| 44 | 1 | DEBORAH FORD 1962254979, individual, Andalusia | AL | 97 | $37K | - Listed on the OIG exclusion list since September 20, 2001.
- Medicaid still paid claims in 9 later months, $36,674 in total.
- 72% of Medicaid dollars are on codes with a history of abuse.
|
| 217 | 1 | TOMMIE ROBINSON 1790929222, individual, Owens Cross Roads | AL | 95 | $33K | - Adjudicated (charged, pleaded guilty, sentenced) per a Department of Justice release dated August 18, 2025.
- Medicaid paid $33,068 in the last 12 observed months.
|
| 295 | 1 | RENITA BROWN 1801102959, individual, Oxford | AL | 94 | $9K | - Listed on the Medicare revocation list since August 29, 2022.
- Medicaid still paid claims in 4 later months, $8,856 in total.
|
| 313 | 1 | CARE COMPLETE MEDICAL CLINIC(CCMC)LLC 1750728846, organization, Birmingham | AL | 94 | $6K | - Listed on the Medicare revocation list since August 14, 2018.
- Medicaid still paid claims in 9 later months, $6,105 in total.
|
| 567 | 1 | HASAN PULLIAM 1982605713, individual, Anniston | AL | 90 | $0 | - Adjudicated (sentenced) per a Department of Justice release dated April 2, 2026.
- No Medicaid payments in the last 12 observed months.
|
| 672 | 1 | FRANCENE GAYLE 1922080415, individual, Huntsville | AL | 90 | $0 | - Adjudicated (sentenced) per a Department of Justice release dated December 19, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 1036 | 3 | ASERACARE HOSPICE - HAMILITON, LLC 1447297981, organization, Hamilton | AL | 66 | $1.1M | - Part of provider network D1-00051, ranked 51 nationally.
|
| 1404 | 3 | HOMESTEAD HOSPICE OF CAHABA, LLC 1275933624, organization, Selma | AL | 65 | $60K | - Part of provider network D1-00051, ranked 51 nationally.
|
| 1604 | 3 | DHS OF BLOUNT COUNTY, LLC 1134111081, organization, Oneonta | AL | 64 | $4K | - Part of provider network D1-00136, ranked 136 nationally.
|
| 1910 | 3 | ALTOONA HEALTH & REHAB, INC. 1609868595, organization, Altoona | AL | 60 | $0 | - Part of provider network D1-00136, ranked 136 nationally.
|
| 1969 | 3 | AMEDISYS HOSPICE, L.L.C. 1104016658, organization, Florence | AL | 60 | $0 | - Part of provider network D1-00051, ranked 51 nationally.
|
| 2764 | 3 | CLOVERDALE HEALTH CARE, INC. 1922004811, organization, Scottsboro | AL | 60 | $0 | - Part of provider network D1-00136, ranked 136 nationally.
|
| 3116 | 3 | ASERACARE HOSPICE - MONROEVILLE, LLC 1992742431, organization, Mobile | AL | 60 | $0 | - Part of provider network D1-00051, ranked 51 nationally.
|
| 3305 | 3 | TI-RESURRECTION LIFE CENTER, L.L.C. 1588862635, organization, Deatsville | AL | 60 | $0 | - Part of provider network D1-00105, ranked 105 nationally.
|
| 3326 | 3 | MID-SOUTH HOME HEALTH, LLC 1962459438, organization, Hoover | AL | 60 | $0 | - Part of provider network D1-00090, ranked 90 nationally.
|
| 3742 | 3 | COMFORT CARE HOSPICE, LLC 1649235706, organization, Andalusia | AL | 60 | $0 | - Part of provider network D1-00136, ranked 136 nationally.
|
| 4776 | 3 | KARE-IN-HOME HOSPICE OF MOBILE, LLC 1568054500, organization, Saraland | AL | 60 | $0 | - Part of provider network D1-00051, ranked 51 nationally.
|
| 5239 | 3 | ALICEVILLE MANOR NURSING HOME, INC. 1407205396, organization, Aliceville | AL | 60 | $0 | - Part of provider network D1-00136, ranked 136 nationally.
|
| 5452 | 3 | ANDALUSIA MANOR LLC 1407937709, organization, Andalusia | AL | 60 | $0 | - Part of provider network D1-00136, ranked 136 nationally.
|
| 6054 | 3 | CHATTAHOOCHEE VALLEY HOME HEALTH, LLC 1336170570, organization, Phenix City | AL | 60 | $0 | - Part of provider network D1-00090, ranked 90 nationally.
|
| 6096 | 3 | ASERACARE HOSPICE - RUSSELLVILLE, LLC 1083651525, organization, Decatur | AL | 60 | $0 | - Part of provider network D1-00051, ranked 51 nationally.
