MANIMARAN RAMANI, M.D.
NPI 1497834311, individual, Mobile, AL, Pediatrics, Neonatal-Perinatal Medicine
- Hours beyond a day in 2 months, but with up to 148 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99233 ($455 per patient-month) sit in the top 5% of every provider billing that code.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2018 | More hours than a day holds at a conservative unit price | 9.5 | 38.3 | 25.5 | 38.3 | 107 | 1 | 99233 99238 | $55K |
| Oct 2020 | More hours than a day holds at a conservative unit price | 11.5 | 38.8 | 25.8 | 36.4 | 109 | 1 | 99233 99238 | $54K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MANIMARAN RAMANI, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | November 2, 2006, last updated August 16, 2022 |
| Practice location | 1700 CENTER ST, Mobile, AL 36604-3301, 251-415-1055 |
| Mailing address | PO BOX 746450, Atlanta, GA 30374-6450 |
| Specialties | Pediatrics (208000000X, license 27729 AL) Pediatrics, Neonatal-Perinatal Medicine (2080N0001X, primary, license MD.27729 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 | |
|---|---|---|---|---|---|---|---|
| 99472 | Medicaid service code | $3.0M | 44% | $3K | $1K (top 5% from $3K) | 91st percentile | |
| 99469 | Medicaid service code | $1.3M | 19% | $2K | $1K (top 5% from $2K) | 89th percentile | |
| 99479 | Medicaid service code | $1.1M | 17% | $584 | $347 (top 5% from $691) | 91st percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $671K | 10% | $455 | $96 (top 5% from $249) | 99th percentile | |
| 99468 | Medicaid service code | $286K | 4% | $1K | $815 (top 5% from $1K) | 91st percentile | |
| 99480 | Medicaid service code | $153K | 2% | $510 | $308 (top 5% from $558) | 92nd percentile | |
| 99478 | Medicaid service code | $89K | 1% | $607 | too few months to rank | ||
| 99238 | Hospital discharge day management, 30 minutes or less | $75K | 1% | $110 | $48 (top 5% from $80) | 98th percentile |
In this area
6 providers in Mobile County, AL carry an indicator in the public record, with $2.4M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ASERACARE HOSPICE - MONROEVILLE, LLC Mobile, AL, ranked 3116 | $0 |
|
| 3 | KARE-IN-HOME HOSPICE OF MOBILE, LLC Saraland, AL, ranked 4776 | $0 |
|
| 5 | PRASIT NIMITYONGSKUL Mobile, AL, ranked 10048 | $1.3M |
|
| 5 | MELODY PETTY Mobile, AL, ranked 10215 | $615K |
|
| 5 | MARIA ROCA GARCIA Mobile, AL, ranked 10270 | $481K |
|
| 5 | TRANSITIONAL CARE LLC Mobile, AL, ranked 11980 | $892 |
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.