Ali, Ghousia

Ali, Ghousia was paid $493K by Medicaid between Jan 2018 and Apr 2021, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoALI, GHOUSIA
CHICAGO, IL 60659

33aNPI1518969518assigned 08/10/2005

33bProvider typeAdolescent Medicine (Family Medicine) Physician

28Total paid$493K

24GClaims10,199

24DCodes billed12

24AFirst – last monthJan 2018 – Apr 2021

Compared with peers

Next to other Adolescent Medicine (Family Medicine) Physician providers in Illinois

Rank by total paid#2 of 6

Median peer was paid$107K

This provider vs. median4.6×

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	2,722	$130K
2019	3,962	$178K
2020	3,014	$158K
2021	501	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	47%	5,165	3,827	$233K
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	44%	3,032	2,533	$215K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.8%	118	106	$9K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.6%	505	378	$8K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.4%	81	65	$7K
92551		1.3%	444	341	$7K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.3%	73	64	$6K
99173		<1%	507	377	$4K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	16	12	$1K
90658		<1%	209	167	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	16	12	$1K
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	33	13	$43.51

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.