REBECCA MAYS SYLLA, CRNP
NPI 1083084263, individual, Tuscaloosa, AL, Nurse Practitioner, Family
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| State file: provider deceased medicaid enrollment terminated: provider deceased (t-msis status 80) | Exact NPI, list gives no name | May 20, 2021 | still open | 5 | Aug 2024 | Dec 2024 | $10K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | REBECCA MAYS SYLLA, CRNP |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | October 1, 2015, last updated August 14, 2018 |
| Practice location | 809 UNIVERSITY BLVD E, Tuscaloosa, AL 35401, 205-759-7122 |
| Mailing address | 2134 BELLWOOD DR, Northport, AL 35476-5448 |
| Specialties | Nurse Practitioner, Family (363LF0000X, primary, license 1-118346 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | $39K | 60% | $43 | $86 (top 5% from $224) | 5th percentile | |
| 99285 | Emergency department visit with high level of medical decision making | $17K | 26% | $58 | $100 (top 5% from $264) | 7th percentile | |
| 99283 | Emergency department visit with low level of medical decision making | $9K | 14% | $28 | $60 (top 5% from $193) | 6th percentile | |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | $34 | 0% | $2.62 | $2.98 (top 5% from $9.16) | too few months to rank | |
| 99053 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $6.33) | 0th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 85 | 82 | $9K | $999 | $137 | 7.3x | 6.9x (90th percentile 11.7x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 40 | 40 | $4K | $1K | $135 | 8.3x | 3.0x (90th percentile 5.6x) |
| 99284 | Emergency department visit with moderate level of medical decision making | 19 | 19 | $1K | $725 | $95 | 7.7x | 6.7x (90th percentile 11.3x) |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 11 | 11 | $892 | $543 | $102 | 5.3x | 2.7x (90th percentile 4.4x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
75 providers in AL carry an indicator in the public record, with $75.3M at stake between them. The most common is more hours than a day holds, on 49 of them, followed by part of a provider network on 19. 6 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DEBORAH FORD Andalusia, AL, ranked 44 | $37K |
|
| 1 | TOMMIE ROBINSON Owens Cross Roads, AL, ranked 217 | $33K |
|
| 1 | RENITA BROWN Oxford, AL, ranked 295 | $9K |
|
| 1 | CARE COMPLETE MEDICAL CLINIC(CCMC)LLC Birmingham, AL, ranked 313 | $6K |
|
| 1 | HASAN PULLIAM Anniston, AL, ranked 567 | $0 |
|
| 1 | FRANCENE GAYLE Huntsville, AL, ranked 672 | $0 |
|
| 3 | ASERACARE HOSPICE - HAMILITON, LLC Hamilton, AL, ranked 1036 | $1.1M |
|
| 3 | HOMESTEAD HOSPICE OF CAHABA, LLC Selma, AL, ranked 1404 | $60K |
|
Recent enforcement in AL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.