HOME VISIT MD PLC
NPI 1205964012, organization, Southfield, MI, Internal Medicine
- Listed on the Medicare revocation list since February 22, 2023.
- Medicaid still paid claims in 1 later month, $5,192 in total.
Public list actions
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 |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(8)(ii) abuse of billing privileges: pattern or practice | Exact NPI, name verified | Feb 22, 2023 | Feb 21, 2033 | 1 | Mar 2023 | Mar 2023 | $5K | $69K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | HOME VISIT MD PLC (also HOME VISIT M.D., PLC) |
| Type | Organization |
| Status | Active |
| NPI issued | March 1, 2007, last updated March 9, 2016 |
| Practice location | 26206 W 12 MILE RD, STE 302, Southfield, MI 48034-8501, 248-440-6090 |
| Mailing address | P. O. BOX 250077, Franklin, MI 48025 |
| Authorized official | Reginald Eburuche (Owner) |
| Specialties | Internal Medicine (207R00000X, primary, license 4301080385 MI) |
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 | |
|---|---|---|---|---|---|---|---|
| 99336 | Domiciliary/rest home visit established level 3 (retired 2023) | $255K | 42% | $84 | $28 (top 5% from $90) | 94th percentile | |
| 99337 | Domiciliary/rest home visit established level 4 (retired 2023) | $116K | 19% | $130 | $45 (top 5% from $136) | 94th percentile | |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | $48K | 8% | $68 | $30 (top 5% from $115) | 86th percentile | |
| 99335 | Domiciliary/rest home visit established level 2 (retired 2023) | $37K | 6% | $54 | $19 (top 5% from $69) | 91st percentile | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | $35K | 6% | $23 | $13 (top 5% from $40) | 85th percentile | |
| 99396 | Medicaid service code | $27K | 5% | $80 | $70 (top 5% from $132) | 58th percentile | |
| 99497 | Advance care planning, first 30 minutes | $23K | 4% | $32 | $11 (top 5% from $62) | 78th percentile | |
| 99496 | Transitional care management services for problem of high complexity | $18K | 3% | $109 | $32 (top 5% from $196) | 79th percentile |
In this area
35 providers in Oakland County, MI carry an indicator in the public record, with $3.2M at stake between them. The most common is part of a provider network, on 29 of them, followed by named in an enforcement record on 4. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | FIRST IDEAL ENTERPRISES INC. Southfield, MI, ranked 69 | $843K |
|
| 1 | MUSTAFA HARES Auburn Hills, MI, ranked 534 | $0 |
|
| 1 | DELTA HOME HEALTH CARE LLC Southfield, MI, ranked 544 | $0 |
|
| 3 | OAKWOOD HEALTHCARE INC Southfield, MI, ranked 801 | $565K |
|
| 3 | ADVISACARE HEALTHCARE SOLUTIONS, INC. Troy, MI, ranked 860 | $846K |
|
| 3 | BEAUMONT ASHN, LLC Troy, MI, ranked 1051 | $951K |
|
| 3 | GUARDIAN ANGEL HOME CARE AND HOSPICE OF ROCHESTER HILLS Rochester Hills, MI, ranked 1575 | $7K |
|
| 3 | RHEMA FARMINGTON INC Farmington Hills, MI, ranked 1794 | $0 |
|
Recent enforcement in MI
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.