VERITY
Providers

IRFAN A AFAQ, M.D.

NPI 1790778447, individual, Jeffersonville, IN, Specialist

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 73 months, but with up to 1123 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code 99214 ($217 per patient-month) sit in the top 5% of every provider billing that code.
score 56 of 100, rank 7390, $8.1M 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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Jan 2018More hours than a day holds, even counting one unit per claim line43.278.152.170.2740299213 99214 99215 99222 99231 99232 99238$104K
Feb 2018More hours than a day holds, even counting one unit per claim line44.479.753.274.4746299213 99214 99222 99231 99232 99238$99K
Mar 2018More hours than a day holds, even counting one unit per claim line57.5109.272.8102.61036399213 99214 99221 99222 99231 99232 99238 99401$146K
Apr 2018More hours than a day holds, even counting one unit per claim line49.891.160.786.8869299213 99214 99222 99231 99232 99238$117K
May 2018More hours than a day holds, even counting one unit per claim line56.6107.571.796.61012399213 99214 99221 99222 99231 99232 99238 99401$138K
Jun 2018More hours than a day holds, even counting one unit per claim line41.161.140.858.2616299213 99214 99222 99231 99232 99238$79K
Jul 2018More hours than a day holds, even counting one unit per claim line98.385.757.180.5837299213 99214 99222 99231 99232 99238$108K
Aug 2018More hours than a day holds, even counting one unit per claim line27.333.922.630.5402299213 99214 99222 99231 99232 99238$45K
Sep 2018More hours than a day holds, even counting one unit per claim line65.092.561.792.5902399213 99214 99222 99231 99232 99238 99401$116K
Oct 2018More hours than a day holds, even counting one unit per claim line60.787.558.378.6938299213 99214 99221 99222 99231 99232 99238$117K
Nov 2018More hours than a day holds, even counting one unit per claim line61.689.659.881.5839299213 99214 99221 99222 99231 99232 99238$111K
Dec 2018More hours than a day holds, even counting one unit per claim line51.088.158.786.7941299213 99214 99221 99222 99231 99232 99238$111K
Jan 2019More hours than a day holds, even counting one unit per claim line53.883.455.675.01052299213 99214 99222 99231 99232 99238$140K
Feb 2019More hours than a day holds, even counting one unit per claim line52.781.754.576.2949299213 99214 99222 99231 99232 99238$127K
Mar 2019More hours than a day holds, even counting one unit per claim line51.777.251.576.0975299213 99214 99221 99222 99231 99232 99238$128K
Apr 2019More hours than a day holds, even counting one unit per claim line45.767.244.861.1876299213 99214 99221 99222 99231 99232 99238$114K
May 2019More hours than a day holds, even counting one unit per claim line50.673.849.266.3965299213 99214 99221 99222 99231 99232 99238$125K
Jun 2019More hours than a day holds, even counting one unit per claim line47.863.642.463.6836299213 99214 99222 99231 99232 99238$99K
Aug 2019More hours than a day holds, even counting one unit per claim line44.663.942.660.0906299213 99214 99221 99222 99231 99232 99238$104K
Sep 2019More hours than a day holds, even counting one unit per claim line56.078.152.074.31000299213 99214 99221 99222 99231 99232 99238$134K
Oct 2019More hours than a day holds, even counting one unit per claim line56.183.355.574.81123299213 99214 99221 99222 99231 99232 99238$153K
Nov 2019More hours than a day holds, even counting one unit per claim line52.379.052.775.3890299213 99214 99221 99222 99231 99232 99238$130K
Dec 2019More hours than a day holds, even counting one unit per claim line44.564.442.960.5777299213 99214 99222 99231 99232 99238$113K
Jan 2020More hours than a day holds, even counting one unit per claim line56.367.745.260.91007299213 99214 99221 99222 99231 99232 99238$128K
Feb 2020More hours than a day holds, even counting one unit per claim line58.071.147.468.7925299213 99214 99222 99231 99232 99238$130K
Mar 2020More hours than a day holds, even counting one unit per claim line55.667.645.163.5939299213 99214 99222 99231 99232 99238$121K
Apr 2020More hours than a day holds, even counting one unit per claim line32.542.428.238.5481299222 99231 99232 99238$66K
May 2020More hours than a day holds, even counting one unit per claim line36.351.034.050.2599299214 99222 99231 99232 99238$84K
Jun 2020More hours than a day holds, even counting one unit per claim line35.848.032.043.7560299213 99214 99222 99231 99232 99238$78K
