Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Lake Forest › NPI 1053405506
Physician

Ali, Mohammed

Ali, Mohammed was paid $198K by Medicaid between Jan 2018 and Oct 2019, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoALI, MOHAMMED
LAKE FOREST, CA 92630
33aNPI1053405506assigned 10/02/2006
28Total paid$198K
24GClaims6,726
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#445 of 2,511
Median peer was paid$13K
This provider vs. median15×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20183,791$94K
20192,935$104K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 43% 2,445 1,627 $85K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 27% 1,075 635 $54K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 2,167 1,400 $49K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.1% 151 119 $2K
99310 Prolong nursin fac eval 15m <1% 333 333 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 32 32 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 33 17 $2K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 21 12 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 74 53 $615.63
90658 <1% 19 19 $416.10
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) <1% 35 35 $261.74
94760 <1% 69 61 $239.48
8 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13 $209.38
92551 <1% 14 $126.00
A4208 Syringe with needle, sterile 3 cc, each <1% 138 $120.88
G0008 Administration of influenza virus vaccine <1% 35 $119.87
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 22 $81.00
99173 <1% 16 $40.64
96151 <1% 12 $17.44
90472 Immunization administration, each additional vaccine (list separately) <1% 22 $3.26

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.