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

Khalili, Sam

Khalili, Sam was paid $47K by Medicaid between Feb 2023 and Nov 2024, across 4 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 40% of everything it billed.

33Billing provider infoKHALILI, SAM
MILWAUKEE, WI 53215
33aNPI1487055133assigned 09/12/2014
33bProvider typeOtolaryngology Physician
28Total paid$47K
24GClaims654
24DCodes billed4
24AFirst – last monthFeb 2023 – Nov 2024
Compared with peers

Next to other Otolaryngology Physician providers in Wisconsin

Rank by total paid#2 of 12
Median peer was paid$10K
This provider vs. median4.7×

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
2023101$7K
2024incomplete553$40K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 40% 242 225 $19K
31231 33% 211 193 $16K
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 20% 136 129 $10K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.2% 65 51 $3K

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.