Medicare Fraud Risk in Kentucky
80 of 19,073 Medicare Part D prescribers in Kentucky (0.42%) were flagged as high-risk by our multi-factor scoring model.
Data: CMS Medicare Part D, 2023 (most current available) · Updated March 2026
80
High-Risk Providers
$35.9M
Flagged Provider Costs
0.42%
Of Providers Flagged
14.4%
State Avg Opioid Rate
Highest-Risk Prescribers in Kentucky
Risk scores are statistical indicators, not allegations of wrongdoing. Learn about our methodology.
| Provider | Risk Score | Drug Cost |
|---|---|---|
| Katherine Carias | 55/100 | $1.8M |
| Lawrence Peters | 55/100 | $2.1M |
| Michael Gainey | 49/100 | $2.9M |
| Christopher Lyon | 49/100 | $680K |
| Stephen Damron | 48/100 | $59K |
| Thomas Karelis | 44/100 | $417K |
| Cesar Agtarap | 44/100 | $401K |
| Dustin Dillon | 43/100 | $85K |
| Derrick Strunk | 42/100 | $12K |
| Christine Bridges | 42/100 | $19K |
| Kelsey Nestor | 41/100 | $103K |
| Robetta Baker | 40/100 | $146K |
| Mark Gendi | 40/100 | $5,030 |
| Andrea Lee | 40/100 | $4,868 |
| Laura Hummel | 40/100 | $397K |
By Specialty
Internal Medicine4
Family Practice3
Emergency Medicine2
Nurse Practitioner2
Allergy/ Immunology1
Pain Management1
Pediatric Medicine1
General Practice1
By City
Louisville5
Lexington2
Hazard2
Ashland1
Cynthiana1
Morehead1
Jackson1
Erlanger1
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are computed using our 10-component statistical model analyzing prescribing patterns relative to specialty peers. High risk scores indicate unusual patterns that may warrant review — they are not accusations of fraud. Dispute this data