Medicaid Provider Spending

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

IBTESAM M RAFEEA M D P C

NPI: 1184067829 · DEARBORN, MI 48126 · Urgent Care Clinic/Center · NPI assigned 04/11/2013

$1.42M
Total Medicaid Paid
40,335
Total Claims
38,220
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAFEEA, IBTESAM (PRESIDENT)
NPI Enumeration Date04/11/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,980 $312K
2019 7,548 $256K
2020 4,771 $145K
2021 5,407 $192K
2022 4,917 $185K
2023 4,455 $146K
2024 5,257 $178K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,279 8,384 $616K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,956 2,738 $248K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,217 1,200 $93K
99401 3,468 3,056 $62K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 698 693 $59K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 708 700 $53K
92283 1,397 1,383 $40K
90472 Immunization administration, each additional vaccine (list separately) 1,334 1,299 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 821 774 $32K
99354 468 427 $31K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,518 3,464 $31K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,411 2,346 $25K
92551 2,757 2,726 $18K
99205 Prolong outpt/office vis 103 102 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,146 1,121 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 97 97 $13K
90460 Immunization administration through 18 years of age via any route, first or only component 628 592 $11K
99402 630 588 $6K
96111 55 53 $4K
92567 325 317 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 21 21 $2K
99406 356 350 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25 24 $2K
99050 330 313 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $482.32
97802 670 660 $260.00
83655 13 12 $151.36
99173 1,915 1,885 $76.18
90686 707 699 $57.64
99000 264 263 $41.01
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 115 111 $6.93
G8420 Bmi is documented within normal parameters and no follow-up plan is required 395 390 $0.08
90651 28 28 $0.00
90716 81 80 $0.00
90744 26 24 $0.00
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes 17 17 $0.00
2000F 91 89 $0.00
90656 38 38 $0.00
90461 73 73 $0.00
90707 55 55 $0.00
90715 27 24 $0.00
90734 56 54 $0.00
99072 698 637 $0.00
G0444 Annual depression screening, 5 to 15 minutes 17 17 $0.00
90700 43 43 $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 33 33 $0.00
99404 80 79 $0.00
90633 55 54 $0.00
90685 16 15 $0.00
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 32 32 $0.00
90713 17 15 $0.00
90658 13 13 $0.00