Providers

SUNIL CHHIBBER, M.D.

NPI 1831142850, individual, Louisville, KY, Psychiatry & Neurology, Psychiatry

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 75 months, but with up to 742 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code 99232 ($206 per patient-month) sit in the top 5% of every provider billing that code.
score 56 of 100, rank 7448, $5.1M 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 line43.376.350.968.5547190792 99213 99221 99222 99232 99238$84K
Feb 2018More hours than a day holds, even counting one unit per claim line47.478.652.473.4536190792 99213 99221 99222 99232 99238$80K
Mar 2018More hours than a day holds, even counting one unit per claim line44.978.852.574.0571190792 99213 99221 99222 99232 99238$88K
Apr 2018More hours than a day holds, even counting one unit per claim line40.969.746.566.4511190792 99213 99221 99222 99232 99238$76K
May 2018More hours than a day holds, even counting one unit per claim line61.673.649.166.2498190792 99213 99222 99232 99238$80K
Jun 2018More hours than a day holds, even counting one unit per claim line54.866.744.563.5481190792 99213 99221 99222 99232 99238$72K
Aug 2018More hours than a day holds, even counting one unit per claim line44.069.946.662.8653190792 99213 99222 99232 99238$81K
Sep 2018More hours than a day holds, even counting one unit per claim line57.373.148.773.1513190792 99213 99221 99222 99232 99238$78K
Oct 2018More hours than a day holds, even counting one unit per claim line44.072.348.264.9629190792 99213 99221 99222 99232 99238$83K
Nov 2018More hours than a day holds, even counting one unit per claim line39.765.843.959.8536190792 99213 99221 99222 99232 99238$72K
Feb 2019More hours than a day holds, even counting one unit per claim line34.747.131.444.0490190792 99213 99221 99222 99232 99238$61K
Mar 2019More hours than a day holds, even counting one unit per claim line36.449.533.048.7493199213 99221 99222 99232 99238$70K
Apr 2019More hours than a day holds, even counting one unit per claim line38.350.433.645.8504190792 99213 99221 99222 99232 99238$69K
May 2019More hours than a day holds, even counting one unit per claim line39.054.236.148.7497190792 99213 99221 99222 99232 99238$76K
Jun 2019More hours than a day holds, even counting one unit per claim line36.145.930.645.9471190792 99213 99221 99222 99232 99238$63K
Jul 2019More hours than a day holds, even counting one unit per claim line54.554.236.148.7641190792 99213 99221 99222 99232 99238$78K
Aug 2019More hours than a day holds, even counting one unit per claim line42.949.833.246.8542190792 99213 99221 99222 99232 99238$72K
Sep 2019More hours than a day holds, even counting one unit per claim line42.649.733.147.3502190792 99213 99221 99222 99232 99238$70K
Oct 2019More hours than a day holds, even counting one unit per claim line46.057.938.652.0594190792 99213 99221 99222 99232 99238$85K
Nov 2019More hours than a day holds, even counting one unit per claim line39.549.633.147.2620190792 99212 99213 99221 99222 99231 99232 99238$69K
Dec 2019More hours than a day holds, even counting one unit per claim line40.252.434.949.2654190792 99212 99213 99221 99222 99231 99232 99238$75K
Jan 2020More hours than a day holds, even counting one unit per claim line38.849.633.144.6542190792 99213 99221 99222 99231 99232 99238$80K
Feb 2020More hours than a day holds, even counting one unit per claim line43.455.537.053.7526190792 99213 99221 99222 99231 99232 99238$82K
Mar 2020More hours than a day holds, even counting one unit per claim line42.350.033.346.9537190792 99213 99221 99222 99231 99232 99238$79K
Apr 2020More hours than a day holds, even counting one unit per claim line37.040.026.736.4316199222 99231 99232 99238$58K
May 2020More hours than a day holds, even counting one unit per claim line42.945.830.545.1416199213 99221 99222 99231 99232 99238$70K
Jun 2020More hours than a day holds, even counting one unit per claim line45.246.831.242.6419199213 99221 99222 99231 99232 99238$69K
Jul 2020More hours than a day holds, even counting one unit per claim line37.541.928.037.7492190792 99213 99221 99222 99231 99232 99238$66K
Aug 2020More hours than a day holds, even counting one unit per claim line35.239.026.038.4506190792 99213 99221 99231 99232 99238$62K
Sep 2020More hours than a day holds, even counting one unit per claim line32.838.325.634.8473190792 99213 99221 99231 99232 99238$59K
Oct 2020More hours than a day holds, even counting one unit per claim line29.035.423.633.2445190792 99213 99221 99231 99232 99238$56K
Nov 2020More hours than a day holds, even counting one unit per claim line32.140.126.838.2438190792 99213 99221 99222 99231 99232 99238$61K
Dec 2020More hours than a day holds, even counting one unit per claim line37.141.127.437.0431190792 99213 99221 99222 99231 99232 99238$64K
Jan 2021More hours than a day holds, even counting one unit per claim line60.734.423.033.9438199213 99221 99222 99231 99232 99238$59K
Feb 2021More hours than a day holds, even counting one unit per claim line46.733.322.231.1422199221 99231 99232 99238$52K
Mar 2021More hours than a day holds, even counting one unit per claim line49.235.823.932.2509199221 99231 99232 99238$61K
Apr 2021More hours than a day holds, even counting one unit per claim line51.539.326.235.8545199221 99222 99231 99232 99238$66K
May 2021More hours than a day holds, even counting one unit per claim line48.538.025.337.4409199221 99231 99232 99238$64K
Jun 2021More hours than a day holds, even counting one unit per claim line40.538.025.334.6526199221 99231 99232 99238$63K
Jul 2021More hours than a day holds, even counting one unit per claim line38.340.226.837.8477199221 99222 99231 99232 99238$69K
Aug 2021More hours than a day holds, even counting one unit per claim line44.948.732.545.7518199221 99222 99231 99232 99238$83K
Sep 2021More hours than a day holds, even counting one unit per claim line46.648.932.644.5506190792 99221 99231 99232 99238$81K
