Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Saint Clair Shores › NPI 1114417813
Physician

Mark Alrais MD PC

Mark Alrais MD PC was paid $625K by Medicaid between Nov 2018 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoMARK ALRAIS MD PC
SAINT CLAIR SHORES, MI 48080
33aNPI1114417813assigned 05/17/2018
28Total paid$625K
24GClaims22,195
24DCodes billed43
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#182 of 826
Median peer was paid$98K
This provider vs. median6.4×

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$10K$20K2018201920202021202220232024
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
2018173$4K
20193,769$59K
20203,825$72K
20212,632$115K
20223,182$103K
20234,142$131K
2024incomplete4,472$140K
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 52% 3,734 3,465 $324K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 3,649 3,246 $212K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4.6% 275 273 $29K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.5% 533 240 $22K
99222 Initial hospital care, per day, moderate complexity 2.0% 159 151 $12K
99239 Hospital discharge day management, more than 30 minutes 1.4% 141 135 $8K
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% 36 36 $5K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 35 35 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 26 26 $2K
36415 Collection of venous blood by venipuncture <1% 918 893 $2K
90674 <1% 75 75 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 98 97 $691.25
31 more codes
93000 <1% 51 $444.43
90686 <1% 14 $251.19
97803 <1% 79 $180.00
99058 <1% 31 $110.00
81003 <1% 56 $84.31
99406 <1% 12 $50.59
81000 <1% 15 $36.51
99051 <1% 12 $35.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes <1% 427 $25.00
G0444 Annual depression screening, 5 to 15 minutes <1% 804 $20.50
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 375 $17.00
3078F <1% 1,898 $3.51
3074F <1% 1,810 $3.20
3075F <1% 341 $0.64
3079F <1% 457 $0.60
2000F <1% 738 $0.33
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 975 $0.07
3077F <1% 27 $0.02
3008F <1% 2,392 $0.01
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 464 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 161 $0.00
1036F 0% 372 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 13 $0.00
99000 0% 69 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 378 $0.00
4004F 0% 131 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 0% 154 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 202 $0.00
G0445 High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes 0% 13 $0.00
99401 0% 33 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 12 $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 officialALRAIS, FARAH (OFFICE MANAGER)