PATRICK CONAN TAPIA, MD
NPI 1942462502, individual, Birmingham, AL, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99232 ($683 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2020 | More hours than a day holds at a conservative unit price | 14.6 | 44.7 | 29.8 | 40.6 | 72 | 1 | 99223 99233 | $59K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | PATRICK CONAN TAPIA, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 25, 2008, last updated May 21, 2025 |
| Practice location | 100 CENTURY PARK S STE 102, Birmingham, AL 35226-3922, 205-381-4838 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 29809 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 | |
|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $1.1M | 62% | $683 | $96 (top 5% from $249) | 100th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $361K | 20% | $523 | $67 (top 5% from $174) | 100th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $191K | 11% | $299 | $81 (top 5% from $170) | 99th percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $74K | 4% | $163 | $49 (top 5% from $101) | 100th percentile | |
| 99245 | Medicaid service code | $39K | 2% | $293 | $153 (top 5% from $281) | 96th percentile | |
| 99244 | Medicaid service code | $8K | 0% | $256 | $128 (top 5% from $223) | too few months to rank | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $5K | 0% | $63 | $60 (top 5% from $133) | 53rd percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $755 | 0% | $18 | $37 (top 5% from $103) | too few months to rank |
In this area
19 providers in Jefferson County, AL carry an indicator in the public record, with $17.7M at stake between them. The most common is more hours than a day holds, on 18 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | CARE COMPLETE MEDICAL CLINIC(CCMC)LLC Birmingham, AL, ranked 313 | $6K |
|
| 4 | WALDEMAR CARLO Birmingham, AL, ranked 7796 | $1.2M |
|
| 4 | SONYA PRITCHARD Birmingham, AL, ranked 7800 | $1.2M |
|
| 4 | LINDY WINTER Birmingham, AL, ranked 7822 | $1.1M |
|
| 4 | JOSEPH PHILIPS Birmingham, AL, ranked 7901 | $673K |
|
| 4 | JEGEN KANDASAMY Birmingham, AL, ranked 7937 | $505K |
|
| 4 | CHARITHARTH LAL Birmingham, AL, ranked 7945 | $485K |
|
| 4 | JESSE MARTINEZ Birmingham, AL, ranked 8012 | $243K |
|
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.