BHAGWAN D BANG, M.D.
NPI 1487615084, individual, Opp, AL, Pediatrics
- Hours beyond a day in 1 month, but with up to 1697 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 |
|---|---|---|---|---|---|---|---|---|---|
| Nov 2022 | More hours than a day holds at a conservative unit price | 22.2 | 38.3 | 25.5 | 34.8 | 1697 | 1 | 99204 99213 99214 99223 99401 | $109K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BHAGWAN D BANG, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | March 31, 2006, last updated July 13, 2026 |
| Practice location | 101 E PAULK AVE, SUITE A, Opp, AL 36467-1727, 334-493-2400 |
| Mailing address | PO BOX 509, Opp, AL 36467-0509 |
| Specialties | Pediatrics (208000000X, primary, license 00020322 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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $2.5M | 33% | $76 | $44 (top 5% from $110) | 86th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.4M | 19% | $108 | $60 (top 5% from $133) | 89th percentile | |
| 99392 | Medicaid service code | $439K | 6% | $69 | $78 (top 5% from $124) | 38th percentile | |
| 99393 | Medicaid service code | $418K | 5% | $65 | $78 (top 5% from $121) | 36th percentile | |
| 99391 | Medicaid service code | $402K | 5% | $74 | $76 (top 5% from $126) | 47th percentile | |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | $271K | 4% | $54 | $44 (top 5% from $75) | 62nd percentile | |
| 99394 | Medicaid service code | $221K | 3% | $65 | $83 (top 5% from $128) | 34th percentile | |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | $217K | 3% | $15 | $12 (top 5% from $18) | 77th percentile |
In this area
3 providers in Covington County, AL carry an indicator in the public record, with $37K at stake between them. The most common is part of a provider network, on 2 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DEBORAH FORD Andalusia, AL, ranked 44 | $37K |
|
| 3 | COMFORT CARE HOSPICE, LLC Andalusia, AL, ranked 3742 | $0 |
|
| 3 | ANDALUSIA MANOR LLC Andalusia, AL, ranked 5452 | $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.