Providers
All 19 in AL
VIVEK VISHWANATH SHUKLA, MD
NPI 1013439124, individual, Birmingham, AL, Pediatrics, Neonatal-Perinatal Medicine
5
Evidence tier
informational
- Medicaid dollars per patient on code 99233 ($357 per patient-month) sit in the top 5% of every provider billing that code.
score 34 of 100, rank 10379, $222K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | VIVEK VISHWANATH SHUKLA, MD |
| Type | Individual |
| Status | Active |
| NPI issued | July 10, 2017, last updated April 28, 2021 |
| Practice location | 1700 6TH AVE S STE 9380, Birmingham, AL 35233-1802, 205-934-4680 |
| Specialties | Pediatrics (208000000X, license MD.41894 AL) Pediatrics, Neonatal-Perinatal Medicine (2080N0001X, primary, license MD.41894 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 | |
|---|---|---|---|---|---|---|---|
| 99472 | Medicaid service code | $1.3M | 38% | $2K | $1K (top 5% from $3K) | 83rd percentile | |
| 99469 | Medicaid service code | $948K | 27% | $2K | $1K (top 5% from $2K) | 92nd percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $379K | 11% | $357 | $96 (top 5% from $249) | 99th percentile | |
| 99468 | Medicaid service code | $366K | 11% | $1K | $815 (top 5% from $1K) | 99th percentile | |
| 99479 | Medicaid service code | $350K | 10% | $359 | $347 (top 5% from $691) | 54th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $72K | 2% | $308 | $81 (top 5% from $170) | 100th percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $13K | 0% | $111 | $48 (top 5% from $80) | 98th percentile | |
| 99478 | Medicaid service code | $4K | 0% | $235 | too few months to rank |
In this area
19 providers in Jefferson County, AL carry an indicator in the public record, with $19.0M 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.