ZAVIER CARVEL ASH, M.D.
NPI 1770569204, individual, Tucker, GA, Family Medicine
- Listed on the Medicare revocation list since March 16, 2022.
- Medicaid still paid claims in 32 later months, $147,613 in total.
Public list actions
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)(14) improper prescribing practices | Exact NPI, name verified | Mar 16, 2022 | Mar 15, 2032 | 32 | Apr 2022 | Nov 2024 | $148K | $103K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ZAVIER CARVEL ASH, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | December 16, 2005, last updated November 7, 2022 |
| Practice location | 1475 MONTREAL RD, Tucker, GA 30084-6922, 678-292-6606 |
| Mailing address | PO BOX 390005, Snellville, GA 30039-0001 |
| Specialties | Family Medicine (207Q00000X, primary, license 047692 GA) |
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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $290K | 45% | $77 | $60 (top 5% from $133) | 67th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $271K | 42% | $60 | $44 (top 5% from $110) | 72nd percentile | |
| 93923 | Complete ultrasound study of arm and leg arteries | $19K | 3% | $100 | $46 (top 5% from $134) | 84th percentile | |
| 95004 | Test for allergy using allergenic extract | $18K | 3% | $170 | $136 (top 5% from $315) | 64th percentile | |
| 95923 | Testing of autonomic (sympathetic) nervous system function | $8K | 1% | $55 | $59 (top 5% from $111) | 46th percentile | |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | $6K | 1% | $115 | $18 (top 5% from $134) | too few months to rank | |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $5K | 1% | $6.58 | $6.11 (top 5% from $38) | 53rd percentile | |
| 95117 | Professional service for multiple injections of allergen | $5K | 1% | $48 | $17 (top 5% from $39) | 97th percentile |
In this area
16 providers in DeKalb County, GA carry an indicator in the public record, with $27.6M at stake between them. The most common is part of a provider network, on 7 of them, followed by more hours than a day holds on 5. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | NATIONAL HEALTHCARE CENTER LLC Tucker, GA, ranked 551 | $0 |
|
| 1 | BIOCONFIRM LABORATORIES LLC Doraville, GA, ranked 608 | $0 |
|
| 1 | RJ SHEPHERD II INC Atlanta, GA, ranked 634 | $0 |
|
| 1 | LIBERTY MEDICAL DME, LLC Atlanta, GA, ranked 652 | $0 |
|
| 3 | LONGLEAF HOSPICE, LLC Atlanta, GA, ranked 3876 | $0 |
|
| 3 | GUARDIAN ANGELS HOSPICE,LLC Tucker, GA, ranked 3962 | $0 |
|
| 3 | OLIVE BRANCH HOSPICE LLC Atlanta, GA, ranked 5228 | $0 |
|
| 3 | LEGACY HOSPICE, LLC Decatur, GA, ranked 5434 | $0 |
|
Recent enforcement in GA
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.