NP / PA
Mohammad Afzal MD Internal Medicine LLC
Mohammad Afzal MD Internal Medicine LLC was paid $118K by Medicaid between Jan 2018 and Nov 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoMOHAMMAD AFZAL MD INTERNAL MEDICINE LLC
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1083805931assigned 08/06/2007
33bProvider typePhysician Assistant
28Total paid$118K
24GClaims25,349
24DCodes billed40
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#115 of 214
Median peer was paid$134K
This provider vs. median0.9×
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 | 596 | $6K | |
| 2019 | 594 | $5K | |
| 2020 | 6,759 | $20K | |
| 2021 | 7,360 | $27K | |
| 2022 | 1,886 | $22K | |
| 2023 | 5,684 | $19K | |
| 2024incomplete | 2,470 | $18K |
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 | 77% | 5,441 | 4,412 | $91K |
| 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 | 7.7% | 298 | 266 | $9K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.7% | 873 | 794 | $6K |
| 36415 | Collection of venous blood by venipuncture | 2.9% | 2,055 | 1,690 | $3K |
| 99307 | 2.4% | 350 | 338 | $3K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.5% | 431 | 249 | $2K |
| 99348 | 1.2% | 46 | 44 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.0% | 16 | 16 | $1K |
| 99326 | <1% | 16 | 12 | $512.96 | |
| 99442 | <1% | 32 | 20 | $351.71 | |
| 3044F | <1% | 360 | 327 | $340.09 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 14 | 13 | $93.82 |
28 more codes
| 90756 | <1% | 86 | $91.16 | |
| 3046F | <1% | 76 | $60.02 | |
| 90674 | <1% | 15 | $48.10 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 2,636 | $0.63 |
| 3017F | <1% | 799 | $0.16 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,031 | $0.00 |
| 1036F | 0% | 1,456 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 750 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 50 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 213 | $0.00 |
| 1123F | 0% | 383 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 13 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 13 | $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) | 0% | 38 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 57 | $0.00 |
| 90653 | 0% | 50 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 804 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 238 | $0.00 |
| 4040F | 0% | 476 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,164 | $0.00 |
| 4004F | 0% | 699 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 38 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 356 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 984 | $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 | 0% | 638 | $0.00 |
| G2089 | Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0% | 0% | 51 | $0.00 |
| 1124F | 0% | 108 | $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) | 0% | 195 | $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 officialSMITH, MELISSA (OFFICE MANAGER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.