A M RAFI PC
NPI: 1255660031
· MONONGAHELA, PA 15063
· Addiction Medicine (Anesthesiology) Physician
· NPI assigned 12/08/2009
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2048 with only 2 total codes billed. Highly concentrated billing profile.
$1.39M
Total Medicaid Paid
Provider Details
| Authorized Official | RAFI, ARIF (OWNER) |
| Parent Organization | A M RAFI PC |
| NPI Enumeration Date | 12/08/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
290 |
$350K |
| 2021 |
870 |
$1.04M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2048 |
Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem |
1,143 |
404 |
$1.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
12 |
$210.00 |