Providers
All 25 in TN
IMRAN MIRZA, MD
NPI 1679599922, individual, Memphis, TN, Internal Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 21 months, but with up to 1272 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 99231 ($124 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7753, $1.4M 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, even counting one unit per claim line | 28.1 | 26.7 | 17.8 | 24.0 | 1132 | 1 | 99203 99213 99214 99222 99231 99232 99401 99406 | $49K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 31.6 | 29.9 | 19.9 | 27.9 | 1215 | 1 | 99202 99203 99213 99214 99222 99231 99232 99401 99406 | $50K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 30.4 | 27.0 | 18.0 | 25.4 | 1247 | 1 | 97110 99202 99203 99213 99214 99222 99231 99232 99401 99406 | $50K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 32.6 | 28.0 | 18.7 | 26.7 | 1272 | 1 | 99202 99203 99213 99214 99222 99231 99232 99401 99406 | $51K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 30.4 | 25.1 | 16.8 | 22.6 | 1262 | 1 | 99202 99203 99213 99214 99222 99231 99232 99401 99406 | $48K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 34.5 | 29.3 | 19.6 | 27.9 | 1228 | 1 | 99202 99203 99213 99214 99222 99231 99232 99401 99406 | $50K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 32.1 | 23.9 | 15.9 | 22.5 | 1083 | 1 | 99203 99213 99214 99222 99231 99232 99401 | $42K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 29.3 | 23.8 | 15.8 | 21.4 | 1132 | 1 | 99203 99213 99214 99222 99231 99232 99401 | $42K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 26.5 | 23.0 | 15.3 | 23.0 | 921 | 1 | 99202 99203 99213 99214 99222 99231 99232 99401 | $40K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 29.2 | 19.9 | 13.3 | 17.9 | 945 | 1 | 99203 99212 99213 99214 99222 99231 99232 99401 99406 | $39K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 30.2 | 24.3 | 16.2 | 21.8 | 607 | 1 | 99203 99213 99214 99222 99231 99232 99401 | $34K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 29.5 | 28.0 | 18.7 | 27.1 | 566 | 1 | 99213 99214 99222 99231 99232 99401 | $35K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 27.6 | 27.0 | 18.0 | 25.3 | 600 | 1 | 99213 99214 99222 99231 99232 99401 | $36K |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 28.5 | 26.4 | 17.6 | 24.0 | 595 | 1 | 99213 99214 99222 99231 99232 99401 | $35K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 30.4 | 33.7 | 22.4 | 33.1 | 600 | 1 | 99213 99214 99222 99231 99232 99401 | $42K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 25.3 | 25.6 | 17.1 | 23.3 | 529 | 1 | 99213 99214 99222 99231 99232 99401 | $34K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 24.3 | 25.5 | 17.0 | 22.9 | 464 | 1 | 99213 99214 99222 99231 99232 | $35K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 28.1 | 30.2 | 20.1 | 29.7 | 534 | 1 | 99213 99214 99222 99231 99232 | $38K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 25.6 | 30.1 | 20.0 | 27.3 | 524 | 1 | 99213 99214 99222 99231 99232 | $37K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 24.2 | 26.3 | 17.6 | 24.7 | 516 | 1 | 99213 99214 99222 99231 99232 | $33K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 28.0 | 30.6 | 20.4 | 29.1 | 531 | 1 | 99213 99214 99222 99231 99232 | $35K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 24.6 | 18.2 | 12.1 | 17.9 | 427 | 1 | 99213 99214 99222 99231 99232 | $16K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 24.2 | 24.7 | 16.5 | 23.1 | 353 | 1 | 99214 99222 99231 99232 | $19K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 27.5 | 21.6 | 14.4 | 19.4 | 434 | 1 | 99214 99222 99231 99232 | $18K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 25.3 | 22.4 | 14.9 | 20.3 | 434 | 1 | 99214 99222 99231 99232 | $18K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 30.7 | 35.5 | 23.7 | 34.9 | 464 | 1 | 99213 99214 99222 99231 99232 | $30K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 27.9 | 29.7 | 19.8 | 27.0 | 443 | 1 | 99213 99214 99222 99231 99232 | $24K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 29.9 | 31.3 | 20.8 | 29.4 | 427 | 1 | 99214 99222 