Providers
All 167 in NC
MICHAEL L ADIX, DO
NPI 1790709111, individual, Shelby, NC, Internal Medicine
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since April 18, 2023.
- Medicaid still paid claims in 11 later months, $154,645 in total.
- Medicaid dollars per patient on code 74177 ($693 per patient-month) sit in the top 5% of every provider billing that code.
score 99 of 100, rank 12, $155K at stake
Public list actions
Medicare revocation effective April 18, 2023, barred from re-enrolling until April 18, 2033
424.535(a)(3) felonies, Practitioner - Emergency Medicine, TX
Medicare revocation effective April 18, 2023, barred from re-enrolling until February 9, 2034
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Internal Medicine, NC
Medicare revocation effective April 18, 2023, barred from re-enrolling until April 18, 2033
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Internal Medicine, MO
Medicare revocation effective April 18, 2023, barred from re-enrolling until February 17, 2034
424.535(a)(3) felonies, Practitioner - Internal Medicine, GA
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 |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(3) felonies | Exact NPI, name verified | Apr 18, 2023 | Feb 17, 2034 | 11 | May 2023 | Mar 2024 | $155K | $655K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MICHAEL L ADIX, DO |
| Type | Individual |
| Status | Active |
| NPI issued | July 27, 2006, last updated December 11, 2020 |
| Practice location | 419 EARL ROAD, Shelby, NC 28150, 704-481-0555 |
| Mailing address | 3152 LITTLE ROAD, SUITE 115, Trinity, FL 34655 |
| Specialties | Emergency Medicine (207P00000X, license 2011040029 MO) Internal Medicine (207R00000X, primary, license 9401112 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 | |
|---|---|---|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | $445K | 25% | $140 | $86 (top 5% from $224) | 82nd percentile | |
| 99285 | Emergency department visit with high level of medical decision making | $326K | 18% | $129 | $100 (top 5% from $264) | 73rd percentile | |
| 99283 | Emergency department visit with low level of medical decision making | $257K | 14% | $80 | $60 (top 5% from $193) | 63rd percentile | |
| 74177 | Ct scan of abdomen and pelvis with contrast | $150K | 8% | $693 | $59 (top 5% from $362) | 99th percentile | |
| 70450 | Ct scan head or brain without contrast | $79K | 4% | $186 | $29 (top 5% from $228) | 92nd percentile | |
| 96375 | Injection of additional new drug or substance into vein | $70K | 4% | $64 | $15 (top 5% from $75) | 92nd percentile | |
| X4011 | Medicaid service code | $54K | 3% | $199 | $304 (top 5% from $933) | 13th percentile | |
| 96374 | Injection of drug or substance into vein | $53K | 3% | $40 | $21 (top 5% from $138) | 66th percentile |
In this area
167 providers in NC carry an indicator in the public record, with $185.6M at stake between them. The most common is more hours than a day holds, on 85 of them, followed by part of a provider network on 42. 21 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DAVID SMITH Winston Salem, NC, ranked 2 | $1.1M |
|
| 1 | CAROLINA FAMILY AND URGENT CARE Lumberton, NC, ranked 30 | $6K |
|
| 1 | JOSEPH MEYER Fort Bragg, NC, ranked 48 | $26K |
|
| 1 | LIFE TOUCH LLC Kinston, NC, ranked 68 | $868K |
|
| 1 | ULTIMATE SACRIFICE Winston Salem, NC, ranked 96 | $365K |
|
| 1 | MALIK MUHAMMAD Durham, NC, ranked 116 | $2K |
|
| 1 | JACKSON CONSULTING AND SERVICES LLC Charlotte, NC, ranked 127 | $138K |
|
| 1 | COTTAGE HEALTH CARE SERVICES, INC Raleigh, NC, ranked 154 | $87K |
|
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.