ALY ABBAS AHMED, M.D.
NPI 1316064223, individual, Stockbridge, GA, Psychiatry & Neurology, Psychiatry
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)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report | Exact NPI, name verified | Jan 17, 2019 | Aug 9, 2027 | 5 | Feb 2019 | Jun 2019 | $75K | $281K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ALY ABBAS AHMED, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | March 23, 2007, last updated August 6, 2015 |
| Practice location | 245 COUNTRY CLUB DR, SUITE 300B, Stockbridge, GA 30281-9080, 678-284-1008 |
| Mailing address | 115 THE FARM RD, Mcdonough, GA 30252-6626 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 039026 GA) |
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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $169K | 44% | $40 | $60 (top 5% from $133) | 24th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $113K | 30% | $28 | $49 (top 5% from $109) | 23rd percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $35K | 9% | $80 | $130 (top 5% from $458) | 18th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $32K | 8% | $90 | $112 (top 5% from $313) | 36th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $29K | 8% | $41 | $44 (top 5% from $110) | 45th percentile |
In this area
4 providers in Henry County, GA carry an indicator in the public record, with $135K at stake between them. The most common is paid after a public list action, on 2 of them, followed by named in an enforcement record on 1. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | AMRISH PATEL Mcdonough, GA, ranked 129 | $135K |
|
| 1 | RANDALL BERINHOUT Stockbridge, GA, ranked 292 | $95 |
|
| 3 | NATIONAL HEALTHCARE CENTER LLC Stockbridge, GA, ranked 6356 | $0 |
|
| 3 | GEORGIA COMMUNITY HOSPICE LLC Stockbridge, GA, ranked 7156 | $0 |
|
Recent enforcement in GA
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.