Physician
El-Silimy MD LLC
El-Silimy MD LLC was paid $122K by Medicaid between Jan 2018 and Feb 2021, across 17 billing codes. Its largest line is 31231, — 39% of everything it billed.
33Billing provider infoEL-SILIMY MD LLC
CARIBOU, ME 04736
CARIBOU, ME 04736
33aNPI1265764484assigned 02/12/2010
33bProvider typeOtolaryngology Physician
28Total paid$122K
24GClaims9,153
24DCodes billed17
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Otolaryngology Physician providers in Maine
Rank by total paid#1 of 5
Median peer was paid$86K
This provider vs. median1.4×
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 | 5,976 | $41K | |
| 2019 | 1,858 | $31K | |
| 2020 | 1,170 | $39K | |
| 2021 | 149 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 39% | 1,085 | 722 | $48K | |
| 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 | 29% | 1,382 | 923 | $35K |
| 31238 | 14% | 278 | 175 | $17K | |
| 69210 | 5.0% | 1,020 | 710 | $6K | |
| 31237 | 4.2% | 27 | 12 | $5K | |
| 31233 | 2.8% | 56 | 38 | $3K | |
| 92588 | 2.3% | 194 | 129 | $3K | |
| 99205 | Prolong outpt/office vis | 1.7% | 35 | 24 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 91 | 59 | $2K |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | <1% | 83 | 52 | $150.06 |
| 92587 | <1% | 17 | 13 | $4.21 | |
| G9354 | One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis | 0% | 825 | 518 | $0.00 |
5 more codes
| G9287 | Antibiotic regimen not prescribed within 10 days after onset of symptoms | 0% | 762 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 764 | $0.00 |
| G9350 | Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis | 0% | 755 | $0.00 |
| 4132F | 0% | 890 | $0.00 | |
| 4130F | 0% | 889 | $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.
From NPPES
Who's on the registration
Authorized officialEL-SILIMY, OSAMA (PRESIDENT)