Providers
All 75 in AL
MARIA LOURDES BERNARDO, M.D.
NPI 1487762043, individual, Troy, AL, Specialist
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 3 months, but with up to 1039 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8551, $3.0M at stake
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds at a conservative unit price | 14.9 | 38.5 | 25.6 | 34.6 | 1027 | 2 | 99203 99211 99213 99214 | $130K |
| Feb 2018 | More hours than a day holds at a conservative unit price | 15.5 | 42.1 | 28.1 | 39.3 | 1039 | 2 | 99203 99211 99213 99214 | $129K |
| Mar 2018 | More hours than a day holds at a conservative unit price | 13.5 | 36.1 | 24.1 | 33.9 | 962 | 2 | 99211 99213 99214 | $119K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARIA LOURDES BERNARDO, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | August 25, 2006, last updated September 9, 2021 |
| Practice location | 111 SCOUTING CIR, Troy, AL 36081-2540, 334-770-7337 |
| Mailing address | PO BOX 312, Union Springs, AL 36089-0312 |
| Specialties | Specialist (174400000X, primary, license 22602 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.
Medicaid, largest codes
| 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 | $2.3M | 27% | $79 | $44 (top 5% from $110) | 88th percentile | |
| T1015 | Medicaid service code | $1.8M | 22% | $186 | $182 (top 5% from $488) | 52nd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.3M | 15% | $88 | $60 (top 5% from $133) | 77th percentile | |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | $380K | 4% | $61 | $49 (top 5% from $104) | 71st percentile | |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | $374K | 4% | $23 | $22 (top 5% from $33) | 57th percentile | |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $291K | 3% | $29 | $32 (top 5% from $49) | 42nd percentile | |
| 87430 | Detection test by immunoassay technique for streptococcus, group a (strep) | $238K | 3% | $15 | $12 (top 5% from $27) | 74th percentile | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | $206K | 2% | $19 | $20 (top 5% from $39) | 44th percentile |
In this area
75 providers in AL carry an indicator in the public record, with $72.3M at stake between them. The most common is more hours than a day holds, on 48 of them, followed by part of a provider network on 19. 6 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DEBORAH FORD Andalusia, AL, ranked 44 | $37K |
|
| 1 | TOMMIE ROBINSON Owens Cross Roads, AL, ranked 217 | $33K |
|
| 1 | RENITA BROWN Oxford, AL, ranked 295 | $9K |
|
| 1 | CARE COMPLETE MEDICAL CLINIC(CCMC)LLC Birmingham, AL, ranked 313 | $6K |
|
| 1 | HASAN PULLIAM Anniston, AL, ranked 567 | $0 |
|
| 1 | FRANCENE GAYLE Huntsville, AL, ranked 672 | $0 |
|
| 3 | ASERACARE HOSPICE - HAMILITON, LLC Hamilton, AL, ranked 1036 | $1.1M |
|
| 3 | HOMESTEAD HOSPICE OF CAHABA, LLC Selma, AL, ranked 1404 | $60K |
|
Recent enforcement in AL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementJun 23, 2026
Alabama Provider Pays $300,000 to Resolve False Claims as Part of 2026 National Health Care Fraud Takedown
A Phenix City-based provider billed Alabama Medicaid for Basic Living Skills services for at-risk children that were not actually rendered.
DOJSentencedApr 2, 2026
Former Medicaid Provider Sentenced to Federal Prison for Health Care Fraud and Aggravated Identity Theft
Pulliam, a child and family therapist enrolled as an Alabama Medicaid provider, submitted claims for counseling services that were never provided using beneficiaries' identifying information without consent.
DOJCivil judgmentMar 19, 2026
Mississippi Man Ordered to Pay $31 Million for Role in Healthcare Kickback Scheme
Crites and others referred patients, primarily TRICARE beneficiaries, to Cloverland Pharmacy in exchange for kickbacks paid by the pharmacy for each referral.
DOJCivil settlementFeb 21, 2025
Saad Healthcare Agrees to Pay $3M to Settle False Claims Act Allegations That It Billed Medicare for Ineligible Hospice Patients
Saad submitted, or caused the submission of, false claims to Medicare between 2013 and 2020 for 21 hospice patients who were not terminally ill and thus ineligible for the Medicare hospice benefit.
DOJCivil settlementFeb 21, 2025
Saad Healthcare Agrees to Pay $3M to Settle False Claims Act Allegations That It Billed Medicare for Ineligible Hospice Patients
Saad Healthcare submitted, or caused the submission of, false claims to Medicare between 2013 and 2020 for 21 hospice patients who were not terminally ill and were ineligible for the Medicare hospice benefit.
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.