NKECHI PATRICIA UGWUH-MOSS, M.D.
NPI 1629189964, individual, Little Rock, AR, Internal Medicine
- Hours beyond a day in 5 months under one organization, which can be supervisory billing.
- 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 29.9 | 9.9 | 6.6 | 8.9 | 411 | 2 | 99211 99213 99221 99231 | $15K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 32.0 | 8.6 | 5.7 | 8.0 | 374 | 2 | 99205 99211 99213 99221 99231 | $15K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 26.9 | 8.4 | 5.6 | 8.0 | 410 | 2 | 99205 99211 99213 99221 99231 | $17K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 30.1 | 8.1 | 5.4 | 7.3 | 397 | 2 | 99211 99213 99221 99231 | $14K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 24.5 | 11.7 | 7.8 | 10.5 | 462 | 2 | 99205 99211 99213 99221 99231 | $20K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | NKECHI PATRICIA UGWUH-MOSS, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | August 31, 2006, last updated April 6, 2023 |
| Practice location | 500 S UNIVERSITY AVE, SUITE 119, Little Rock, AR 72205-5302, 501-680-2847 |
| Specialties | Internal Medicine (207R00000X, primary, license E-1042 AR) |
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 | $394K | 39% | $35 | $44 (top 5% from $110) | 36th percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $123K | 12% | $52 | $37 (top 5% from $103) | 70th percentile | |
| 99393 | Medicaid service code | $97K | 10% | $50 | $78 (top 5% from $121) | 24th percentile | |
| 99392 | Medicaid service code | $83K | 8% | $50 | $78 (top 5% from $124) | 23rd percentile | |
| 99394 | Medicaid service code | $64K | 6% | $49 | $83 (top 5% from $128) | 24th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $56K | 6% | $61 | $60 (top 5% from $133) | 50th percentile | |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | $54K | 5% | $33 | $50 (top 5% from $194) | 26th percentile | |
| 99391 | Medicaid service code | $43K | 4% | $55 | $76 (top 5% from $126) | 24th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 749 | 83 | $26K | $94 | $45 | 2.1x | 2.4x (90th percentile 4.0x) |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 83 | 65 | $4K | $165 | $74 | 2.2x | 3.1x (90th percentile 5.2x) |
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
8 providers in Pulaski County, AR carry an indicator in the public record, with $19.9M at stake between them. The most common is more hours than a day holds, on 6 of them, followed by named in an enforcement record on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | KRAMEELAH BANKS Little Rock, AR, ranked 2462 | $0 |
|
| 3 | ARKANSAS BEHAVIORAL CENTER (ABC), LLC Little Rock, AR, ranked 5190 | $0 |
|
| 4 | CARL RIDDELL Little Rock, AR, ranked 7402 | $7.3M |
|
| 4 | NAVEEN PATIL Little Rock, AR, ranked 7428 | $5.9M |
|
| 4 | LAWRENCE LABBATE Little Rock, AR, ranked 7599 | $2.7M |
|
| 4 | BRIAN SIMPSON Little Rock, AR, ranked 7646 | $2.3M |
|
| 4 | SHANE SPARKS Little Rock, AR, ranked 7948 | $479K |
|
| 5 | JOHN DOWNES Little Rock, AR, ranked 10047 | $1.3M |
|
Recent enforcement in AR
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.