99231 99232 | $26K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 24.4 | 24.1 | 16.1 | 22.6 | 380 | 1 | 99214 99222 99231 99232 | $20K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 32.3 | 44.8 | 29.8 | 44.0 | 418 | 1 | 99214 99222 99231 99232 | $38K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 33.2 | 50.1 | 33.4 | 45.6 | 411 | 1 | 99222 99231 99232 | $41K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 32.8 | 56.5 | 37.6 | 50.7 | 412 | 1 | 99222 99231 99232 | $48K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 35.7 | 56.9 | 37.9 | 56.0 | 487 | 1 | 99214 99222 99231 99232 | $52K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 36.1 | 58.4 | 38.9 | 54.5 | 447 | 1 | 99222 99231 99232 | $49K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 26.7 | 43.3 | 28.9 | 38.9 | 424 | 1 | 99222 99231 99232 | $40K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 32.7 | 52.8 | 35.2 | 50.3 | 509 | 1 | 99222 99231 99232 | $47K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 34.2 | 55.1 | 36.7 | 51.8 | 510 | 1 | 99222 99231 99232 | $50K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 33.5 | 49.8 | 33.2 | 45.3 | 535 | 1 | 99222 99231 99232 | $44K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 35.8 | 59.9 | 39.9 | 58.9 | 605 | 1 | 99222 99231 99232 | $55K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 31.8 | 55.0 | 36.7 | 49.4 | 532 | 1 | 99222 99231 99232 | $50K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 33.6 | 49.1 | 32.7 | 44.6 | 507 | 1 | 99214 99222 99231 99232 | $43K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 32.2 | 50.0 | 33.3 | 49.2 | 520 | 1 | 99214 99222 99231 99232 | $45K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 33.6 | 54.1 | 36.1 | 49.2 | 536 | 1 | 99222 99231 99232 | $47K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 26.5 | 37.3 | 24.8 | 35.0 | 423 | 1 | 99214 99222 99231 99232 | $34K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 31.7 | 51.5 | 34.3 | 48.4 | 489 | 1 | 99222 99231 99232 | $44K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 25.0 | 40.2 | 26.8 | 37.5 | 409 | 1 | 99222 99231 99232 | $31K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 32.5 | 48.2 | 32.1 | 43.3 | 480 | 1 | 99214 99222 99231 99232 | $41K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 35.7 | 55.4 | 36.9 | 55.4 | 531 | 1 | 99214 99222 99231 99232 | $45K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 32.4 | 49.5 | 33.0 | 44.5 | 485 | 1 | 99222 99231 99232 | $42K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 30.4 | 46.3 | 30.8 | 42.1 | 505 | 1 | 99214 99222 99231 99232 | $39K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 31.4 | 51.4 | 34.3 | 50.6 | 501 | 1 | 99214 99222 99231 99232 | $43K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 27.8 | 41.9 | 27.9 | 37.6 | 486 | 1 | 99213 99214 99222 99231 99232 | $35K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 35.9 | 52.2 | 34.8 | 49.7 | 554 | 2 | 99213 99214 99222 99231 99232 | $44K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 34.9 | 52.9 | 35.3 | 49.7 | 583 | 2 | 99213 99214 99222 99231 99232 | $46K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 27.4 | 41.1 | 27.4 | 40.4 | 443 | 1 | 99222 99231 99232 | $35K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 25.9 | 37.7 | 25.1 | 34.7 | 440 | 1 | 99222 99231 99232 | $33K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 25.2 | 35.8 | 23.9 | 32.6 | 375 | 1 | 99222 99231 99232 | $32K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | IMRAN MIRZA, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 13, 2006, last updated June 3, 2025 |
| Practice location | 2900 KIRBY RD STE 5, Memphis, TN 38119-8205, 901-369-6000 |
| Mailing address | 7865 EDUCATORS LANE,, SUITE 300, Memphis, TN 38133-8191 |
| Specialties | Internal Medicine (207R00000X, license MD35471 TN) Internal Medicine (207R00000X, primary, license 35471 TN) |
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 | |
