Medicaid Provider Spending

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

PROHEALTH CLINIC PLLC

NPI: 1134680333 · HAMTRAMCK, MI 48212 · Internal Medicine Physician · NPI assigned 03/29/2019

$1.38M
Total Medicaid Paid
28,993
Total Claims
25,621
Beneficiaries
50
Codes Billed
2019-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFADEL, YASER (CEO)
NPI Enumeration Date03/29/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,968 $59K
2020 2,657 $106K
2021 5,360 $195K
2022 7,510 $350K
2023 6,261 $390K
2024 4,237 $279K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,761 9,040 $607K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,065 4,465 $432K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,855 1,852 $126K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 551 536 $48K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 818 765 $34K
99215 Prolong outpt/office vis 299 286 $30K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 224 224 $26K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 176 171 $16K
86328 550 485 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 850 678 $14K
36415 Collection of venous blood by venipuncture 2,573 2,468 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 171 161 $6K
99443 39 38 $4K
99442 47 46 $3K
99000 632 601 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 199 198 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 211 201 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 29 29 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 525 344 $723.30
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 14 14 $486.85
81002 160 157 $422.29
90756 16 16 $387.80
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 36 35 $346.92
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 43 33 $319.06
99406 15 12 $124.64
96127 42 42 $108.16
83036 Hemoglobin; glycosylated (A1C) 14 13 $88.44
83037 15 15 $88.44
81025 12 12 $78.43
82044 17 17 $67.08
83013 12 12 $50.00
81001 17 17 $39.30
81003 25 25 $29.92
J1885 Injection, ketorolac tromethamine, per 15 mg 12 12 $17.74
1159F 372 344 $0.75
1160F 418 373 $0.66
3077F 49 43 $0.03
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 422 352 $0.00
3079F 71 64 $0.00
3074F 309 250 $0.00
0001F 373 324 $0.00
3075F 21 18 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 179 153 $0.00
3078F 330 271 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 101 93 $0.00
99072 104 103 $0.00
4551F 77 72 $0.00
3725F 112 112 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 18 17 $0.00