ALI INTERNAL MEDICINE ASSOCIATES, PC
NPI 1376872879, organization, Joplin, MO, Internal Medicine
- Listed on the Medicare revocation list since May 20, 2022.
- Medicaid still paid claims in 5 later months, $12,175 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)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | May 20, 2022 | May 20, 2032 | 5 | Jun 2022 | Oct 2022 | $12K | $39K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ALI INTERNAL MEDICINE ASSOCIATES, PC |
| Type | Organization |
| Status | Active |
| NPI issued | December 11, 2009, last updated September 24, 2024 |
| Practice location | 2705 S RANGE LINE RD STE A, Joplin, MO 64804-3283, 417-553-4252 |
| Mailing address | PO BOX 2996, Joplin, MO 64803-2996 |
| Authorized official | IFTIKHAR ALI (Physician) |
| Specialties | Internal Medicine (207R00000X, primary) |
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 | $199K | 63% | $31 | $60 (top 5% from $133) | too few months to rank | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $52K | 16% | $23 | $14 (top 5% from $58) | too few months to rank | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $49K | 15% | $23 | $44 (top 5% from $110) | too few months to rank | |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $6K | 2% | $7.03 | $6.11 (top 5% from $38) | too few months to rank | |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | $3K | 1% | $42 | $37 (top 5% from $100) | too few months to rank | |
| 96372 | Injection of drug or substance under skin or into muscle | $3K | 1% | $2.41 | $12 (top 5% from $49) | too few months to rank | |
| 20610 | Aspiration and/or injection of fluid from large joint | $1K | 0% | $9.81 | $40 (top 5% from $128) | too few months to rank | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $840 | 0% | $28 | $88 (top 5% from $210) | too few months to rank |
In this area
3 providers in Newton County, MO carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 3 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | MEDICALODGES, INC. Neosho, MO, ranked 4773 | $0 |
|
| 3 | ABA HOSPICE CARE MO 1 LLC Joplin, MO, ranked 4825 | $0 |
|
| 3 | NHC HEALTHCARE-JOPLIN LLC Joplin, MO, ranked 4973 | $0 |
|
Recent enforcement in MO
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.