Tony Makhlouf MD INC

Tony Makhlouf MD INC was paid $131K by Medicaid between May 2018 and Sep 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.

33Billing provider infoTONY MAKHLOUF MD INC
SIMI VALLEY, CA 93065

33aNPI1467995951assigned 12/01/2016

33bProvider typeRheumatology Physician

28Total paid$131K

24GClaims1,658

24DCodes billed5

24AFirst – last monthMay 2018 – Sep 2024

Compared with peers

Next to other Rheumatology Physician providers in California

Rank by total paid#61 of 147

Median peer was paid$43K

This provider vs. median3.0×

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	110	$0.00
2019	210	$15K
2020	169	$15K
2021	257	$26K
2022	262	$27K
2023	297	$29K
2024incomplete	353	$19K

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	93%	1,500	1,435	$122K
96401		4.2%	107	95	$5K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	1.9%	25	24	$3K
99497		<1%	13	13	$776.16
M1177	Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period	0%	13	13	$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 officialMAKHLOUF, TONY (PRESIDENT)