MELODY LYNN PETTY

NPI 1902198385, individual, Mobile, AL, Pediatrics

Evidence tier

informational

Medicaid dollars per patient on code 99239 ($245 per patient-month) sit in the top 5% of every provider billing that code.

score 35 of 100, rank 10215, $615K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	MELODY LYNN PETTY
Type	Individual
Status	Active
NPI issued	May 4, 2011, last updated March 2, 2021
Practice location	1700 CENTER ST, Mobile, AL 36604-3301, 251-415-1343
Mailing address	PO BOX 40480, Mobile, AL 36640-0480
Specialties	Pediatrics (208000000X, primary, license 33733 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.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	$429K	42%	$245	$67 (top 5% from $174)	98th percentile
99239	Hospital discharge day management, more than 30 minutes	$300K	29%	$155	$49 (top 5% from $101)	99th percentile
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	$287K	28%	$199	$63 (top 5% from $137)	99th percentile
99231	Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	$2K	0%	$127	$37 (top 5% from $103)	too few months to rank

In this area

6 providers in Mobile County, AL carry an indicator in the public record, with $2.3M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 2.

tier	provider	at stake	why
3	ASERACARE HOSPICE - MONROEVILLE, LLC Mobile, AL, ranked 3116	$0	Part of provider network D1-00051, ranked 51 nationally.
3	KARE-IN-HOME HOSPICE OF MOBILE, LLC Saraland, AL, ranked 4776	$0	Part of provider network D1-00051, ranked 51 nationally.
4	MANIMARAN RAMANI Mobile, AL, ranked 7941	$500K	Hours beyond a day in 2 months, but with up to 148 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed. and 1 more
5	PRASIT NIMITYONGSKUL Mobile, AL, ranked 10048	$1.3M	Medicaid dollars per patient on code 99212 ($1884 per patient-month) sit in the top 5% of every provider billing that code.
5	MARIA ROCA GARCIA Mobile, AL, ranked 10270	$481K	Medicaid dollars per patient on code 99223 ($300 per patient-month) sit in the top 5% of every provider billing that code.
5	TRANSITIONAL CARE LLC Mobile, AL, ranked 11980	$892

Recent enforcement in AL

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementJun 23, 2026

Alabama Provider Pays $300,000 to Resolve False Claims as Part of 2026 National Health Care Fraud Takedown

A Phenix City-based provider billed Alabama Medicaid for Basic Living Skills services for at-risk children that were not actually rendered.

DOJSentencedApr 2, 2026

Former Medicaid Provider Sentenced to Federal Prison for Health Care Fraud and Aggravated Identity Theft

Pulliam, a child and family therapist enrolled as an Alabama Medicaid provider, submitted claims for counseling services that were never provided using beneficiaries' identifying information without consent.

DOJCivil judgmentMar 19, 2026

Mississippi Man Ordered to Pay $31 Million for Role in Healthcare Kickback Scheme

Crites and others referred patients, primarily TRICARE beneficiaries, to Cloverland Pharmacy in exchange for kickbacks paid by the pharmacy for each referral.

DOJCivil settlementFeb 21, 2025

Saad Healthcare Agrees to Pay $3M to Settle False Claims Act Allegations That It Billed Medicare for Ineligible Hospice Patients

Saad submitted, or caused the submission of, false claims to Medicare between 2013 and 2020 for 21 hospice patients who were not terminally ill and thus ineligible for the Medicare hospice benefit.

DOJCivil settlementFeb 21, 2025

Saad Healthcare Agrees to Pay $3M to Settle False Claims Act Allegations That It Billed Medicare for Ineligible Hospice Patients

Saad Healthcare submitted, or caused the submission of, false claims to Medicare between 2013 and 2020 for 21 hospice patients who were not terminally ill and were ineligible for the Medicare hospice benefit.

Referral packet

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