84 Months in Prison
Reese falsely claimed to be a licensed clinical psychologist, used forged documents to obtain employment and stole the identities and license numbers of three medical professionals to enroll in Indiana Medicaid and bill for therapy services.
DOJSentencedOct 3, 2024
Merrillville Doctor Sentenced to Prison and Ordered to Pay Restitution
Farley submitted claims to Medicaid and Medicare falsely representing that he had complex, extended visits with patients at his addiction treatment practice, billing for more than 7,000 services he did not provide.
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.