Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Banned But Still Billing

We cross-referenced 82,714 providers on the HHS OIG Exclusion List against Medicaid billing records and found 40 matches — providers who have been convicted of fraud, had their licenses revoked, or were otherwise banned from federal healthcare programs, yet whose NPIs appear in HHS payment data.

Source: HHS OIG LEIE Database cross-referenced with CMS Medicaid Provider Spending 2018–2024

Matched

40

excluded & in billing data

States

18

states represented

Top State

NV

8 providers

Top Reason

34

Convicted of program-related crimes

By State

By Exclusion Reason

Convicted of program-related crimes

34

License revocation/suspension

3

Convicted of felony controlled substance

2

Misdemeanor healthcare fraud

1

By Specialty

Counselor

8

Social Worker

7

Mental/Behavioral He

5

Psychology

5

Dentist

4

Counseling Center

2

Physical Therapy

2

Nurse Practitioner (

2

Lab - Clinical

1

Comm Mntl Hlth Cntr

1

All 40 Matched Providers

#NameNPILocationSpecialtyExclusion TypeDate
1

Brooks Behavioral Health Cente

1548548597Las Vegas, NVMental/Behavioral HeConvicted of program-related crimes01/19/2023
2

Discovery Diagnostic Laborator

1669733697Waltham, MALab - ClinicalConvicted of program-related crimes08/20/2025
3

Go With The Flow Behavioral He

1306358080Las Vegas, NVMental/Behavioral HeConvicted of program-related crimes05/20/2021
4

Kae's Cube Of Life Llc

1447766670Las Vegas, NVCounseling CenterConvicted of program-related crimes01/20/2026
5

Moving Forward Counseling Solu

1245609130Las Vegas, NVCounseling CenterConvicted of program-related crimes06/20/2019
6

Paradigm Shift Health Services

1447729694Las Vegas, NVMental/Behavioral HeConvicted of program-related crimes04/20/2025
7

Supportive Outreach Services I

1720415672Las Vegas, NVMental/Behavioral HeConvicted of program-related crimes04/20/2025
8

Alshaikh, Nida, Mahmoud

1144407552Westland, MIDentistConvicted of program-related crimes01/20/2020
9

Bethea, Ethel, R

1033402045Niantic, CTCounselorConvicted of program-related crimes11/20/2024
10

Bland-Guary, Celeste

1801203005Baltimore, MDSocial WorkerConvicted of program-related crimes03/19/2020
11

Brown, April, Lynn

1871823542Las Vegas, NVComm Mntl Hlth CntrConvicted of program-related crimes09/20/2021
12

Bui, Brian, Cuong

1265619480Beaumont, TXDentistMisdemeanor healthcare fraud05/20/2024
13

Collins, Milton, C Jr

1548372592Orlando, FLSocial WorkerLicense revocation/suspension03/20/2024
14

Crowe, Katie

1558678391Butte, MTCounselorConvicted of program-related crimes11/20/2023
15

Elmandouh, Mohamed, Mahmoud

1073818100Staten Island, NYPhysical TherapyConvicted of program-related crimes04/18/2024
16

Flug, Harris, Michael Sr

1922164029Huntington, NYSocial WorkerLicense revocation/suspension07/18/2024
17

Gill, Donna, Ferrell

1841263894Marianna, FLNurse Practitioner (Convicted of program-related crimes10/20/2021
18

Hayes, Tommel, D

1467789776Goldsboro, NCSocial WorkerConvicted of program-related crimes05/20/2025
19

Kasimatis, Nicole, Helene

1568603785Plymouth, MASocial WorkerConvicted of program-related crimes06/19/2025
20

Kiewatt, Julie, Ann

1669880571Columbia Falls, MTCounselorConvicted of program-related crimes03/20/2025
21

Lacey, Antonio

1093057382Locust Grove, GACounselorConvicted of program-related crimes04/18/2024
22

Lefebre, Jennifer, Ann

1720390966New Hartford, CTPsychologyConvicted of program-related crimes12/20/2023
23

Lonski, Michael, W

1386707768Stamford, CTPsychologyConvicted of program-related crimes08/20/2024
24

Malmquist, Carl

1235298001Yuma, AZPhysical TherapyConvicted of program-related crimes12/20/2022
25

Mccoy, Donald, Martin

1568545416Montgomery, ALPsychologyConvicted of program-related crimes11/18/2021
26

Miller, William, David

1831282326Columbus, GACounselorConvicted of program-related crimes06/20/2024
27

Money, Max

1659382133New Tazewell, TNNurse Practitioner (Convicted of felony controlled substance08/20/2019
28

Nsilulu, Jackson

1750660106Englewood, OHCounselorConvicted of program-related crimes11/20/2022
29

Petway, Britney

1962795906Jackson, TNNurse/Nurses AideConvicted of felony controlled substance01/18/2024
30

Sanchez, Ingrid, Lissette

1083786099Henderson, NVMental/Behavioral HeConvicted of program-related crimes11/18/2021
31

Sawicki, Soraya

1710190590Avon, CTSocial WorkerConvicted of program-related crimes01/20/2026
32

Sinclair, Valerie, Ann

1770738460Fayetteville, NCCounselorConvicted of program-related crimes12/19/2024
33

Sokolowski, Chester, J

1972659035Orange, CTDentistLicense revocation/suspension05/19/2022
34

Tackett, Denver, David

1306936844Mc Dowell, KYDentistConvicted of program-related crimes06/17/2021
35

Thurber, Thomas, Alfred

1043396492Bayfield, COSocial WorkerConvicted of program-related crimes05/18/2023
36

Varney, Michael, Wallace

1861693848Jackson, MIPsychologyConvicted of program-related crimes08/20/2020
37

Waltz, Sharon, D

1295025997Greenville, ILPsychologyConvicted of program-related crimes06/20/2022
38

Washington, Lakia, Lateefa

1932580099Clayton, NCCounselorConvicted of program-related crimes01/20/2025
39

Weinstein, Brian, Joel

1366676090Skokie, ILClinicConvicted of program-related crimes07/18/2024
40

White, Jonathan

1922169572Trenton, FLPhysician AssistantConvicted of program-related crimes12/18/2025

Important timing caveat: The Medicaid billing data covers 2018–2024. Some of these providers may have been excluded after the billing period, meaning they were legitimately billing Medicaid at the time the claims were submitted. The presence of an NPI in payment data does not necessarily indicate fraudulent billing after exclusion. This analysis identifies providers worth investigating, not definitive cases of post-exclusion billing.

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