Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › West Covina › NPI 1144325242
Physician

Akram, Mumtaz

Akram, Mumtaz was paid $44K by Medicaid between May 2019 and Oct 2024, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 70% of everything it billed.

33Billing provider infoAKRAM, MUMTAZ
WEST COVINA, CA 91790
33aNPI1144325242assigned 09/13/2006
28Total paid$44K
24GClaims825
24DCodes billed4
24AFirst – last monthMay 2019 – Oct 2024
Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#192 of 363
Median peer was paid$55K
This provider vs. median0.8×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
201913$572.00
202013$286.00
2023451$21K
2024incomplete348$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 70% 594 592 $31K
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 17% 123 123 $7K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 8.1% 14 14 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.0% 94 93 $2K

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.