Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CARO HEALTH PLAZA PLC

NPI: 1659326395 · CARO, MI 48723 · Internal Medicine Physician · NPI assigned 05/23/2006

$465K
Total Medicaid Paid
25,894
Total Claims
24,174
Beneficiaries
74
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialMAHFOOZ, NAVEED (OWNER)
NPI Enumeration Date05/23/2006

Related Entities

Other providers sharing the same authorized official: MAHFOOZ, NAVEED

ProviderCityStateTotal Paid
SHATTUCK FAMILY PHYSICIANS PLLC CARO MI $2.11M
VALLEY URGENT CARE SAGINAW MI $1.38M
COLUMBIAVILLE FAMILY CLINIC PLLC SAGINAW MI $651K
GLADWIN FAMILY CARE PLLC GLADWIN MI $499K
ST. CHARLES FAMILY CLINIC PLLC SAINT CHARLES MI $497K
MOHAMED ALLY HEALTH PLAZA PLLC OTISVILLE MI $418K
PRIMARY HOSPITALIST GROUP PLLC CARO MI $403K
CARO EXPRESS CLINIC PLC FLINT MI $101K
CASS RIVER HEALTH PLAZA PLLC BRIDGEPORT MI $72K
GLADWIN FAMILY CARE PLLC GLADWIN MI $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,723 $49K
2019 1,536 $39K
2020 2,385 $40K
2021 3,132 $72K
2022 4,774 $92K
2023 2,917 $116K
2024 3,427 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,069 3,756 $255K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,224 3,825 $184K
99442 179 167 $9K
99335 86 83 $2K
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 97 97 $2K
99334 222 207 $2K
83992 262 248 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 13 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 228 187 $1K
T1015 Clinic visit/encounter, all-inclusive 28 28 $1K
90756 65 65 $1K
96127 346 338 $805.61
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 64 64 $661.23
99490 Ccm add 20min 93 82 $591.53
90688 36 35 $526.88
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $447.79
90686 32 31 $428.63
99406 34 34 $194.11
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 136 121 $189.81
96160 153 149 $121.20
99497 12 12 $100.94
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 15 14 $15.85
G8420 Bmi is documented within normal parameters and no follow-up plan is required 375 345 $0.45
1034F 41 40 $0.05
1160F 433 404 $0.02
3078F 638 615 $0.01
1159F 215 207 $0.01
3074F 591 568 $0.01
3008F 936 876 $0.01
G8753 Most recent systolic blood pressure >= 140 mmhg 73 73 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,741 1,609 $0.00
80325 176 170 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 913 861 $0.00
80346 263 249 $0.00
80360 261 247 $0.00
80372 130 127 $0.00
80354 215 204 $0.00
G8482 Influenza immunization administered or previously received 118 116 $0.00
80356 263 249 $0.00
80355 261 247 $0.00
80373 215 204 $0.00
80348 261 247 $0.00
80369 262 248 $0.00
80365 262 248 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 24 23 $0.00
3077F 65 64 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 215 204 $0.00
G0444 Annual depression screening, 5 to 15 minutes 23 21 $0.00
80366 130 127 $0.00
80323 246 233 $0.00
80361 262 248 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,907 1,762 $0.00
80353 262 248 $0.00
3044F 257 239 $0.00
80350 131 122 $0.00
80368 261 247 $0.00
3075F 237 236 $0.00
1125F 244 221 $0.00
80357 261 247 $0.00
1126F 200 191 $0.00
80359 262 248 $0.00
80358 261 247 $0.00
80371 131 122 $0.00
3080F 26 26 $0.00
3079F 212 209 $0.00
80363 259 245 $0.00
80324 82 74 $0.00
80349 218 207 $0.00
94760 187 179 $0.00
1036F 56 55 $0.00
80367 130 127 $0.00
80345 262 248 $0.00
G0008 Administration of influenza virus vaccine 15 15 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 18 16 $0.00