|
| 6567 | 3 | HC HEALTHCARE, LLC 1588855399, organization, Florence | AL | 60 | $0 | - Part of provider network D1-00136, ranked 136 nationally.
|
| 6861 | 3 | THE PINES OF CAMDEN LLC 1649002882, organization, Camden | AL | 60 | $0 | - Part of provider network D1-00136, ranked 136 nationally.
|
| 6928 | 3 | SOUTHLAND NURSING HOME, LLC 1114002227, organization, Marion | AL | 60 | $0 | - Part of provider network D1-00136, ranked 136 nationally.
|
| 7054 | 3 | ST. CLAIR HEALTH & REHAB, INC. 1669558086, organization, Pell City | AL | 60 | $0 | - Part of provider network D1-00136, ranked 136 nationally.
|
| 7745 | 4 | PATRICK TAPIA 1942462502, individual, Birmingham | AL | 55 | $1.5M | - Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99232 ($683 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7796 | 4 | WALDEMAR CARLO 1225072770, individual, Birmingham | AL | 55 | $1.2M | - Hours beyond a day in 1 month, but with up to 134 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99233 ($732 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7800 | 4 | SONYA PRITCHARD 1518160506, individual, Birmingham | AL | 55 | $1.2M | - Hours beyond a day in 6 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99233 ($654 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7822 | 4 | LINDY WINTER 1457301582, individual, Birmingham | AL | 55 | $1.1M | - Hours beyond a day in 3 months, but with up to 117 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99233 ($4222 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7901 | 4 | JOSEPH PHILIPS 1235175662, individual, Birmingham | AL | 55 | $673K | - Hours beyond a day in 1 month, but with up to 116 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99233 ($3910 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7937 | 4 | JEGEN KANDASAMY 1811225097, individual, Birmingham | AL | 55 | $505K | - Hours beyond a day in 1 month, but with up to 116 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99233 ($2362 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7941 | 4 | MANIMARAN RAMANI 1497834311, individual, Mobile | AL | 55 | $500K | - Hours beyond a day in 2 months, but with up to 148 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99233 ($455 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7945 | 4 | CHARITHARTH LAL 1538323738, individual, Birmingham | AL | 55 | $485K | - Hours beyond a day in 1 month, but with up to 113 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99233 ($2120 per patient-month) sit in the top 5% of every provider billing that code.
|
| 8012 | 4 | JESSE MARTINEZ 1518257575, individual, Birmingham | AL | 54 | $243K | - Hours beyond a day in 1 month, but with up to 149 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99232 ($317 per patient-month) sit in the top 5% of every provider billing that code.
|
| 8086 | 4 | CHARLES WOODLEY 1760491591, individual, Montgomery | AL | 54 | $5.1M | - Hours beyond a day in 72 months, but with up to 772 patients a month across 5 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 67% of Medicaid dollars are on codes with a history of abuse.
|
| 8111 | 4 | SHELBY DIPILLA 1821331919, individual, Dothan | AL | 53 | $3.0M | - Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- 81% of Medicaid dollars are on codes with a history of abuse.
|
| 8155 | 4 | LAWRENCE KATZ 1497795645, individual, Enterprise | AL | 53 | $1.4M | - Hours beyond a day in 20 months, but with up to 774 patients a month across 9 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 75% of Medicaid dollars are on codes with a history of abuse.
|
| 8224 | 4 | DIANA PAULK 1740406271, individual, Birmingham | AL | 53 | $524K | - Hours beyond a day in 7 months, but with up to 394 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 83% of Medicaid dollars are on codes with a history of abuse.
|
| 8332 | 4 | ANDREW ROZSA 1497825566, individual, Birmingham | AL | 52 | $7.3M | - Hours beyond a day in 82 months, but with up to 983 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8377 | 4 | NARESH PUROHIT 1396759452, individual, Anniston | AL | 52 | $5.8M | - Hours beyond a day in 4 months, but with up to 1440 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8399 | 4 | CHARLES WHETSELL 1518183540, individual, Irondale | AL | 52 | $5.2M | - Hours beyond a day in 71 months, but with up to 978 patients a month across 5 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8468 | 4 | BHAGWAN BANG 1487615084, individual, Opp | AL | 52 | $3.9M | - Hours beyond a day in 1 month, but with up to 1697 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8551 | 4 | MARIA BERNARDO 1487762043, individual, Troy | AL | 51 | $3.0M | - Hours beyond a day in 3 months, but with up to 1039 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8581 | 4 | MARNIE DILLON 1801851464, individual, Maxwell Afb | AL | 51 | $2.8M | - Hours beyond a day in 13 months, but with up to 940 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8635 | 4 | SRILATA ANNE 1164418398, individual, Birmingham | AL | 51 | $2.5M | - Hours beyond a day in 23 months, but with up to 406 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9070 | 4 | SHARON WALTZ 1295025997, individual, Pelham | AL | 51 | $767K | - Hours beyond a day in 5 months, but with up to 857 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9097 | 4 | DAVID GHOSTLEY 1265489538, individual, Dothan | AL | 51 | $713K | - Hours beyond a day in 11 months, but with up to 671 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9110 | 4 | WILLIAM STUTTS 1306834916, individual, Opelika | AL | 51 | $683K | - Hours beyond a day in 1 month, but with up to 690 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9150 | 4 | SARAH KOWALCZYK 1639790645, individual, Ozark | AL | 51 | $595K | - Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
|
| 9246 | 4 | VENKATA DEVABHAKTUNI 1891734752, individual, Huntsville | AL | 51 | $440K | - Hours beyond a day in 5 months under one organization, which can be supervisory billing.
