Providers
VIPUL A SAVALIYA, M.D
NPI 1528339660, individual, Fayetteville, NC, Internal Medicine, Infectious Disease
5
Evidence tier
informational
- Medicaid dollars per patient on code 99231 ($266 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 9969, $2.0M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | VIPUL A SAVALIYA, M.D (also VIPULKUMAR SAVALIYA) |
| Type | Individual |
| Status | Active |
| NPI issued | January 20, 2012, last updated December 27, 2023 |
| Practice location | 1319 AVON ST, Fayetteville, NC 28304-4423, 910-729-6552 |
| Specialties | Internal Medicine (207R00000X, license 2014-00955 NC) Hospitalist (208M00000X, license 2014-00955 NC) Internal Medicine, Infectious Disease (207RI0200X, primary, license 2014-00955 NC) |
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 | |
|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $1.5M | 66% | $217 | $67 (top 5% from $174) | 98th percentile | |
| 99255 | Medicaid service code | $273K | 12% | $149 | $106 (top 5% from $213) | 74th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $150K | 6% | $70 | $81 (top 5% from $170) | 39th percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $122K | 5% | $266 | $37 (top 5% from $103) | 100th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $105K | 4% | $125 | $96 (top 5% from $249) | 68th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $78K | 3% | $64 | $60 (top 5% from $133) | 54th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $48K | 2% | $83 | $88 (top 5% from $210) | 46th percentile | |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $8K | 0% | $131 | $85 (top 5% from $264) | too few months to rank |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2,214 | 396 | $123K | $150 | $70 | 2.1x | 2.6x (90th percentile 4.3x) |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 2,296 | 110 | $80K | $150 | $44 | 3.4x | 2.4x (90th percentile 4.0x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 98 | 94 | $11K | $400 | $150 | 2.7x | 3.0x (90th percentile 5.6x) |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 46 | 21 | $2K | $175 | $62 | 2.8x | 2.6x (90th percentile 4.7x) |
| 99291 | Critical care, first 30-74 minutes | 12 | 11 | $2K | $425 | $176 | 2.4x | 4.7x (90th percentile 10.0x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
7 providers in Cumberland County, NC carry an indicator in the public record, with $2.5M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 3. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JOSEPH MEYER Fort Bragg, NC, ranked 48 | $26K |
|
| 3 | VILLAGE GREEN HEALTH AND REHABILITATION, LLC Fayetteville, NC, ranked 2992 | $0 |
|
| 3 | HAYMOUNT REHABILITATION AND NURSING CENTER, INC Fayetteville, NC, ranked 4247 | $0 |
|
| 3 | CUMBERLAND CARE, INC. Fayetteville, NC, ranked 4448 | $0 |
|
| 4 | SHENAE WHITEHEAD Fayetteville, NC, ranked 8189 | $977K |
|
| 4 | ROBERT CLINTON Fayetteville, NC, ranked 8842 | $1.5M |
|
| 4 | JOSHUA TRUJILLO Fayetteville, NC, ranked 9733 | $12K |
|
Recent enforcement in NC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedAug 27, 2026
Charlotte Woman Sentenced for Defrauding the North Carolina Medicaid Program
Jackson and her company submitted over $1.9 million in claims to NC Medicaid for urine drug testing and psychotherapy services that were never performed or already paid, using Medicaid recipients' personal information, and she spent the proceeds.
DOJPleaded guiltyJul 9, 2026
Guilford County Woman Pleads Guilty to Health Care Fraud in Connection with Million Dollar Urine Drug Testing Scheme
Singleton owned and operated Joelle's Center of Hope, which submitted approximately $1,735,865 in claims to North Carolina Medicaid for urine drug tests that were not performed, listing a nurse practitioner and a doctor as ordering providers who never ordered the tests.
DOJPleaded guiltyJun 24, 2026
Raleigh Man Pleads Guilty to Receiving More than $60 Million in Fraudulent Claims from Paying Kickbacks for Patient Referrals
Price owned and operated Golden Star Labs, which paid collectors on a per-specimen basis to supply bogus respiratory test samples obtained through identity theft, and billed Medi-Cal and Medicare more than $96 million in false claims, receiving more than $60 million, and he also filed a false federal income tax return.
DOJChargedJun 24, 2026
McLeansville Woman Charged With Health Care Fraud, Part of National Health Care Fraud Takedown
White, the owner of Reginald Center of Turn Around, billed North Carolina Medicaid for thousands of fictitious drug tests resulting in a loss of $2.8 million.
DOJIndictedJun 24, 2026
Felon Indicted in Multimillion Dollar Healthcare Kickback and False Documents Conspiracy
Ayyad is alleged to have solicited and received kickbacks from clinical laboratories in exchange for generating referrals, paid kickbacks to independent contractor sales reps, created dozens of sham invoices and contracts to conceal the payments, and caused the submission of fraudulent claims for laboratory testing to Medicare, HRSA, TRICARE, and other payers through labs and entities he owned and controlled.
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.