Clinic
Mai Pham, MD PS
Mai Pham, MD PS was paid $49K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 93990, — 70% of everything it billed.
33Billing provider infoMAI PHAM, MD PS
EDMONDS, WA 98026
EDMONDS, WA 98026
33aNPI1457694127assigned 04/01/2013
33bProvider typeClinic/Center
28Total paid$49K
24GClaims4,719
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Washington
Rank by total paid#73 of 113
Median peer was paid$110K
This provider vs. median0.4×
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 | 507 | $5K | |
| 2019 | 1,180 | $7K | |
| 2020 | 542 | $8K | |
| 2021 | 947 | $10K | |
| 2022 | 738 | $9K | |
| 2023 | 506 | $7K | |
| 2024incomplete | 299 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93990 | 70% | 1,711 | 1,677 | $34K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 1,611 | 1,562 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 112 | 108 | $657.23 |
| 93922 | <1% | 38 | 38 | $203.12 | |
| 93925 | <1% | 13 | 13 | $152.69 | |
| 76937 | <1% | 22 | 13 | $19.08 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 162 | 157 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 106 | 103 | $0.00 |
| G9231 | Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period | 0% | 91 | 87 | $0.00 |
| 1123F | 0% | 153 | 148 | $0.00 | |
| 1036F | 0% | 97 | 94 | $0.00 | |
| 1101F | 0% | 60 | 57 | $0.00 |
6 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 202 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 84 | $0.00 |
| 4040F | 0% | 148 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 55 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 13 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 41 | $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 officialPHAM, MAI (VASCULAR SURGEON)
| Provider | Location | Paid |
|---|---|---|
| Pham D.M.D. Dental Corporation | Santa Ana, CA | $950K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.