Physician
Makhoul, Mtanious
Makhoul, Mtanious was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
33Billing provider infoMAKHOUL, MTANIOUS
SPRINGFIELD, OH 45505
SPRINGFIELD, OH 45505
33aNPI1326211020assigned 04/02/2008
33bProvider typeFamily Medicine Physician
28Total paid$1.25M
24GClaims21,494
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#57 of 739
Median peer was paid$30K
This provider vs. median42×
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 | 3,665 | $220K | |
| 2019 | 3,795 | $220K | |
| 2020 | 3,647 | $200K | |
| 2021 | 3,185 | $192K | |
| 2022 | 2,752 | $165K | |
| 2023 | 2,586 | $148K | |
| 2024incomplete | 1,864 | $102K |
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 | 67% | 12,507 | 11,339 | $838K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 8,421 | 7,253 | $371K |
| 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 | 1.9% | 274 | 268 | $24K |
| 99223 | Prolong inpt eval add15 m | <1% | 97 | 70 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 167 | 64 | $6K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 13 | 13 | $526.44 |
| 99442 | <1% | 15 | 14 | $345.15 |
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.