Physician
Afzal, Mohammad
Afzal, Mohammad was paid $224K by Medicaid between Jan 2018 and Oct 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoAFZAL, MOHAMMAD
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1245329069assigned 10/12/2006
33bProvider typeInternal Medicine Physician
28Total paid$224K
24GClaims33,210
24DCodes billed38
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#84 of 231
Median peer was paid$77K
This provider vs. median2.9×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,655 | $62K | |
| 2019 | 11,005 | $63K | |
| 2020 | 4,577 | $34K | |
| 2021 | 3,096 | $27K | |
| 2022 | 765 | $20K | |
| 2023 | 2,280 | $11K | |
| 2024incomplete | 832 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 73% | 6,308 | 5,567 | $164K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.6% | 1,925 | 522 | $17K |
| 99223 | Prolong inpt eval add15 m | 5.9% | 467 | 412 | $13K |
| 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 | 4.5% | 241 | 227 | $10K |
| 36415 | Collection of venous blood by venipuncture | 3.9% | 2,300 | 2,058 | $9K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.6% | 35 | 35 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.2% | 208 | 183 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 279 | 239 | $1K |
| 99220 | <1% | 15 | 15 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | 13 | $599.20 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 251 | 239 | $577.02 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 35 | 14 | $362.46 |
26 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 30 | $155.34 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $106.88 |
| 90674 | <1% | 76 | $80.31 | |
| 3045F | <1% | 59 | $40.10 | |
| 1036F | <1% | 3,188 | $20.51 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 92 | $19.33 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 5,698 | $17.49 |
| 3017F | <1% | 493 | $16.13 | |
| 3044F | <1% | 197 | $0.40 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 502 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 820 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 75 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 22 | $0.00 |
| 3014F | 0% | 14 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 17 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 4,815 | $0.00 |
| 4004F | 0% | 2,280 | $0.00 | |
| 4040F | 0% | 423 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 495 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 716 | $0.00 |
| 1124F | 0% | 220 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 477 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 176 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 138 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 76 | $0.00 |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 19 | $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.