Providers
All 14 in NC
KESHAVPAL G REDDY, M.D.
NPI 1942269766, individual, Greensboro, NC, Psychiatry & Neurology, Psychiatry
2
Evidence tier
impossible volume with concurrency
- Billed more hands-on hours than a day holds in 8 months, peaking at 22.4 hours per day across 3 billing organizations.
- Medicaid dollars per patient on code 99232 ($252 per patient-month) sit in the top 5% of every provider billing that code.
score 85 of 100, rank 693, $2.9M 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.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 26.7 | 32.9 | 21.9 | 29.9 | 398 | 2 | 90837 99213 99223 99232 99238 | $66K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 31.0 | 33.6 | 22.4 | 30.2 | 439 | 2 | 90837 99213 99223 99232 99238 | $69K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 24.6 | 30.0 | 20.0 | 29.5 | 386 | 2 | 90837 99213 99223 99232 99238 | $62K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 25.4 | 29.5 | 19.7 | 27.5 | 372 | 2 | 90837 99205 99213 99223 99232 99238 | $56K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 27.0 | 30.7 | 20.5 | 27.6 | 436 | 2 | 90837 99204 99205 99212 99213 99214 99223 99232 99238 | $66K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 27.2 | 30.9 | 20.6 | 29.5 | 409 | 2 | 90837 99213 99214 99222 99223 99232 99238 | $61K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 26.8 | 30.1 | 20.0 | 28.2 | 431 | 1 | 90837 99205 99212 99213 99214 99222 99223 99232 99238 | $64K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 24.6 | 26.2 | 17.4 | 23.8 | 404 | 1 | 90791 90837 99213 99214 99223 99232 99238 | $54K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KESHAVPAL G REDDY, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | March 21, 2006, last updated April 13, 2023 |
| Practice location | 603 DOLLEY MADISON RD STE 100, Greensboro, NC 27410-4282, 336-632-3505 |
| Specialties | Psychiatry & Neurology, Addiction Medicine (2084A0401X, license 38415 NC) Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 0101053228 VA) |
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 | |
|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $1.8M | 58% | $252 | $67 (top 5% from $174) | 99th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $686K | 22% | $141 | $81 (top 5% from $170) | 90th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $276K | 9% | $47 | $44 (top 5% from $110) | 55th percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $201K | 6% | $54 | $48 (top 5% from $80) | 62nd percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $77K | 2% | $59 | $191 (top 5% from $442) | 8th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $26K | 1% | $57 | $60 (top 5% from $133) | 45th percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $17K | 1% | $65 | $63 (top 5% from $137) | 52nd percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $7K | 0% | $157 | $128 (top 5% from $249) | too few months to rank |
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 |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 730 | 115 | $41K | $151 | $74 | 2.0x | 2.6x (90th percentile 4.3x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 107 | 98 | $12K | $410 | $163 | 2.5x | 3.0x (90th percentile 5.6x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 218 | 98 | $10K | $162 | $84 | 1.9x | 2.2x (90th percentile 3.8x) |
| 99238 | Hospital discharge day management, 30 minutes or less | 74 | 69 | $4K | $150 | $76 | 2.0x | 2.6x (90th percentile 4.7x) |
| 80305 | Testing for presence of drug, read by direct observation | 22 | 15 | $272 | $50 | $12 | 4.0x | 3.2x (90th percentile 8.2x) |
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
14 providers in Guilford County, NC carry an indicator in the public record, with $7.0M at stake between them. The most common is part of a provider network, on 5 of them, followed by more hours than a day holds on 5. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DUNE MEDICAL SUPPLY LLC High Point, NC, ranked 300 | $8K |
|
| 1 | REIGN & INSPIRATIONS, LLC Greensboro, NC, ranked 590 | $0 |
|
| 1 | JOELLE'S CENTER OF HOPE INC Greensboro, NC, ranked 680 | $0 |
|
| 3 | REGINALD CENTER OF TURN AROUND Greensboro, NC, ranked 1224 | $303K |
|
| 3 | ASHTON HEALTH AND REHABILITATION, LLC MC Leansville, NC, ranked 2722 | $0 |
|
| 3 | ADAMS FARM LIVING INC Jamestown, NC, ranked 3825 | $0 |
|
| 3 | CAMDEN HEALTH AND REHABILITATION, LLC Greensboro, NC, ranked 4961 | $0 |
|
| 3 | HEARTLAND OF GREENSBORO, INC Greensboro, NC, ranked 5928 | $0 |
|
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.