Providers
All 59 in KY
MICHAEL WILLIAMS BAKER, DC
NPI 1912982927, individual, Louisville, KY, Chiropractor
1
Evidence tier
documented action, then payment
- 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.
score 95 of 100, rank 140, $119K at stake
Public list actions
Medicare revocation effective January 4, 2024, barred from re-enrolling until January 4, 2034
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Chiropractic, KY
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 |
|---|---|---|---|---|---|---|---|---|
| KY Medicaid exclusion list state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap) | Exact NPI, name verified | Jan 4, 2024 | still open | 10 | Feb 2024 | Nov 2024 | $119K | $160K |
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Jan 4, 2024 | Jan 4, 2034 | 10 | Feb 2024 | Nov 2024 | $119K | $160K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MICHAEL WILLIAMS BAKER, DC |
| Type | Individual |
| Status | Active |
| NPI issued | December 13, 2005, last updated October 7, 2011 |
| Practice location | 4452 DIXIE HWY, Louisville, KY 40216-2866, 502-448-5241 |
| Specialties | Chiropractor (111N00000X, primary, license 4621 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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 98941 | Chiropractic manipulative treatment, 3-4 spinal regions | $183K | 17% | $43 | $45 (top 5% from $86) | 47th percentile | |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $153K | 15% | $27 | $76 (top 5% from $314) | 13th percentile | |
| 98943 | Medicaid service code | $143K | 14% | $30 | $34 (top 5% from $62) | 41st percentile | |
| 97014 | Medicaid service code | $113K | 11% | $21 | $24 (top 5% from $71) | 40th percentile | |
| 97012 | Application of mechanical traction | $106K | 10% | $18 | $22 (top 5% from $56) | 34th percentile | |
| 97140 | Therapy procedure using manual technique, each 15 minutes | $98K | 9% | $17 | $47 (top 5% from $120) | 12th percentile | |
| 98940 | Chiropractic manipulative treatment, 1-2 spinal regions | $78K | 7% | $34 | $30 (top 5% from $65) | 62nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $54K | 5% | $21 | $44 (top 5% from $110) | 18th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 98941 | Chiropractic manipulative treatment, 3-4 spinal regions | 211 | 17 | $5K | $70 | $37 | 1.9x | 1.5x (90th percentile 2.2x) |
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 $101.0M at stake between them. The most common is more hours than a day holds, on 46 of them, followed by paid after a public list action on 5. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MAJA CUPAC Louisville, KY, ranked 65 | $9K |
|
| 1 | BAKER CHIROPRACTIC CENTER PSC Louisville, KY, ranked 139 | $119K |
|
| 1 | JORDAN EDELEN Louisville, KY, ranked 261 | $14K |
|
| 3 | CHRISTIAN BERKHAHN Louisville, KY, ranked 1301 | $161K |
|
| 3 | LAWRENCE PETERS Louisville, KY, ranked 1509 | $16K |
|
| 3 | MATTHEW ELKINS Louisville, KY, ranked 1571 | $7K |
|
| 3 | LOUISVILLE KY OPCO LLC Louisville, KY, ranked 1885 | $0 |
|
| 3 | NAZARETH HOME, INC. Louisville, KY, ranked 2648 | $0 |
|
Recent enforcement in KY
All releasesDepartment 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.