Physician
Y William Barsoum MD INC
Y William Barsoum MD INC was paid $346K by Medicaid between Jan 2018 and Oct 2024, across 25 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 40% of everything it billed.
33Billing provider infoY WILLIAM BARSOUM MD INC
VISALIA, CA 93277
VISALIA, CA 93277
33aNPI1699057505assigned 09/16/2011
33bProvider typeNephrology Physician
28Total paid$346K
24GClaims17,181
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#103 of 363
Median peer was paid$80K
This provider vs. median4.3×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,713 | $25K | |
| 2019 | 2,263 | $51K | |
| 2020 | 3,883 | $55K | |
| 2021 | 2,763 | $40K | |
| 2022 | 1,807 | $48K | |
| 2023 | 2,778 | $65K | |
| 2024incomplete | 1,974 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 40% | 2,086 | 2,081 | $137K |
| 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 | 37% | 8,053 | 5,961 | $129K |
| 90961 | 9.5% | 843 | 837 | $33K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.6% | 1,685 | 353 | $23K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.0% | 240 | 219 | $14K |
| 99223 | Prolong inpt eval add15 m | 1.2% | 190 | 160 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 263 | 52 | $2K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,436 | 1,144 | $2K |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 496 | 448 | $712.50 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 296 | 267 | $375.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 264 | 248 | $300.00 |
| 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) | <1% | 331 | 265 | $283.05 |
13 more codes
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 147 | $187.50 |
| G8482 | Influenza immunization administered or previously received | <1% | 56 | $112.50 |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 31 | $106.40 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | <1% | 83 | $75.00 |
| 1123F | <1% | 148 | $75.00 | |
| 4040F | <1% | 57 | $37.50 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | <1% | 63 | $37.50 |
| 99457 | <1% | 12 | $19.76 | |
| 3046F | 0% | 123 | $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% | 221 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 15 | $0.00 |
| 3044F | 0% | 13 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 29 | $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 officialBARSOUM, YASSER (OWNER)