Medicaid Provider Spending

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

MOHAMMAD AFZAL MD INTERNAL MEDICINE LLC

NPI: 1083805931 · SOMERSET, KY 42503 · Physician Assistant · NPI assigned 08/06/2007

$118K
Total Medicaid Paid
25,349
Total Claims
21,223
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, MELISSA (OFFICE MANAGER)
NPI Enumeration Date08/06/2007

Related Entities

Other providers sharing the same authorized official: SMITH, MELISSA

ProviderCityStateTotal Paid
MELISSA W. SMITH, M.D., LLC SLIDELL LA $221K
NIELSEN TOBLER PLLC COMMERCE TX $129K
VISION COORDINATION SERVICES, INC. CHATTANOOGA TN $60K
PARATUS MEDICAL, INC. LUBBOCK TX $59K
AISTHETIKOS, INC NEWPORT BEACH CA $39K
LIFE IN MOTION LLC LOUISVILLE KY $17K
CAPITOL FOOT & ANKLE, LLC ALEXANDRIA VA $8K
AGE WELL PHYSICAL THERAPY DRESHER PA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 596 $6K
2019 594 $5K
2020 6,759 $20K
2021 7,360 $27K
2022 1,886 $22K
2023 5,684 $19K
2024 2,470 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,441 4,412 $91K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 298 266 $9K
99308 Subsequent nursing facility care, per day, straightforward 873 794 $6K
36415 Collection of venous blood by venipuncture 2,055 1,690 $3K
99307 350 338 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 431 249 $2K
99348 46 44 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 16 16 $1K
99326 16 12 $512.96
99442 32 20 $351.71
3044F 360 327 $340.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 13 $93.82
90756 86 80 $91.16
3046F 76 56 $60.02
90674 15 13 $48.10
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,636 2,091 $0.63
3017F 799 696 $0.16
G8754 Most recent diastolic blood pressure < 90 mmhg 1,031 938 $0.00
1036F 1,456 1,172 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 750 654 $0.00
83036 Hemoglobin; glycosylated (A1C) 50 44 $0.00
G0008 Administration of influenza virus vaccine 213 192 $0.00
1123F 383 333 $0.00
G0009 Administration of pneumococcal vaccine 13 13 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 13 12 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 38 28 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 57 40 $0.00
90653 50 46 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 804 676 $0.00
G8484 Influenza immunization was not administered, reason not given 238 205 $0.00
4040F 476 404 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,164 2,656 $0.00
4004F 699 574 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 38 37 $0.00
G8482 Influenza immunization administered or previously received 356 299 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 984 904 $0.00
G9991 Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 638 593 $0.00
G2089 Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0% 51 43 $0.00
1124F 108 76 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 195 167 $0.00