Physician
Zmily, Misbah
Zmily, Misbah was paid $703K by Medicaid between Jan 2018 and Mar 2022, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoZMILY, MISBAH
RATON, NM 87740
RATON, NM 87740
33aNPI1285735332assigned 09/25/2006
33bProvider typeInternal Medicine Physician
28Total paid$703K
24GClaims12,981
24DCodes billed29
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Internal Medicine Physician providers in New Mexico
Rank by total paid#14 of 53
Median peer was paid$93K
This provider vs. median7.5×
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 | 3,267 | $190K | |
| 2019 | 5,615 | $293K | |
| 2020 | 4,078 | $219K | |
| 2022 | 21 | $1K |
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 | 54% | 4,574 | 3,805 | $383K |
| 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 | 15% | 791 | 758 | $104K |
| 99402 | 8.7% | 1,141 | 1,022 | $61K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 776 | 731 | $48K |
| 99401 | 6.3% | 1,430 | 1,269 | $45K | |
| 99407 | 1.8% | 542 | 474 | $13K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 447 | 376 | $8K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 37 | 37 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,735 | 1,601 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 264 | 253 | $4K |
| 99454 | <1% | 207 | 188 | $4K | |
| 99408 | <1% | 129 | 111 | $3K |
17 more codes
| 99497 | <1% | 66 | $3K | |
| 99457 | <1% | 177 | $3K | |
| 99383 | <1% | 18 | $2K | |
| 90756 | <1% | 101 | $2K | |
| 90674 | <1% | 84 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 106 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 101 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 63 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $1K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 12 | $1K |
| 93000 | <1% | 56 | $1K | |
| 83013 | <1% | 14 | $943.04 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 13 | $334.31 |
| 99490 | Ccm add 20min | <1% | 37 | $258.40 |
| 99173 | <1% | 20 | $191.71 | |
| 80305 | <1% | 14 | $153.34 | |
| 83014 | <1% | 14 | $110.04 |
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.