WAKE FOREST INTERNAL MEDICINE AND PRIMARY CARE

NPI: 1568433282 · WAKE FOREST, NC 27587 · Internal Medicine Physician · NPI assigned 01/30/2006

$6K

Total Medicaid Paid

125

Total Claims

108

Beneficiaries

Codes Billed

2018-01

First Month

2019-04

Last Month

Provider Details

Authorized Official	KHAN, MOHAMMAD (PRESIDENT)
NPI Enumeration Date	01/30/2006

Other providers sharing the same authorized official: KHAN, MOHAMMAD

Provider	City	State	Total Paid
INDEPENDENT PHYSICIANS OF WISCONSIN, LLC	MILWAUKEE	WI	$6.90M
ADVANCED CARE GASTROENTEROLOGY, P.C	PHOENIX	AZ	$680K
ADULT CHILD & ADOLESCENT PSYCHIATRIC SERVICES PA	PLANO	TX	$391K
GREATER HOUSTON INFECTIOUS DISEASES CENTER PA	KINGWOOD	TX	$324K
CHANDLER NEUROLOGY & SLEEP DISORDERS ASSOCIATES PC	CHANDLER	AZ	$315K
SHAHID MALIK MD PC	CHULA VISTA	CA	$255K
KHAN PEDIATRICS INC	ELKTON	MD	$161K
AMBULATORY ANESTHESIA LLC	PHOENIX	AZ	$127K
YUSRA MEDICAL ASSOCIATES P.A.	CELEBRATION	FL	$68K
HEART HEALTH CENTER OF NORTH TEXAS PA	MESQUITE	TX	$1K

Year	Claims	Total Paid
2018	65	$2K
2019	60	$4K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	98	83	$6K
36415	Collection of venous blood by venipuncture	14	13	$13.85
99000		13	12	$0.00