Oct 2021More hours than a day holds, even counting one unit per claim line45.251.134.150.3541190792 99221 99231 99232 99238$88K
Nov 2021More hours than a day holds, even counting one unit per claim line36.342.928.639.0431199221 99231 99232 99238$70K
Dec 2021More hours than a day holds, even counting one unit per claim line38.644.629.740.1589199213 99221 99231 99232 99238$77K
Jan 2022More hours than a day holds, even counting one unit per claim line40.843.228.842.5451199221 99231 99232 99238$72K
Feb 2022More hours than a day holds, even counting one unit per claim line33.235.623.733.2448199221 99231 99232 99238$55K
Mar 2022More hours than a day holds, even counting one unit per claim line38.140.627.136.5556199221 99231 99232 99238$69K
Apr 2022More hours than a day holds, even counting one unit per claim line44.845.230.143.1658190791 99212 99214 99221 99231 99232 99238$77K
May 2022More hours than a day holds, even counting one unit per claim line38.638.425.636.1742190791 99212 99214 99221 99231 99232 99238$68K
Jun 2022More hours than a day holds, even counting one unit per claim line26.427.018.024.6707190791 90792 99203 99212 99213 99214 99221 99231 99232 99238$52K
Jul 2022More hours than a day holds, even counting one unit per claim line39.033.222.132.7609199214 99221 99231 99232 99238$60K
Aug 2022More hours than a day holds, even counting one unit per claim line29.327.918.625.1647190792 99212 99214 99221 99231 99232 99238$54K
Sep 2022More hours than a day holds, even counting one unit per claim line26.425.416.923.1529190791 99212 99214 99221 99231 99232 99238$46K
Oct 2022More hours than a day holds, even counting one unit per claim line30.528.619.128.2585190791 99212 99214 99221 99231 99232 99238$52K
Nov 2022More hours than a day holds, even counting one unit per claim line29.927.918.625.4565190791 99214 99221 99231 99232 99238$50K
Dec 2022More hours than a day holds, even counting one unit per claim line35.635.223.533.1724199214 99221 99231 99232 99238$64K
Jan 2023More hours than a day holds, even counting one unit per claim line32.329.719.827.9633190791 99213 99214 99221 99231 99232 99238$59K
Mar 2023More hours than a day holds, even counting one unit per claim line28.725.917.223.2598190791 99213 99214 99221 99231 99232 99238$51K
Apr 2023More hours than a day holds, even counting one unit per claim line25.422.815.222.8547199213 99214 99221 99231 99232 99238$44K
May 2023More hours than a day holds, even counting one unit per claim line25.423.315.520.9557190792 99213 99214 99221 99231 99232 99238$47K
Jun 2023More hours than a day holds, even counting one unit per claim line29.627.818.525.2644199213 99214 99221 99222 99231 99232 99238$54K
Jul 2023More hours than a day holds, even counting one unit per claim line25.625.016.724.6589199213 99214 99221 99231 99232 99238$49K
Sep 2023More hours than a day holds, even counting one unit per claim line31.531.621.030.1529199221 99231 99232 99238$56K
Oct 2023More hours than a day holds, even counting one unit per claim line29.728.218.826.5539199221 99231 99232 99238$53K
Nov 2023More hours than a day holds, even counting one unit per claim line25.423.815.921.6505199221 99231 99232 99238$43K
Dec 2023More hours than a day holds, even counting one unit per claim line30.428.619.128.2623199221 99231 99232 99238$54K
Jan 2024More hours than a day holds, even counting one unit per claim line29.225.917.223.2695199221 99231 99232 99238$56K
Feb 2024More hours than a day holds, even counting one unit per claim line26.520.013.318.4542199221 99231 99232 99238$41K
Mar 2024More hours than a day holds, even counting one unit per claim line26.924.116.123.8636199214 99221 99222 99231 99232 99238$53K
Jun 2024More hours than a day holds, even counting one unit per claim line31.625.116.725.1739199221 99222 99231 99232 99238$54K
Jul 2024More hours than a day holds, even counting one unit per claim line24.019.813.217.8583199221 99222 99232 99238$45K
Aug 2024More hours than a day holds, even counting one unit per claim line24.421.814.620.5567199213 99214 99221 99222 99232 99238$48K
Oct 2024More hours than a day holds, even counting one unit per claim line25.623.615.821.2448199213 99222 99232 99238$49K
Nov 2024More hours than a day holds, even counting one unit per claim line25.726.017.324.7501199221 99222 99232 99238$53K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameSUNIL CHHIBBER, M.D.
TypeIndividual
StatusActive
NPI issuedMay 19, 2006, last updated September 2, 2015
Practice location2020 NEWBURG RD, Louisville, KY 40205-1803, 502-479-4433
Mailing address100 E LIBERTY ST, SUITE 800, Louisville, KY 40202-1434
Specialties
Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 38329 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$3.5M65%$206$67 (top 5% from $174)97th percentile
99238Hospital discharge day management, 30 minutes or less$434K8%$51$48 (top 5% from $80)55th percentile
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes$345K6%$82$37 (top 5% from $103)90th percentile
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes$342K6%$75$63 (top 5% from $137)64th percentile
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes$318K6%$48$50 (top 5% from $194)46th percentile
99254Medicaid service code$116K2%$97$90 (top 5% from $178)60th percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$101K2%$76$44 (top 5% from $110)86th percentile
90792Psychiatric diagnostic evaluation with medical services$67K1%$94$112 (top 5% from $313)39th 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 minutes2,730321$143K$152$682.2x2.6x (90th percentile 4.3x)
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes145113$13K$250$1142.2x2.7x (90th percentile 4.4x)
99238Hospital discharge day management, 30 minutes or less233164$13K$154$702.2x2.6x (90th percentile 4.7x)
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes220201$12K$160$712.3x3.1x (90th percentile 5.2x)
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes16154$5K$96$432.3x2.4x (90th percentile 4.0x)

