Medicaid Provider Spending

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

MICHIGAN PRIMARY CARE CENTER PC

NPI: 1205312428 · DEARBORN HEIGHTS, MI 48127 · Pediatrics Physician · NPI assigned 07/11/2018

$198K
Total Medicaid Paid
7,340
Total Claims
7,112
Beneficiaries
17
Codes Billed
2022-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFADLALLAH, RODWAN (PRESIDENT)
NPI Enumeration Date07/11/2018

Related Entities

Other providers sharing the same authorized official: FADLALLAH, RODWAN

ProviderCityStateTotal Paid
FASTCAREMD URGENT CARE PC DEARBORN HEIGHTS MI $2.74M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,044 $30K
2023 3,557 $102K
2024 2,739 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,533 1,470 $147K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 242 239 $18K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 175 175 $18K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 140 138 $13K
96127 408 402 $1K
3074F 1,244 1,200 $0.28
3078F 877 849 $0.21
3079F 819 797 $0.09
3075F 283 279 $0.02
1160F 51 50 $0.01
1159F 51 50 $0.01
3077F 94 92 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 123 119 $0.00
G8432 Depression screening not documented, reason not given 863 830 $0.00
3080F 26 25 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 386 373 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 25 24 $0.00