Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KHOORY, WISSAM

NPI: 1013962430 · WALTHAM, MA 02453 · Internal Medicine Physician · NPI assigned 05/24/2006

$24K
Total Medicaid Paid
346
Total Claims
332
Beneficiaries
4
Codes Billed
2018-09
First Month
2023-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16 $1K
2020 69 $3K
2021 41 $4K
2022 193 $14K
2023 27 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 172 164 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 124 118 $11K
90686 25 25 $475.56
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 25 25 $409.00