Providers

SRILATA ANNE, MD

NPI 1164418398, individual, Birmingham, AL, Psychiatry & Neurology, Child & Adolescent Psychiatry

4
Evidence tier
structure or single-organization volume
  • 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.
score 51 of 100, rank 8635, $2.5M at stake

Hours billed per day

Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Apr 2018More hours than a day holds, even counting one unit per claim line24.532.321.530.8292390791 90837 90847 99213 99214$67K
May 2018More hours than a day holds, even counting one unit per claim line24.131.721.128.5288390837 90847 99213 99214$68K
Jun 2018More hours than a day holds, even counting one unit per claim line24.331.921.330.4263390837 90847 99213 99214$66K
Jul 2018More hours than a day holds, even counting one unit per claim line24.833.022.031.0297390791 90837 90847 99213 99214$71K
Aug 2018More hours than a day holds, even counting one unit per claim line26.635.623.732.0288390837 90847 99214$76K
Sep 2018More hours than a day holds, even counting one unit per claim line27.834.723.134.7277290837 90847 99214$71K
Oct 2018More hours than a day holds, even counting one unit per claim line25.533.822.530.4305390791 90837 90847 99213 99214$73K
Nov 2018More hours than a day holds, even counting one unit per claim line27.135.623.732.4308390791 90837 90847 99213 99214$74K
Dec 2018More hours than a day holds, even counting one unit per claim line26.634.523.033.9284290837 90847 99214$73K
Jan 2019More hours than a day holds, even counting one unit per claim line29.937.124.733.3351390791 90837 90847 99213 99214$84K
Feb 2019More hours than a day holds, even counting one unit per claim line30.638.525.736.0322290791 90837 90847 99214$78K
Mar 2019More hours than a day holds, even counting one unit per claim line31.940.026.739.4357390791 90837 90847 99213 99214$90K
Apr 2019More hours than a day holds, even counting one unit per claim line34.944.129.440.1401390791 90837 90847 99213 99214$96K
May 2019More hours than a day holds, even counting one unit per claim line35.143.929.339.5369390791 90837 90847 99213 99214$99K
Jun 2019More hours than a day holds, even counting one unit per claim line31.539.826.539.8333290791 90837 90847 99214$86K
Jul 2019More hours than a day holds, even counting one unit per claim line30.739.126.135.1332390837 90847 99213 99214$87K
Aug 2019More hours than a day holds, even counting one unit per claim line31.639.926.637.5367390791 90837 90847 99213 99214$90K
Sep 2019More hours than a day holds, even counting one unit per claim line30.337.825.236.0338390837 90847 99213 99214$82K
Oct 2019More hours than a day holds, even counting one unit per claim line31.339.726.535.7371390791 90837 90847 99213 99214$90K
Nov 2019More hours than a day holds, even counting one unit per claim line30.739.726.537.8374390837 90847 99213 99214$86K
Dec 2019More hours than a day holds, even counting one unit per claim line28.636.224.134.0406290791 90837 90847 99214$81K
Jan 2020More hours than a day holds, even counting one unit per claim line27.934.122.830.7335390791 90837 90847 99213 99214$80K
Feb 2020More hours than a day holds, even counting one unit per claim line25.931.721.130.7345390791 90837 90847 99213 99214$70K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameSRILATA ANNE, MD
TypeIndividual
StatusActive
NPI issuedSeptember 22, 2005, last updated September 23, 2011
Practice location619 19TH STREET SOUTH, Birmingham, AL 35233, 205-934-6600
Mailing addressPO BOX 55310, Birmingham, AL 35255-5310
Specialties
Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, primary, license 24373 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
codewhat it ispaidshareper patient-monthtypicalrank among providers
90837Psychotherapy, 1 hourhistory of abuse$1.2M44%$253$191 (top 5% from $442)73rd percentile
90847Family psychotherapy with patient, 50 minutes$1.2M42%$249$130 (top 5% from $458)83rd percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$167K6%$79$44 (top 5% from $110)88th percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$104K4%$66$60 (top 5% from $133)56th percentile
90791Psychiatric diagnostic evaluation$63K2%$99$105 (top 5% from $228)44th percentile
90834Psychotherapy, 45 minutes$31K1%$128$101 (top 5% from $318)64th percentile
T1015Medicaid service code$6K0%$77$182 (top 5% from $488)too few months to rank
90792Psychiatric diagnostic evaluation with medical services$5K0%$162$112 (top 5% from $313)too few months to rank
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more8729$2K$55$541.0x2.2x (90th percentile 3.8x)

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

19 providers in Jefferson County, AL carry an indicator in the public record, with $16.7M 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.

tierproviderat stakewhy
1CARE COMPLETE MEDICAL CLINIC(CCMC)LLC
Birmingham, AL, ranked 313
$6K
  • Listed on the Medicare revocation list since August 14, 2018.
  • Medicaid still paid claims in 9 later months, $6,105 in total.
4PATRICK TAPIA
Birmingham, AL, ranked 7745
$1.5M
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
4WALDEMAR CARLO
Birmingham, AL, ranked 7796
$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.
  • and 1 more
4SONYA PRITCHARD
Birmingham, AL, ranked 7800
$1.2M
  • Hours beyond a day in 6 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
4LINDY WINTER
Birmingham, AL, ranked 7822
$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.
  • and 1 more
4JOSEPH PHILIPS
Birmingham, AL, ranked 7901
$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.
  • and 1 more
4JEGEN KANDASAMY
Birmingham, AL, ranked 7937
$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.
  • and 1 more
4CHARITHARTH LAL
Birmingham, AL, ranked 7945
$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.
  • and 1 more
All 19 in AL

Recent enforcement in AL

All releases

Department 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

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