Providers
PRASIT NIMITYONGSKUL, MD
NPI 1922053560, individual, Mobile, AL, Orthopaedic Surgery
5
Evidence tier
informational
- Medicaid dollars per patient on code 99212 ($1884 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10048, $1.3M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | PRASIT NIMITYONGSKUL, MD |
| Type | Individual |
| Status | Active |
| NPI issued | May 23, 2006, last updated February 21, 2017 |
| Practice location | 1601 CENTER ST, STE 3N, Mobile, AL 36604-1512, 251-665-8200 |
| Mailing address | PO BOX 40480, Mobile, AL 36640-0480 |
| Specialties | Orthopaedic Surgery (207X00000X, primary, license 11167 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 | |
|---|---|---|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $2.6M | 72% | $2K | $28 (top 5% from $147) | 100th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $395K | 11% | $117 | $44 (top 5% from $110) | 96th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $306K | 9% | $138 | $67 (top 5% from $121) | 97th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $163K | 5% | $162 | $60 (top 5% from $133) | 97th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $122K | 3% | $225 | $95 (top 5% from $171) | 99th percentile | |
| 29065 | Application of shoulder to hand cast | $12K | 0% | $122 | $134 (top 5% from $350) | 45th percentile | |
| 29075 | Application of elbow to finger cast | $9K | 0% | $122 | $88 (top 5% from $334) | too few months to rank | |
| 29705 | Removal or cutting of full arm or leg cast | $4K | 0% | $58 | $47 (top 5% from $237) | too few months to rank |
In this area
6 providers in Mobile County, AL carry an indicator in the public record, with $1.6M 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 |
|
| 3 | KARE-IN-HOME HOSPICE OF MOBILE, LLC Saraland, AL, ranked 4776 | $0 |
|
| 4 | MANIMARAN RAMANI Mobile, AL, ranked 7941 | $500K |
|
| 5 | MELODY PETTY Mobile, AL, ranked 10215 | $615K |
|
| 5 | MARIA ROCA GARCIA Mobile, AL, ranked 10270 | $481K |
|
| 5 | TRANSITIONAL CARE LLC Mobile, AL, ranked 11980 | $892 |
Recent enforcement in AL
All releasesDepartment 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
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.