Providers

DIANNE M BRADLEY, LCSW

NPI 1750666152, individual, Elizabethtown, KY, Social Worker, Clinical

5
Evidence tier
informational
score 30 of 100, rank 11644, $92K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameDIANNE M BRADLEY, LCSW
TypeIndividual, sole proprietor
StatusActive
NPI issuedOctober 17, 2011, last updated January 10, 2023
Practice location100 PAR LN STE 102, Elizabethtown, KY 42701-9059, 423-817-8818
Mailing address121 LAVENIA LN, Magnolia, KY 42757-7823
Specialties
Social Worker, Clinical (1041C0700X, license 0904008413 VA)
Social Worker, Clinical (1041C0700X, license 5837 TN)
Social Worker, Clinical (1041C0700X, license LC50081103 DC)
Social Worker, Clinical (1041C0700X, primary, license 256419 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
codewhat it ispaidshareper patient-monthtypicalrank among providers
H0038Self-help/peer services per 15 min$89K43%$355$147 (top 5% from $2K)too few months to rank
H0015Alcohol/drug intensive outpatient per diemhistory of abuse$70K34%$586$666 (top 5% from $2K)too few months to rank
H2027Psychoeducational service per 15 min$29K14%$141$161 (top 5% from $4K)too few months to rank
T2023Medicaid service code$13K7%$280$332 (top 5% from $1K)too few months to rank
H0001Medicaid service code$2K1%$30$103 (top 5% from $301)too few months to rank
90837Psychotherapy, 1 hourhistory of abuse$9720%$65$191 (top 5% from $442)too few months to rank

In this area

6 providers in Hardin County, KY carry an indicator in the public record, with $13.8M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 2. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1RECOVERY 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.
3COMMONWEALTH OF KENTUCKY
Radcliff, KY, ranked 4168
$0
  • Part of provider network D1-00059, ranked 59 nationally.
3BAPTIST HEALTHCARE SYSTEM INC
Elizabethtown, KY, ranked 5722
$0
  • Part of provider network D1-00115, ranked 115 nationally.
3HARDIN KY OPCO LLC
Elizabethtown, KY, ranked 5832
$0
  • Part of provider network D1-00087, ranked 87 nationally.
4GUY LERNER
Elizabethtown, KY, ranked 8563
$3.0M
  • Hours beyond a day in 29 months, but with up to 1687 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
5JAMES DUKE
Elizabethtown, KY, ranked 9880
$6.4M
  • Medicaid dollars per patient on code H0038 ($2159 per patient-month) sit in the top 5% of every provider billing that code.

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

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