Physician
Adnan M Rafiq MD PA
Adnan M Rafiq MD PA was paid $34K by Medicaid between Apr 2019 and Oct 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.
33Billing provider infoADNAN M RAFIQ MD PA
HOUSTON, TX 77089
HOUSTON, TX 77089
33aNPI1285176263assigned 11/08/2016
33bProvider typeInternal Medicine Physician
28Total paid$34K
24GClaims6,882
24DCodes billed27
24AFirst – last monthApr 2019 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#353 of 1,028
Median peer was paid$10K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2019 | 58 | $302.63 | |
| 2020 | 312 | $3K | |
| 2021 | 1,828 | $10K | |
| 2022 | 1,792 | $10K | |
| 2023 | 2,787 | $8K | |
| 2024incomplete | 105 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 94% | 1,049 | 896 | $32K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 62 | 52 | $1K |
| 99442 | 1.5% | 63 | 27 | $500.71 | |
| 99457 | <1% | 40 | 40 | $154.83 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 928 | 709 | $0.00 |
| 1159F | 0% | 189 | 166 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 257 | 229 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,047 | 778 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 315 | 278 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 59 | 53 | $0.00 |
| 3078F | 0% | 126 | 107 | $0.00 | |
| 4004F | 0% | 182 | 158 | $0.00 |
15 more codes
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 48 | $0.00 |
| 2000F | 0% | 228 | $0.00 | |
| G2197 | Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user | 0% | 71 | $0.00 |
| 3008F | 0% | 191 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,094 | $0.00 |
| 2010F | 0% | 160 | $0.00 | |
| 1111F | 0% | 13 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 157 | $0.00 |
| 1036F | 0% | 248 | $0.00 | |
| 2001F | 0% | 159 | $0.00 | |
| 3074F | 0% | 97 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 12 | $0.00 |
| 1125F | 0% | 13 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 56 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 18 | $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 officialRAFIQ, ADNAN (OWNER)