NARESH PUROHIT, M.D.
NPI 1396759452, individual, Anniston, AL, Pediatrics
- Hours beyond a day in 4 months, but with up to 1440 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2018 | More hours than a day holds at a conservative unit price | 23.8 | 39.8 | 26.5 | 37.1 | 1356 | 1 | 99202 99203 99204 99213 99214 99238 | $113K |
| Aug 2022 | More hours than a day holds at a conservative unit price | 21.4 | 38.9 | 25.9 | 34.9 | 1440 | 1 | 99213 99214 99238 99401 | $125K |
| Sep 2022 | More hours than a day holds at a conservative unit price | 20.6 | 36.2 | 24.2 | 33.0 | 1212 | 1 | 99202 99213 99214 99238 99401 | $116K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 41.2 | 41.2 | 27.4 | 37.4 | 1351 | 1 | 99213 99214 99238 99401 | $132K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | NARESH PUROHIT, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 27, 2006, last updated April 5, 2011 |
| Practice location | 516 QUINTARD AVE, Anniston, AL 36201-5754, 256-741-9799 |
| Specialties | Pediatrics (208000000X, primary, license 15626 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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $4.4M | 36% | $108 | $60 (top 5% from $133) | 89th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.5M | 12% | $71 | $44 (top 5% from $110) | 83rd percentile | |
| 87633 | Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 12-25 targets | $716K | 6% | $205 | $198 (top 5% from $548) | 51st percentile | |
| 99391 | Medicaid service code | $460K | 4% | $69 | $76 (top 5% from $126) | 39th percentile | |
| 99392 | Medicaid service code | $460K | 4% | $67 | $78 (top 5% from $124) | 36th percentile | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $416K | 3% | $43 | $44 (top 5% from $70) | 47th percentile | |
| 99393 | Medicaid service code | $378K | 3% | $67 | $78 (top 5% from $121) | 37th percentile | |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | $286K | 2% | $22 | $22 (top 5% from $33) | 50th percentile |
In this area
2 providers in Calhoun County, AL carry an indicator in the public record, with $9K at stake between them. The most common is paid after a public list action, on 1 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 | RENITA BROWN Oxford, AL, ranked 295 | $9K |
|
| 1 | HASAN PULLIAM Anniston, AL, ranked 567 | $0 |
|
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.