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

59 providers in Jefferson County, KY carry an indicator in the public record, with $96.0M at stake between them. The most common is more hours than a day holds, on 45 of them, followed by paid after a public list action on 6. 4 are tier 1: documented action, then payment.

tierproviderat stakewhy
1MAJA CUPAC
Louisville, KY, ranked 65
$9K
  • Listed on the KY Medicaid exclusion list since April 22, 2022.
  • Medicaid still paid claims in 4 later months, $8,911 in total.
  • and 1 more
1BAKER CHIROPRACTIC CENTER PSC
Louisville, KY, ranked 139
$119K
  • Listed on the KY Medicaid exclusion list and the Medicare revocation list since January 4, 2024.
  • Medicaid still paid claims in 10 later months, $119,249 in total.
1MICHAEL BAKER
Louisville, KY, ranked 140
$119K
  • Listed on the Medicare revocation list and the KY Medicaid exclusion list since January 4, 2024.
  • Medicaid still paid claims in 10 later months, $119,249 in total.
1JORDAN EDELEN
Louisville, KY, ranked 261
$14K
  • Listed on the KY Medicaid exclusion list and the Medicare revocation list since December 16, 2019.
  • Medicaid still paid claims in 9 later months, $14,032 in total.
3CHRISTIAN BERKHAHN
Louisville, KY, ranked 1301
$161K
  • Charged (charged) per a Department of Justice release dated June 23, 2026, not adjudicated.
  • Medicaid paid $161,424 in the last 12 observed months.
3LAWRENCE PETERS
Louisville, KY, ranked 1509
$16K
  • Charged (charged) per a Department of Justice release dated June 27, 2024, not adjudicated.
  • Medicaid paid $16,372 in the last 12 observed months.
3MATTHEW ELKINS
Louisville, KY, ranked 1571
$7K
  • Charged (charged) per a Department of Justice release dated July 1, 2025, not adjudicated.
  • Medicaid paid $6,952 in the last 12 observed months.
3LOUISVILLE KY OPCO LLC
Louisville, KY, ranked 1885
$0
  • Part of provider network D1-00087, ranked 87 nationally.
All 59 in KY

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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