Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Kamal Fahim, M.D., P.L.C.

Kamal Fahim, M.D., P.L.C. was paid $725K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.

33Billing provider infoKAMAL FAHIM, M.D., P.L.C.
FORT GRATIOT, MI 48059
33aNPI1265720932assigned 07/15/2011
33bProvider typeOphthalmology Physician
28Total paid$725K
24GClaims16,186
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Michigan

Rank by total paid#18 of 106
Median peer was paid$51K
This provider vs. median14×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,837$89K
20192,099$99K
20201,924$88K
20212,161$95K
20222,533$113K
20233,082$126K
2024incomplete2,550$115K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 22% 2,404 2,311 $159K
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 20% 1,676 1,659 $146K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19% 2,223 2,130 $140K
92083 12% 2,586 2,550 $87K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.8% 870 821 $42K
92133 4.4% 1,694 1,668 $32K
92134 4.3% 1,517 1,498 $31K
92250 2.9% 945 937 $21K
S0620 Routine ophthalmological examination including refraction; new patient 2.3% 359 359 $17K
S0621 Routine ophthalmological examination including refraction; established patient 2.1% 326 325 $16K
92340 Fitting of spectacles, except for aphakia; monofocal 1.3% 450 447 $9K
65855 1.0% 56 45 $7K
6 more codes
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 132 $6K
92020 <1% 367 $5K
92015 Determination of refractive state <1% 283 $3K
92341 <1% 73 $2K
76514 <1% 213 $1K
76519 <1% 12 $294.15

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.

From NPPES

Who's on the registration

Authorized officialFAHIM, KAMAL (SOLE MEMBER)