Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Mentor › NPI 1598774762
Physician

Kousa, Haitham

Kousa, Haitham was paid $620K by Medicaid between Jan 2018 and Feb 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 99% of everything it billed.

33Billing provider infoKOUSA, HAITHAM
MENTOR, OH 44060
33aNPI1598774762assigned 08/06/2006
28Total paid$620K
24GClaims12,204
24DCodes billed4
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers

Next to other Internal Medicine Physician providers in Ohio

Rank by total paid#81 of 663
Median peer was paid$17K
This provider vs. median36×

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$5.0K$10K$15K2018201920202021202220232024
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
20182,811$143K
20192,542$128K
20202,700$140K
20212,828$139K
2022921$47K
2023367$22K
2024incomplete35$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 99% 12,107 9,894 $616K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 30 25 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 47 42 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 20 16 $150.84

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.