Providers

GENE ALLEN BAKER, Psy.D, HSPP

NPI 1972871440, individual, Jeffersonvlle, IN, Psychologist, Clinical

4
Evidence tier
structure or single-organization volume
  • 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.
  • 72% of Medicaid dollars are on codes with a history of abuse.
score 54 of 100, rank 8061, $11.6M 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
Sep 2022More hours than a day holds, even counting one unit per claim line51.865.143.423.71892190791 90832 90834 90837 H0004 H2014 T1016$292K
Nov 2022More hours than a day holds, even counting one unit per claim line52.166.044.025.21995190791 90832 90834 90837 H0004 H2014 T1016$286K
Jan 2023More hours than a day holds, even counting one unit per claim line56.374.249.530.22206190791 90832 90834 90837 H0004 H2014 T1016$311K
Feb 2023More hours than a day holds, even counting one unit per claim line66.383.855.835.82193190791 90832 90834 90837 90847 H0004 H2014 T1016$319K
Mar 2023More hours than a day holds, even counting one unit per claim line49.971.447.623.42194190791 90832 90834 90837 H0004 H2014 T1016$305K
Apr 2023More hours than a day holds, even counting one unit per claim line63.679.052.636.72226190791 90832 90834 90837 H0004 H2014 T1016$317K
May 2023More hours than a day holds, even counting one unit per claim line74.992.361.541.62501190791 90832 90834 90837 90847 90853 H0004 H2014 T1016$362K
Aug 2023More hours than a day holds, even counting one unit per claim line60.576.350.927.22211190791 90832 90834 90837 H0004 H2014 T1016$329K
Sep 2023More hours than a day holds, even counting one unit per claim line62.676.651.028.92144190791 90832 90834 90837 H0004 H2014 T1016$331K
Oct 2023More hours than a day holds, even counting one unit per claim line52.171.347.522.72174190791 90832 90834 90837 90847 H0004 H2014 T1016$317K
Nov 2023More hours than a day holds, even counting one unit per claim line57.374.849.926.42152190791 90832 90834 90837 H0004 H2014 T1016$309K
Feb 2024More hours than a day holds, even counting one unit per claim line53.794.863.226.61974190791 90832 90834 90837 H0004 H2014 T1016$316K
Apr 2024More hours than a day holds, even counting one unit per claim line54.695.463.629.92045190791 90832 90834 90837 H0004 H2014 T1016$334K
Sep 2024More hours than a day holds, even counting one unit per claim line61.589.059.329.81955190791 90832 90834 90837 H0004 H2014 T1016$306K
Oct 2024More hours than a day holds, even counting one unit per claim line49.185.256.824.21924190791 90832 90834 90837 H0004 H2014 T1016$305K
Nov 2024More hours than a day holds, even counting one unit per claim line56.482.655.128.41903190791 90832 90834 90837 H0004 H2014 T1016$280K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameGENE ALLEN BAKER, Psy.D, HSPP
TypeIndividual
StatusActive
NPI issuedDecember 12, 2011, last updated November 18, 2013
Practice location335 SPRING ST, Jeffersonvlle, IN 47130-4480, 812-258-0310
Mailing address645 S ROGERS ST, Bloomington, IN 47403-2353
Specialties
Marriage & Family Therapist (106H00000X, license 35001453A IN)
Marriage & Family Therapist (106H00000X, license 0219 KY)
Psychologist, Clinical (103TC0700X, primary, license 20042705A IN)
Marriage & Family Therapist (106H00000X, license F . 1100008 OH)

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
H2014Skills training and development per 15 minhistory of abuse$8.8M64%$296$298 (top 5% from $3K)50th percentile
T1016Case management each 15 min$1.7M12%$61$98 (top 5% from $507)34th percentile
90837Psychotherapy, 1 hourhistory of abuse$1.1M8%$144$191 (top 5% from $442)28th percentile
90834Psychotherapy, 45 minutes$733K5%$92$101 (top 5% from $318)44th percentile
H0031Medicaid service code$433K3%$88$100 (top 5% from $540)45th percentile
90832Psychotherapy, 30 minutes$396K3%$64$59 (top 5% from $239)56th percentile
H0004Behavioral health counseling and therapy per 15 minhistory of abuse$250K2%$169$174 (top 5% from $559)49th percentile
90791Psychiatric diagnostic evaluation$231K2%$102$105 (top 5% from $228)47th percentile

In this area

6 providers in Clark County, IN carry an indicator in the public record, with $70.5M 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.
4IRFAN AFAQ
Jeffersonville, IN, ranked 7390
$8.1M
  • 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.
  • and 1 more
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
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

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