- Records needed.
|
| 9309 | 4 | SHANKAR YALAMANCHILI 1558332569, individual, Birmingham | AL | 51 | $361K | - Hours beyond a day in 9 months, but with up to 753 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9377 | 4 | KIMBERLY WHITCHARD 1104192954, individual, Foley | AL | 50 | $280K | - Hours beyond a day in 3 months, but with up to 964 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9469 | 4 | CLARA LONG 1205333283, individual, Montgomery | AL | 50 | $202K | - Hours beyond a day in 8 months under one organization, which can be supervisory billing.
- Records needed.
|
| 9627 | 4 | FARRUKH JAMIL 1740243534, individual, Gadsden | AL | 50 | $55K | - Hours beyond a day in 3 months under one organization, which can be supervisory billing.
- Records needed.
|
| 9665 | 4 | SAMANTHA PALMER 1235664269, individual, Troy | AL | 50 | $39K | - Hours beyond a day in 3 months under one organization, which can be supervisory billing.
- Records needed.
|
| 10026 | 5 | CHARLES LAW 1003926270, individual, Birmingham | AL | 35 | $1.5M | - Medicaid dollars per patient on code 99213 ($693 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10048 | 5 | PRASIT NIMITYONGSKUL 1922053560, individual, Mobile | AL | 35 | $1.3M | - Medicaid dollars per patient on code 99212 ($1884 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10095 | 5 | ROLAND PIXLEY 1689037921, individual, Homewood | AL | 35 | $1.1M | - Medicaid dollars per patient on code 99233 ($678 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10215 | 5 | MELODY PETTY 1902198385, individual, Mobile | AL | 35 | $615K | - Medicaid dollars per patient on code 99239 ($245 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10270 | 5 | MARIA ROCA GARCIA 1104173186, individual, Mobile | AL | 35 | $481K | - Medicaid dollars per patient on code 99223 ($300 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10314 | 5 | BRIAN SIMS 1225085608, individual, Birmingham | AL | 35 | $395K | - Medicaid dollars per patient on code 99233 ($2141 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10368 | 5 | NITIN ARORA 1821355975, individual, Birmingham | AL | 34 | $241K | - Medicaid dollars per patient on code 99233 ($2763 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10379 | 5 | VIVEK SHUKLA 1013439124, individual, Birmingham | AL | 34 | $222K | - Medicaid dollars per patient on code 99233 ($357 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10408 | 5 | COLM TRAVERS 1336551613, individual, Birmingham | AL | 34 | $171K | - Medicaid dollars per patient on code 99233 ($362 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10462 | 5 | KENNETH VOGEL 1306970389, individual, Leeds | AL | 34 | $90K | - Medicaid dollars per patient on code 97110 ($356 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10694 | 5 | IAD HAMMAD 1831291467, individual, Selma | AL | 32 | $4.8M | |
| 10697 | 5 | SAMER ASSAAD 1851403919, individual, Selma | AL | 32 | $4.7M | |
| 10736 | 5 | LOTFI BASHIR 1437251998, individual, Selma | AL | 31 | $3.1M | |
| 10891 | 5 | JOHN STRUNK 1811983596, individual, Dothan | AL | 31 | $1.5M | |
| 11138 | 5 | MATTHEW LOVATO 1568424182, individual, Gadsden | AL | 31 | $688K | |
| 11408 | 5 | WILLIAM WATSON 1467408328, individual, Dothan | AL | 30 | $255K | |
| 11420 | 5 | RAYMOND UFFORD 1679568752, individual, Albertville | AL | 30 | $244K | |
| 11441 | 5 | DOUGLAS REYNOLDS 1265537567, individual, Tuscaloosa | AL | 30 | $225K | |
| 11584 | 5 | TRISHA MCKENZIE 1225523129, individual, Scottsboro | AL | 30 | $128K | |
| 11932 | 5 | REBECCA SYLLA 1083084263, individual, Tuscaloosa | AL | 29 | $10K | |
| 11980 | 5 | TRANSITIONAL CARE LLC 1891218194, organization, Mobile | AL | 28 | $892 | |