WISSAM KHOURY DPM LLC
NPI: 1295064343
· CLEVELAND, OH 44115
· Podiatrist
· NPI assigned 12/21/2009
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | KHOURY, WISSAM (OWNER) |
| NPI Enumeration Date | 12/21/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,416 |
$30K |
| 2019 |
1,178 |
$25K |
| 2020 |
761 |
$16K |
| 2021 |
687 |
$15K |
| 2022 |
745 |
$16K |
| 2023 |
351 |
$8K |
| 2024 |
261 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,649 |
2,994 |
$89K |
| 11721 |
|
1,616 |
1,507 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
122 |
$5K |