AMRISH PATEL, MD
NPI 1871755025, individual, Mcdonough, GA, Physical Medicine & Rehabilitation, Pain Medicine
- Listed on the Medicare revocation list since April 19, 2017.
- Medicaid still paid claims in 66 later months, $135,318 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)(3) felonies | Exact NPI, name verified | Apr 19, 2017 | Mar 23, 2032 | 66 | Jan 2018 | Jun 2023 | $135K | $0 |
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Mar 23, 2022 | Mar 23, 2032 | 15 | Apr 2022 | Jun 2023 | $35K | $19K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | AMRISH PATEL, MD |
| Type | Individual |
| Status | Active |
| NPI issued | June 30, 2008, last updated July 21, 2022 |
| Practice location | 2340 PATRICK HENRY PKWY, SUITE 150, Mcdonough, GA 30253-4325, 678-866-3646 |
| Specialties | Physical Medicine & Rehabilitation, Pain Medicine (2081P2900X, primary, license 67950 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 | $66K | 49% | $28 | $60 (top 5% from $133) | 14th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $62K | 46% | $19 | $44 (top 5% from $110) | 16th percentile | |
| 80305 | Testing for presence of drug, read by direct observation | $4K | 3% | $5.89 | $9.23 (top 5% from $22) | 29th percentile | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | $1K | 1% | $3.93 | $4.98 (top 5% from $13) | 35th percentile | |
| 96372 | Injection of drug or substance under skin or into muscle | $1K | 1% | $8.37 | $12 (top 5% from $49) | 37th percentile | |
| 96127 | Assessment of emotional or behavioral problems | $123 | 0% | $1.56 | $4.12 (top 5% from $19) | too few months to rank | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | $118 | 0% | $0.62 | $0.67 (top 5% from $10) | 49th percentile |
In this area
4 providers in Henry County, GA carry an indicator in the public record, with $75K at stake between them. The most common is paid after a public list action, on 2 of them, followed by named in an enforcement record on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | RANDALL BERINHOUT Stockbridge, GA, ranked 292 | $95 |
|
| 3 | NATIONAL HEALTHCARE CENTER LLC Stockbridge, GA, ranked 6356 | $0 |
|
| 3 | GEORGIA COMMUNITY HOSPICE LLC Stockbridge, GA, ranked 7156 | $0 |
|
| 5 | ALY AHMED Stockbridge, GA, ranked 11683 | $75K |
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.