Jul 2020More hours than a day holds, even counting one unit per claim line38.753.135.447.7644299213 99214 99222 99231 99232 99238$89K
Aug 2020More hours than a day holds, even counting one unit per claim line41.454.736.453.8630299213 99214 99222 99231 99232 99238$91K
Sep 2020More hours than a day holds, even counting one unit per claim line40.155.136.850.1683299213 99214 99222 99231 99232 99238$91K
Oct 2020More hours than a day holds, even counting one unit per claim line43.758.839.255.2820299213 99214 99222 99231 99232 99238$101K
Nov 2020More hours than a day holds, even counting one unit per claim line40.457.238.154.4708299213 99214 99222 99231 99232 99238$93K
Dec 2020More hours than a day holds, even counting one unit per claim line42.059.139.453.1755299213 99214 99222 99231 99232 99238$101K
Jan 2021More hours than a day holds, even counting one unit per claim line42.953.835.952.9744299213 99214 99222 99231 99232 99238 99239$101K
Feb 2021More hours than a day holds, even counting one unit per claim line47.055.937.252.1668299213 99214 99222 99232 99238$95K
Mar 2021More hours than a day holds, even counting one unit per claim line48.857.338.251.5813299213 99214 99222 99232 99238 99239$113K
Apr 2021More hours than a day holds, even counting one unit per claim line54.062.741.857.0856299213 99214 99222 99223 99232 99238 99239$119K
May 2021More hours than a day holds, even counting one unit per claim line48.660.440.359.4816299213 99214 99222 99223 99232 99238 99239$114K
Jun 2021More hours than a day holds, even counting one unit per claim line43.453.735.848.8767299213 99214 99222 99223 99232 99238$98K
Jul 2021More hours than a day holds, even counting one unit per claim line44.052.034.748.9804299213 99214 99222 99223 99232 99238$98K
Aug 2021More hours than a day holds, even counting one unit per claim line47.660.340.256.7786299213 99214 99222 99223 99232 99233 99238$112K
Sep 2021More hours than a day holds, even counting one unit per claim line47.857.738.552.5817299213 99214 99222 99223 99232 99233 99238$106K
Oct 2021More hours than a day holds, even counting one unit per claim line48.062.441.661.4813299213 99214 99222 99223 99232 99238$120K
Nov 2021More hours than a day holds, even counting one unit per claim line48.259.639.854.2779299213 99214 99222 99232 99238$111K
Dec 2021More hours than a day holds, even counting one unit per claim line38.748.132.143.3679299213 99214 99222 99232 99238$95K
Jan 2022More hours than a day holds, even counting one unit per claim line42.955.437.054.5717299213 99214 99222 99223 99232 99238$108K
Feb 2022More hours than a day holds, even counting one unit per claim line56.871.647.866.9892299213 99214 99222 99223 99232 99238$125K
Mar 2022More hours than a day holds, even counting one unit per claim line55.370.947.363.7883299213 99214 99222 99232 99238$138K
Apr 2022More hours than a day holds, even counting one unit per claim line49.661.541.058.6759299213 99214 99222 99232 99238$118K
May 2022More hours than a day holds, even counting one unit per claim line45.559.639.756.0758299213 99214 99222 99232 99238$118K
Jun 2022More hours than a day holds, even counting one unit per claim line42.656.537.751.3677299213 99214 99222 99232 99238$107K
Jul 2022More hours than a day holds, even counting one unit per claim line53.755.637.154.7680299213 99214 99222 99232 99238$105K
Aug 2022More hours than a day holds, even counting one unit per claim line49.363.142.156.7813299213 99214 99222 99232 99238$121K
Sep 2022More hours than a day holds, even counting one unit per claim line52.567.044.660.9842299213 99214 99222 99232 99238$130K
Oct 2022More hours than a day holds, even counting one unit per claim line51.564.042.663.0750299213 99214 99222 99232 99238$132K
Nov 2022More hours than a day holds, even counting one unit per claim line33.242.528.338.7545299213 99214 99222 99232 99238$80K
Dec 2022More hours than a day holds, even counting one unit per claim line37.245.530.442.8616299213 99214 99222 99232 99238$93K
Jan 2023More hours than a day holds, even counting one unit per claim line33.540.927.338.4564299213 99214 99222 99232 99238$85K
Feb 2023More hours than a day holds, even counting one unit per claim line57.265.443.661.0834299213 99214 99222 99232 99238$130K
Mar 2023More hours than a day holds, even counting one unit per claim line59.860.440.354.3796299212 99213 99214 99222 99231 99232 99238$129K
Apr 2023More hours than a day holds, even counting one unit per claim line56.758.639.158.6719299212 99213 99214 99222 99231 99232 99238$120K