|---|---|---|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $1.6M | 44% | $124 | $37 (top 5% from $103) | 97th percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $636K | 17% | $53 | $63 (top 5% from $137) | 38th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $451K | 12% | $39 | $60 (top 5% from $133) | 23rd percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $383K | 10% | $43 | $67 (top 5% from $174) | 22nd percentile | |
| 99401 | Preventive counseling individual 15 min | $138K | 4% | $27 | $16 (top 5% from $46) | 72nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $110K | 3% | $29 | $44 (top 5% from $110) | 26th percentile | |
| 96372 | Injection of drug or substance under skin or into muscle | $73K | 2% | $27 | $12 (top 5% from $49) | 89th percentile | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $62K | 2% | $26 | $45 (top 5% from $110) | 28th percentile |
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 |
|---|---|---|---|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 2,497 | 131 | $89K | $75 | $46 | 1.6x | 2.4x (90th percentile 4.0x) |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 345 | 222 | $31K | $190 | $121 | 1.6x | 2.7x (90th percentile 4.4x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 361 | 157 | $20K | $125 | $73 | 1.7x | 2.6x (90th percentile 4.3x) |
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
25 providers in Shelby County, TN carry an indicator in the public record, with $11.5M at stake between them. The most common is more hours than a day holds, on 11 of them, followed by named in an enforcement record on 8. 7 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | POPLAR AVENUE CLINIC PLLC Memphis, TN, ranked 54 | $1.5M |
|
| 1 | SANJEEV KUMAR Memphis, TN, ranked 75 | $707K |
|
| 1 | OTYLIA PRIMARY CARE, LLC Memphis, TN, ranked 207 | $37K |
|
| 1 | WHAT ABOUT US IN HOME HEALTH CARE Memphis, TN, ranked 484 | $0 |
|
| 1 | ADVANCED FOOT & ANKLE CARE OF MEMPHIS, LLC Memphis, TN, ranked 498 | $0 |
|
| 1 | NAKITA CANNADY Bartlett, TN, ranked 568 | $0 |
|
| 1 | NATHAN LUCAS Memphis, TN, ranked 626 | $0 |
|
| 2 | NARICIA FUTRELL Millington, TN, ranked 715 | $893K |
|
Recent enforcement in TN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 10, 2026
Celina Pharmacy Owner/Two Pharmacies Agree to Pay $450,000 & Receive Ban on Handling Controlled Substances
The defendants knowingly dispensed controlled substances without valid prescriptions and outside the usual course of professional pharmacy practice, and falsely billed Medicare for prescriptions that were not medically necessary or otherwise eligible for reimbursement.
DOJSentencedJul 8, 2026
Memphis Gynecologist Sentenced to 20 Years in Prison for Adulterating Medical Devices and Health Care Fraud
Kumar used adulterated and unlabeled single-use and improperly reprocessed reusable hysteroscopy devices in more than 15,000 hysteroscopy with biopsy procedures and billed Medicare and Medicaid for the procedures.
DOJSentencedJun 24, 2026
Celina Pharmacy Owner Sentenced for Opioid Distribution/Health Care Fraud
The majority owner of two pharmacies conspired to unlawfully dispense controlled substances despite red flags of abuse and diversion, submitted false claims to Medicare Part D and TennCare, and paid patient co-payments, cash, and "Monkey Bucks" to increase prescription volume.
DOJChargedJun 23, 2026
Clarksville Physician Charged with Health Care Fraud Related to Controlled Substance Prescribing Scheme
Aquino owned and operated North Clarksville Medical Center and for more than five years prescribed medically unnecessary controlled substances, totaling more than 1.08 million pills and doses, that were not issued for a legitimate medical purpose in the usual course of professional practice, causing losses of approximately $335,621.73 to health care benefit programs.
DOJIndictedJun 23, 2026
Gordonsville Physician Indicted on Health Care Fraud and Controlled Substance Charges
Moss owned and operated Gordonsville Clinic and prescribed medically unnecessary controlled substances, totaling more than 5.6 million pills and doses over more than eight years, that were not issued for a legitimate medical purpose in the usual course of professional practice.
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.