Physician
Hisham I Ahmed MD PLLC
Hisham I Ahmed MD PLLC was paid $244K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoHISHAM I AHMED MD PLLC
LAPEER, MI 48446
LAPEER, MI 48446
33aNPI1033445143assigned 10/23/2009
33bProvider typeInternal Medicine Physician
28Total paid$244K
24GClaims9,922
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#268 of 816
Median peer was paid$70K
This provider vs. median3.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,505 | $57K | |
| 2019 | 1,198 | $42K | |
| 2020 | 898 | $27K | |
| 2021 | 542 | $28K | |
| 2022 | 1,073 | $27K | |
| 2023 | 2,660 | $33K | |
| 2024incomplete | 2,046 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 2,722 | 2,354 | $127K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 31% | 1,185 | 1,059 | $76K |
| 99307 | 6.0% | 1,017 | 670 | $15K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.7% | 792 | 514 | $12K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.4% | 294 | 288 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 137 | 132 | $4K |
| 96127 | <1% | 158 | 158 | $415.76 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | 28 | $180.54 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | 12 | $62.51 |
| 82962 | <1% | 20 | 15 | $43.36 | |
| 3079F | <1% | 102 | 93 | $0.01 | |
| 3078F | 0% | 401 | 348 | $0.00 |
12 more codes
| G8482 | Influenza immunization administered or previously received | 0% | 442 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 344 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 136 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 132 | $0.00 |
| 3077F | 0% | 34 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 73 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 250 | $0.00 |
| 1036F | 0% | 1,160 | $0.00 | |
| 3074F | 0% | 379 | $0.00 | |
| 1034F | 0% | 55 | $0.00 | |
| 3017F | 0% | 33 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 16 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialAHMED, HISHAM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Uptown Healthcare Management INC. | New York, NY | $667K |
| Uptown Healthcare Management INC | Bronx, NY | $226K |
| Uptown Healthcare Management, INC. | Bronx, NY | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.