May 2023More hours than a day holds, even counting one unit per claim line52.460.040.053.9747299213 99214 99222 99231 99232 99238$127K
Jun 2023More hours than a day holds, even counting one unit per claim line36.342.428.238.5569299213 99214 99221 99222 99231 99232 99238$83K
Jul 2023More hours than a day holds, even counting one unit per claim line28.132.021.331.5544299213 99221 99222 99231 99232 99238$65K
Aug 2023More hours than a day holds, even counting one unit per claim line41.150.033.344.9745299212 99213 99214 99221 99222 99231 99232 99238$103K
Sep 2023More hours than a day holds, even counting one unit per claim line51.462.641.759.6926299213 99214 99221 99222 99231 99232 99238$128K
Oct 2023More hours than a day holds, even counting one unit per claim line47.458.238.854.7858299213 99214 99221 99222 99231 99232 99238$121K
Nov 2023More hours than a day holds, even counting one unit per claim line44.654.536.449.6821299213 99214 99221 99222 99231 99232 99238$115K
Dec 2023More hours than a day holds, even counting one unit per claim line31.138.425.637.8696299213 99214 99221 99222 99231 99232 99238$86K
Jan 2024More hours than a day holds, even counting one unit per claim line36.142.728.538.4727299213 99214 99221 99222 99231 99232 99238$103K
Feb 2024More hours than a day holds, even counting one unit per claim line30.032.121.429.6509299213 99214 99222 99231 99232 99238$73K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameIRFAN A AFAQ, M.D.
TypeIndividual
StatusActive
NPI issuedAugust 29, 2005, last updated May 20, 2014
Practice location2700 VISSING PARK RD, Jeffersonville, IN 47130-5989, 502-265-0491
Mailing addressPO BOX 265, Jeffersonville, IN 47131-0265
Specialties
Psychiatry & Neurology, Psychiatry (2084P0800X, license 37705 KY)
Specialist (174400000X, primary, license 01057489a 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
codewhat it ispaidshareper patient-monthtypicalrank among providers
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$4.2M49%$217$67 (top 5% from $174)98th percentile
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes$1.3M15%$88$63 (top 5% from $137)75th percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$776K9%$202$44 (top 5% from $110)99th percentile
99238Hospital discharge day management, 30 minutes or less$756K9%$52$48 (top 5% from $80)58th percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$735K8%$206$60 (top 5% from $133)99th percentile
H0035Mental health partial hospitalization less than 24 hours$423K5%$1K$1K (top 5% from $3K)60th percentile
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes$320K4%$98$37 (top 5% from $103)94th percentile
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes$34K0%$58$50 (top 5% from $194)62nd percentile
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes43364$24K$112$731.5x2.6x (90th percentile 4.3x)
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7757$6K$193$1211.6x2.7x (90th percentile 4.4x)
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes12729$5K$100$462.2x2.4x (90th percentile 4.0x)
99238Hospital discharge day management, 30 minutes or less6048$4K$125$751.7x2.6x (90th percentile 4.7x)

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

6 providers in Clark County, IN carry an indicator in the public record, with $73.9M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 1.

tierproviderat stakewhy
3PULASKI MEMORIAL HOSPITAL
Sellersburg, IN, ranked 6350
$0
  • Part of provider network D1-00059, ranked 59 nationally.
4ERIC JAGGERS
Jeffersonville, IN, ranked 7912
$60.4M
  • Hours beyond a day in 74 months, but with up to 6961 patients a month across 11 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4GENE BAKER
Jeffersonvlle, IN, ranked 8061
$11.6M
  • Hours beyond a day in 16 months, but with up to 2501 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4MARY BOULDIN
Jeffersonville, IN, ranked 8923
$1.2M
  • Hours beyond a day in 3 months, but with up to 898 patients a month across 8 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4JANNA JOHNSON
Charlestown, IN, ranked 9124
$643K
  • Hours beyond a day in 5 months, but with up to 634 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
5WILLIAM COLLINS
Sellersburg, IN, ranked 11830
$31K

Recent enforcement in IN

All releases

Department 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.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.