KAREN LIND BUTLER, MD

NPI 1902858848, individual, Swainsboro, GA, Family Medicine

Evidence tier

documented action, then payment

Listed on the Medicare revocation list since December 17, 2019.
Medicaid still paid claims in 14 later months, $55,245 in total.

score 95 of 100, rank 181, $55K at stake

Public list actions

Medicare revocation effective December 17, 2019, barred from re-enrolling until December 17, 2029

424.535(a)(4) false or misleading information and 424.535(a)(3) felonies, Practitioner - Family Practice, WI

Medicare revocation effective December 17, 2019, barred from re-enrolling until December 17, 2029

424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Family Practice, GA

OIG exclusion March 20, 2022 under section 1128a1

Physician (MD, DO), Family Practice, Swainsboro, 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)(9) failure to report and 424.535(a)(3) felonies	Exact NPI, name verified	Dec 17, 2019	Dec 17, 2029	14	Jan 2020	Feb 2021	$55K	$178K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	KAREN LIND BUTLER, MD
Type	Individual, sole proprietor
Status	Active
NPI issued	May 17, 2006, last updated October 23, 2018
Practice location	117 KITE RD, Swainsboro, GA 30401-3231, 478-289-1240
Specialties	Family Medicine (207Q00000X, license 43732-020 WI) Family Medicine (207Q00000X, primary, license 053841 GA)

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	$84K	36%	$71	$86 (top 5% from $224)	32nd percentile
99285	Emergency department visit with high level of medical decision making	$67K	28%	$83	$100 (top 5% from $264)	27th percentile
99283	Emergency department visit with low level of medical decision making	$53K	22%	$48	$60 (top 5% from $193)	36th percentile
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$11K	5%	$41	$60 (top 5% from $133)	26th percentile
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$11K	4%	$35	$44 (top 5% from $110)	36th percentile
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	$5K	2%	$39	$81 (top 5% from $170)	9th percentile
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	$3K	1%	$6.64	$14 (top 5% from $58)	21st percentile
99291	Critical care, first 30-74 minutes	$1K	0%	$80	$175 (top 5% from $536)	too few months to rank

In this area

147 providers in GA carry an indicator in the public record, with $57.2M at stake between them. The most common is part of a provider network, on 93 of them, followed by more hours than a day holds on 21. 20 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	CAMILLE GRIER Snellville, GA, ranked 33	$3K	Listed on the AZ Medicaid exclusion list since April 21, 2024. Medicaid still paid claims in 2 later months, $3,379 in total. and 1 more
1	DANIEL JUNG Metter, GA, ranked 103	$264K	Listed on the NY Medicaid exclusion list since July 20, 2014. Medicaid still paid claims in 78 later months, $263,873 in total.
1	ZAVIER ASH Tucker, GA, ranked 122	$148K	Listed on the Medicare revocation list since March 16, 2022. Medicaid still paid claims in 32 later months, $147,613 in total.
1	AMRISH PATEL Mcdonough, GA, ranked 129	$135K	Listed on the Medicare revocation list since April 19, 2017. Medicaid still paid claims in 66 later months, $135,318 in total.
1	UVIENOME SAKOR Douglasville, GA, ranked 142	$116K	Listed on the Medicare revocation list since July 1, 2022. Medicaid still paid claims in 13 later months, $116,070 in total.
1	RAJASHAKHER REDDY Alpharetta, GA, ranked 151	$96K	Listed on the NY Medicaid exclusion list since September 6, 2011. Medicaid still paid claims in 31 later months, $95,663 in total.
1	JEFFREY GALLUPS Alpharetta, GA, ranked 172	$61K	Listed on the Medicare revocation list since October 21, 2021. Medicaid still paid claims in 3 later months, $61,386 in total. and 1 more
1	MILAGROS RIVERA Savannah, GA, ranked 188	$52K	Listed on the Medicare revocation list and the OIG exclusion list since November 26, 2019. Medicaid still paid claims in 19 later months, $51,550 in total.

All 147 in GA

Recent enforcement in GA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedAug 24, 2026

Southern District of Georgia federal indictments include murder, drug- and firearm-related charges and healthcare fraud

Perry Patalano was indicted for Healthcare Fraud, Theft of Government Money, Property or Records, and Aggravated Identity Theft.

DOJChargedJun 24, 2026

Two Georgia Men Charged in National Health Care Fraud Takedown

Rutledge billed Georgia Medicaid for thousands of wound care, cyst removal, psychotherapy, and allergy testing services that were never performed, and Releford obtained nursing jobs by lying about his qualifications and stealing a licensed practical nurse's identity, causing providers to bill Medicare and Medicaid for services he could not legally perform.

DOJSentencedMay 4, 2026

Two Sentenced to Prison for $522M Genetic Testing Fraud and Illegal Kickback Scheme Targeting Medicare and Medicaid

Two men who controlled four laboratories paid kickbacks and bribes to marketers to obtain DNA samples and fraudulent requisition forms from medical providers, resulting in approximately $522 million in false claims for medically unnecessary genetic tests.

DOJPleaded guiltyApr 14, 2026

Behavioral therapist pleads guilty to health care fraud for submitting inflated insurance reimbursement claims

From June 2020 through May 2023, Stallings submitted false and fraudulent billing claims to TRICARE for individual and group therapy services that were not provided or were not provided as presented, and also obtained COVID-19 Economic Injury Disaster Loan funds that she spent on personal purposes.

DOJSentencedDec 2, 2025

Georgia Man Sentenced for $24M Kickback and Medicare Fraud Conspiracy

Moore instructed a network of recruiters to induce Medicare beneficiaries to accept medically unnecessary genetic tests, received approximately $4.3 million in kickbacks for referring beneficiary information, DNA specimens and doctors' orders, and concealed the payments with sham invoices.

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.

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