Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Mckeesport › NPI 1548223431

Demian, Essam

Demian, Essam was paid $32K by Medicaid between Dec 2020 and Dec 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.

33Billing provider infoDEMIAN, ESSAM
MCKEESPORT, PA 15132
33aNPI1548223431assigned 04/11/2006
33bProvider typeSpecialist
28Total paid$32K
24GClaims829
24DCodes billed4
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers

Next to other Specialist providers in Pennsylvania

Rank by total paid#209 of 543
Median peer was paid$16K
This provider vs. median2.0×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
202014$531.45
2021134$6K
2022203$8K
2023270$10K
2024incomplete208$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 93% 777 769 $30K
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 5.3% 27 27 $2K
99238 Hospital discharge day management, 30 minutes or less 1.8% 13 13 $584.23
99173 <1% 12 12 $24.80

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.