Providers
All 14 in MI
ALMA CARE VISITING SERVICES
NPI 1518419043, organization, Romulus, MI, Family Medicine
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since November 18, 2024.
- Medicaid still paid claims in 1 later month, $40 in total.
score 92 of 100, rank 454, $40 at stake
Public list actions
Medicare revocation effective November 18, 2024, barred from re-enrolling until November 18, 2034
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Part B Supplier - Clinic/Group Practice, MI
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 | Nov 18, 2024 | Nov 18, 2034 | 1 | Dec 2024 | Dec 2024 | $40 | $85K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ALMA CARE VISITING SERVICES |
| Type | Organization |
| Status | Active |
| NPI issued | November 1, 2016, last updated December 22, 2016 |
| Practice location | 11352 GABRIEL ST, Romulus, MI 48174-1431, 313-575-8111 |
| Authorized official | MARISLENE DELVA (Administrator) |
| Specialties | Family Medicine, Adult Medicine (207QA0505X) Family Medicine, Geriatric Medicine (207QG0300X) Internal Medicine (207R00000X) Physician Assistant, Medical (363AM0700X, license 5601007382 MI) Physician Assistant, Medical (363AM0700X, license 01864-1/8963899 NY) Family Medicine (207Q00000X, 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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $149K | 34% | $72 | $88 (top 5% from $210) | 37th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $97K | 22% | $56 | $60 (top 5% from $133) | 45th percentile | |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | $83K | 19% | $60 | $37 (top 5% from $218) | 70th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $49K | 11% | $29 | $44 (top 5% from $110) | 26th percentile | |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | $20K | 5% | $27 | $30 (top 5% from $115) | 47th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $15K | 3% | $19 | $28 (top 5% from $147) | 33rd percentile | |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | $10K | 2% | $18 | $17 (top 5% from $105) | 53rd percentile | |
| 81002 | Urinalysis, manual test | $7K | 2% | $1.14 | $2.15 (top 5% from $4.65) | 31st percentile |
In this area
14 providers in Wayne County, MI carry an indicator in the public record, with $4.3M at stake between them. The most common is named in an enforcement record, on 9 of them, followed by part of a provider network on 4. 5 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | EASTSIDE PHARMACY INC Detroit, MI, ranked 466 | $0 |
|
| 1 | MOHAMMAD HAMDAN Dearborn Heights, MI, ranked 547 | $0 |
|
| 1 | WAYNE CAMPUS PHARMACY LLC Detroit, MI, ranked 563 | $0 |
|
| 1 | WESTERN WAYNE PHARMACY LLC Inkster, MI, ranked 618 | $0 |
|
| 1 | CITY DRUGS PHARMACY Detroit, MI, ranked 645 | $0 |
|
| 3 | THE MEDICAL TEAM, INC Livonia, MI, ranked 831 | $2.9M |
|
| 3 | RAEYFAH BAIZ Dearborn, MI, ranked 3007 | $0 |
|
| 3 | JAMES CARTHRON Detroit, MI, ranked 3107 | $0 |
|
Recent enforcement in MI
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedJun 23, 2026
National Health Care Fraud Enforcement Action Results in 455 Defendants Charged and Over $6.5 Billion in Intended Fraud Loss Charged
Six cases in the Eastern District of Michigan involving alleged fraudulent billing of Medicare, Medicaid and private insurers for laboratory tests, prescriptions not dispensed, and reimbursement claims for services never rendered, plus unlawful opioid prescribing and False Claims Act settlements.
DOJConvictedMay 15, 2026
Michigan Home Health Care Agency Owner Convicted of $1.6M Medicare Fraud Scheme and Kickback Conspiracy
Scott bribed a hospital discharge nurse to fax confidential Medicare patient records to her home health agency and billed Medicare for home health services using false representations that doctors had certified the patients as homebound, causing approximately $1.6 million in losses.
DOJPleaded guiltyMay 1, 2026
Pharmacy Technician Pleads Guilty to $5.6M Health Care Fraud Scheme and Illegal Distribution of Oxycodone
A pharmacy technician and a co-conspirator submitted false claims to health care benefit programs for prescription drugs that were never ordered by a doctor and never dispensed, using forged prescriptions, and he provided unlawful oxycodone prescriptions to drug traffickers for cash.
DOJSentencedNov 24, 2025
Michigan Pharmacist Sentenced to 46 Months in Prison for $4M Health Care Fraud Scheme
Fakih billed Medicare for prescription medications, such as blood thinners and lung disease inhalers, that he did not dispense at the pharmacy he owned and operated, concealing the fraud by manipulating inventory purchases and diverting proceeds for personal use.
DOJSentencedNov 21, 2025
Pharmacist and Brother Sentenced to Prison for $15M Health Care and Wire Fraud Scheme
A pharmacist and his brother, a pharmacy manager, billed Medicare, Medicaid and Blue Cross Blue Shield of Michigan for prescription medications that they did not dispense at pharmacies they owned or operated, targeting expensive medications and concealing inventory shortages from auditors.
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.