NP / PA
Hisham a Alrefai MD PSC
Hisham a Alrefai MD PSC was paid $830K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoHISHAM A ALREFAI MD PSC
LOUISVILLE, KY 40241
LOUISVILLE, KY 40241
33aNPI1285037812assigned 09/26/2014
33bProvider typeFamily Nurse Practitioner
28Total paid$830K
24GClaims22,820
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#23 of 424
Median peer was paid$19K
This provider vs. median44×
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 | 3,295 | $115K | |
| 2019 | 3,515 | $140K | |
| 2020 | 4,977 | $156K | |
| 2021 | 3,827 | $141K | |
| 2022 | 2,886 | $105K | |
| 2023 | 2,550 | $105K | |
| 2024incomplete | 1,770 | $69K |
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 | 48% | 14,624 | 12,639 | $400K |
| 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 | 35% | 6,782 | 5,876 | $287K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 14% | 1,047 | 958 | $116K |
| 99243 | 3.2% | 338 | 315 | $26K | |
| 95251 | <1% | 14 | 14 | $241.24 | |
| 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 | <1% | 15 | 12 | $112.27 |
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 officialALREFAI, HISHAM (OWNER)