Providers
All 19 in AL
CHARLES R LAW, M.D.
NPI 1003926270, individual, Birmingham, AL, Physical Medicine & Rehabilitation
5
Evidence tier
informational
- Medicaid dollars per patient on code 99213 ($693 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10026, $1.5M at stake
Public list actions
OIG exclusion September 20, 2022 under section 1128b4
Physician (MD, DO), General Practice, Pelham, AL
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CHARLES R LAW, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | August 30, 2006, last updated October 6, 2019 |
| Practice location | 120 OSLO CIR, Birmingham, AL 35211-5965, 205-944-3944 |
| Mailing address | 100 OSLO CIR, Birmingham, AL 35211-5965 |
| Specialties | Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (2081P0010X, license MD.20968 AL) Physical Medicine & Rehabilitation (208100000X, primary, license MD.20968 AL) |
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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.6M | 89% | $693 | $44 (top 5% from $110) | 100th percentile | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | $65K | 4% | $865 | $836 (top 5% from $1K) | 54th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $60K | 3% | $42 | $60 (top 5% from $133) | 27th percentile | |
| 99253 | Medicaid service code | $16K | 1% | $178 | $60 (top 5% from $116) | too few months to rank | |
| 96110 | Medicaid service code | $15K | 1% | $6.62 | $10 (top 5% from $38) | 23rd percentile | |
| 64642 | Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity | $13K | 1% | $47 | $95 (top 5% from $368) | 11th percentile | |
| G0463 | Medicaid service code | $12K | 1% | $49 | $73 (top 5% from $142) | 34th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $11K | 1% | $84 | $95 (top 5% from $171) | 36th percentile |
In this area
19 providers in Jefferson County, AL carry an indicator in the public record, with $17.7M at stake between them. The most common is more hours than a day holds, on 18 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | CARE COMPLETE MEDICAL CLINIC(CCMC)LLC Birmingham, AL, ranked 313 | $6K |
|
| 4 | PATRICK TAPIA Birmingham, AL, ranked 7745 | $1.5M |
|
| 4 | WALDEMAR CARLO Birmingham, AL, ranked 7796 | $1.2M |
|
| 4 | SONYA PRITCHARD Birmingham, AL, ranked 7800 | $1.2M |
|
| 4 | LINDY WINTER Birmingham, AL, ranked 7822 | $1.1M |
|
| 4 | JOSEPH PHILIPS Birmingham, AL, ranked 7901 | $673K |
|
| 4 | JEGEN KANDASAMY Birmingham, AL, ranked 7937 | $505K |
|
| 4 | CHARITHARTH LAL Birmingham, AL, ranked 7945 | $485K |
|
Recent enforcement in AL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementJun 23, 2026
Alabama Provider Pays $300,000 to Resolve False Claims as Part of 2026 National Health Care Fraud Takedown
A Phenix City-based provider billed Alabama Medicaid for Basic Living Skills services for at-risk children that were not actually rendered.
DOJSentencedApr 2, 2026
Former Medicaid Provider Sentenced to Federal Prison for Health Care Fraud and Aggravated Identity Theft
Pulliam, a child and family therapist enrolled as an Alabama Medicaid provider, submitted claims for counseling services that were never provided using beneficiaries' identifying information without consent.
DOJCivil judgmentMar 19, 2026
Mississippi Man Ordered to Pay $31 Million for Role in Healthcare Kickback Scheme
Crites and others referred patients, primarily TRICARE beneficiaries, to Cloverland Pharmacy in exchange for kickbacks paid by the pharmacy for each referral.
DOJCivil settlementFeb 21, 2025
Saad Healthcare Agrees to Pay $3M to Settle False Claims Act Allegations That It Billed Medicare for Ineligible Hospice Patients
Saad submitted, or caused the submission of, false claims to Medicare between 2013 and 2020 for 21 hospice patients who were not terminally ill and thus ineligible for the Medicare hospice benefit.
DOJCivil settlementFeb 21, 2025
Saad Healthcare Agrees to Pay $3M to Settle False Claims Act Allegations That It Billed Medicare for Ineligible Hospice Patients
Saad Healthcare submitted, or caused the submission of, false claims to Medicare between 2013 and 2020 for 21 hospice patients who were not terminally ill and were ineligible for the Medicare hospice benefit.
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.