Medicaid Provider Spending

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

OPTIMUM PRIMARY CARE LLC

NPI: 1073748216 · HAMMOND, IN 46324 · Internal Medicine Physician · NPI assigned 05/18/2009

$72K
Total Medicaid Paid
1,929
Total Claims
1,434
Beneficiaries
6
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialREHEEM-FARAG, KHALED (PRESIDENT)
NPI Enumeration Date05/18/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 131 $684.25
2019 287 $7K
2020 228 $8K
2021 115 $7K
2022 477 $14K
2023 335 $17K
2024 356 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,201 882 $63K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 389 286 $9K
82962 256 200 $221.29
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 37 27 $139.81
93000 13 13 $130.21
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 33 26 $24.10