Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Abelardo G Contreras MD PC

Abelardo G Contreras MD PC was paid $82K by Medicaid between Jan 2018 and Jul 2024, across 5 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 70% of everything it billed.

33Billing provider infoABELARDO G CONTRERAS MD PC
WARREN, MI 48092
33aNPI1417115809assigned 06/02/2008
33bProvider typeNeurology Physician
28Total paid$82K
24GClaims995
24DCodes billed5
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other Neurology Physician providers in Michigan

Rank by total paid#38 of 78
Median peer was paid$69K
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018296$28K
2019247$18K
202054$3K
202171$6K
202294$10K
2023123$9K
2024incomplete110$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 70% 543 538 $57K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 14% 285 168 $11K
99222 Initial hospital care, per day, moderate complexity 13% 134 133 $11K
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 1.5% 21 21 $1K
99205 Prolong outpt/office vis 1.5% 12 12 $1K

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 officialCONTRERAS, ABELARDO (PRESIDENT)