RENITA GAIL BROWN, MD
NPI 1801102959, individual, Oxford, AL, Family Medicine
- Listed on the Medicare revocation list since August 29, 2022.
- Medicaid still paid claims in 4 later months, $8,856 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)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion) | Exact NPI, name verified | Aug 29, 2022 | Aug 29, 2032 | 4 | Sep 2022 | Dec 2022 | $9K | $47K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RENITA GAIL BROWN, MD |
| Type | Individual |
| Status | Active |
| NPI issued | August 27, 2010, last updated December 4, 2019 |
| Practice location | 1612 US HIGHWAY 78 W, SUITE 100, Oxford, AL 36203-4014, 256-835-4756 |
| Mailing address | 130 ANISKA DR, Gadsden, AL 35901-9133 |
| Specialties | Family Medicine (207Q00000X, primary, license MD30452 AL) Family Medicine (207Q00000X, license 30452 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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $56K | 36% | $57 | $44 (top 5% from $110) | 68th percentile | |
| 99284 | Emergency department visit with moderate level of medical decision making | $24K | 16% | $59 | $86 (top 5% from $224) | 16th percentile | |
| 99285 | Emergency department visit with high level of medical decision making | $16K | 10% | $134 | $100 (top 5% from $264) | 75th percentile | |
| 99283 | Emergency department visit with low level of medical decision making | $14K | 9% | $38 | $60 (top 5% from $193) | 18th percentile | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $12K | 8% | $42 | $44 (top 5% from $70) | 43rd percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $10K | 6% | $38 | $28 (top 5% from $147) | 68th percentile | |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | $7K | 4% | $48 | $71 (top 5% from $112) | 25th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $6K | 4% | $66 | $67 (top 5% from $174) | 49th percentile |
In this area
2 providers in Calhoun County, AL carry an indicator in the public record, with $5.8M at stake between them. The most common is named in an enforcement record, on 1 of them, followed by more hours than a day holds on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | HASAN PULLIAM Anniston, AL, ranked 567 | $0 |
|
| 4 | NARESH PUROHIT Anniston, AL, ranked 8377 | $5.8M |
|
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.