JEFFREY M GALLUPS, M.D.
NPI 1851471866, individual, Alpharetta, GA, Specialist
- Listed on the Medicare revocation list since October 21, 2021.
- Medicaid still paid claims in 3 later months, $61,386 in total.
- Adjudicated (sentenced) per a Department of Justice release dated July 12, 2024.
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 | Exact NPI, name verified | Oct 21, 2021 | Oct 21, 2031 | 3 | Nov 2021 | Jan 2022 | $61K | $468K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JEFFREY M GALLUPS, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | October 16, 2006, last updated December 16, 2016 |
| Practice location | 925 N POINT PKWY, Alpharetta, GA 30005-5210, 678-206-2589 |
| Mailing address | 2365 OLD MILTON PKWY STE 300, Alpharetta, GA 30009-2140 |
| Specialties | Specialist (174400000X, primary, license 033774 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 | |
|---|---|---|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | $590K | 100% | $758 | $187 (top 5% from $1K) | 92nd percentile |
In this area
11 providers in Fulton County, GA carry an indicator in the public record, with $15.3M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 3. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | RAJASHAKHER REDDY Alpharetta, GA, ranked 151 | $96K |
|
| 1 | ANAND LALAJI Atlanta, GA, ranked 245 | $19K |
|
| 2 | SIGRID ELSTON Atlanta, GA, ranked 686 | $14.1M |
|
| 3 | CREATIVE HOSPICE CARE INC Roswell, GA, ranked 2511 | $0 |
|
| 3 | AFFINITY CARE OF GEORGIA LLC Atlanta, GA, ranked 3336 | $0 |
|
| 3 | RUTLEDGE MEDICAL ASSOCIATES LLC East Point, GA, ranked 5925 | $0 |
|
| 3 | ENNOBLE HOSPICE GA LLC Sandy Springs, GA, ranked 7024 | $0 |
|
| 4 | PANCHAJANYA PAUL Atlanta, GA, ranked 7929 | $532K |
|
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.