Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NM › Albuquerque › NPI 1649430802
Physician

Samir K Kassicieh, DO, PC

Samir K Kassicieh, DO, PC was paid $1.67M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoSAMIR K KASSICIEH, DO, PC
ALBUQUERQUE, NM 87105
33aNPI1649430802assigned 06/11/2008
28Total paid$1.67M
24GClaims92,581
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in New Mexico

Rank by total paid#25 of 148
Median peer was paid$167K
This provider vs. median10.0×

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$20K$40K$60K2018201920202021202220232024
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
20184,448$132K
20197,084$93K
202014,645$118K
20219,685$97K
202216,191$206K
202327,502$483K
2024incomplete13,026$537K
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 29% 9,064 8,124 $491K
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 29% 6,141 5,596 $488K
99490 Ccm add 20min 5.9% 3,202 2,921 $99K
99401 5.7% 5,155 4,744 $95K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5.2% 1,050 1,031 $87K
99497 3.8% 1,164 1,134 $63K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3.2% 4,624 3,541 $53K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.2% 376 370 $36K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.1% 420 395 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.9% 889 818 $31K
80305 1.5% 2,986 2,844 $25K
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 1.4% 156 155 $23K
69 more codes
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.2% 626 $20K
36415 Collection of venous blood by venipuncture <1% 2,778 $16K
93922 <1% 325 $14K
99205 Prolong outpt/office vis <1% 70 $13K
95923 <1% 193 $12K
99072 <1% 718 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 574 $8K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 232 $7K
82962 <1% 3,795 $7K
93923 <1% 59 $4K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 100 $3K
99173 <1% 96 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,528 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 19 $2K
99397 <1% 56 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 102 $2K
99406 <1% 126 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,264 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 95 $1K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 230 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 759 $1K
80306 <1% 94 $1K
90688 <1% 103 $928.99
95943 <1% 28 $851.70
J2010 Injection, lincomycin hcl, up to 300 mg <1% 86 $767.82
97014 <1% 70 $721.36
92551 <1% 41 $462.36
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 144 $390.58
81002 <1% 191 $337.69
99000 <1% 160 $324.49
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 12 $302.06
97035 <1% 35 $278.14
90656 <1% 17 $243.48
94760 <1% 160 $144.33
96116 <1% 16 $60.52
82270 <1% 19 $49.44
G0444 Annual depression screening, 5 to 15 minutes <1% 29 $49.08
3017F <1% 6,052 $21.75
4040F <1% 1,468 $3.24
G8484 Influenza immunization was not administered, reason not given <1% 614 $2.40
M1189 Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed <1% 1,633 $0.01
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 2,878 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 1,104 $0.00
3046F 0% 464 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 0% 733 $0.00
G8482 Influenza immunization administered or previously received 0% 2,358 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 7,687 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 829 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 589 $0.00
G9991 Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 0% 77 $0.00
4005F 0% 77 $0.00
M1190 Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) 0% 98 $0.00
3050F 0% 84 $0.00
3051F 0% 109 $0.00
3008F 0% 1,860 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 8,048 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 694 $0.00
1123F 0% 692 $0.00
3048F 0% 735 $0.00
3049F 0% 251 $0.00
3044F 0% 929 $0.00
G8756 No documentation of blood pressure measurement, reason not given 0% 151 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 1,816 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 0% 165 $0.00
3052F 0% 59 $0.00
G0008 Administration of influenza virus vaccine 0% 15 $0.00
1111F 0% 70 $0.00
3061F 0% 26 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 0% 39 $0.00

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.

From NPPES

Who's on the registration

Authorized officialKASSICIEH, SAMIR (OWNER)