Physician
Ghabsha MD PLLC
Ghabsha MD PLLC was paid $137K by Medicaid between Mar 2018 and Oct 2024, across 7 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 38% of everything it billed.
33Billing provider infoGHABSHA MD PLLC
ROCHESTER HILLS, MI 48307
ROCHESTER HILLS, MI 48307
33aNPI1295966141assigned 07/27/2009
33bProvider typePulmonary Disease Physician
28Total paid$137K
24GClaims4,559
24DCodes billed7
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Michigan
Rank by total paid#30 of 63
Median peer was paid$118K
This provider vs. median1.2×
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 | 251 | $10K | |
| 2019 | 437 | $12K | |
| 2020 | 463 | $13K | |
| 2021 | 980 | $24K | |
| 2022 | 950 | $35K | |
| 2023 | 892 | $27K | |
| 2024incomplete | 586 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 38% | 515 | 509 | $52K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 31% | 1,147 | 523 | $43K |
| 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 | 16% | 331 | 320 | $22K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 298 | 166 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 80 | 80 | $4K |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,075 | 1,048 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,113 | 1,085 | $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 officialGHABSHA, AHMAD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Priority Medical Center PLLC | Hamtramck, MI | $2.65M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.