FARRUKH JAMIL, MD
NPI 1740243534, individual, Gadsden, AL, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 3 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 |
|---|---|---|---|---|---|---|---|---|---|
| May 2020 | More hours than a day holds, even counting one unit per claim line | 31.7 | 0.9 | 0.6 | 0.9 | 92 | 1 | 99223 99233 99239 | $1K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 46.2 | 2.4 | 1.6 | 2.2 | 97 | 1 | 99223 99233 99239 | $3K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 45.8 | 1.1 | 0.7 | 1.0 | 136 | 1 | 99223 99233 99239 | $2K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | FARRUKH JAMIL, MD |
| Type | Individual |
| Status | Active |
| NPI issued | April 11, 2006, last updated June 23, 2009 |
| Practice location | 1007 GOODYEAR AVE, Gadsden, AL 35903-1195, 256-494-4000 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 25032 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 | |
|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $297K | 45% | $124 | $96 (top 5% from $249) | 67th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $143K | 22% | $79 | $81 (top 5% from $170) | 48th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $118K | 18% | $107 | $67 (top 5% from $174) | 80th percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $84K | 13% | $48 | $49 (top 5% from $101) | 48th percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $13K | 2% | $69 | $63 (top 5% from $137) | 56th percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $10K | 2% | $28 | $48 (top 5% from $80) | 18th percentile |
| 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 | 1,240 | 133 | $71K | $151 | $72 | 2.1x | 2.6x (90th percentile 4.3x) |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 255 | 100 | $22K | $215 | $108 | 2.0x | 2.6x (90th percentile 4.7x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 107 | 93 | $13K | $350 | $158 | 2.2x | 3.0x (90th percentile 5.6x) |
| 99238 | Hospital discharge day management, 30 minutes or less | 105 | 94 | $6K | $151 | $74 | 2.0x | 2.6x (90th percentile 4.7x) |
| 99239 | Hospital discharge day management, more than 30 minutes | 53 | 43 | $4K | $200 | $104 | 1.9x | 2.8x (90th percentile 5.6x) |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 34 | 31 | $3K | $250 | $119 | 2.1x | 2.7x (90th percentile 4.4x) |
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
2 providers in Etowah County, AL carry an indicator in the public record, with $688K at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ALTOONA HEALTH & REHAB, INC. Altoona, AL, ranked 1910 | $0 |
|
| 5 | MATTHEW LOVATO Gadsden, AL, ranked 11138 | $688K |
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.