Physician
Carefirst Medical Group
Carefirst Medical Group was paid $365K by Medicaid between Oct 2019 and Jun 2021, across 37 billing codes. Its largest line is 99423, — 30% of everything it billed.
33Billing provider infoCAREFIRST MEDICAL GROUP
DALLAS, TX 75217
DALLAS, TX 75217
33aNPI1699243584assigned 11/08/2018
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$365K
24GClaims12,062
24DCodes billed37
24AFirst – last monthOct 2019 – Jun 2021
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Texas
Rank by total paid#4 of 24
Median peer was paid$6K
This provider vs. median62×
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 | |
|---|---|---|---|
| 2019 | 106 | $512.75 | |
| 2020 | 8,394 | $245K | |
| 2021 | 3,562 | $119K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99423 | 30% | 2,312 | 816 | $110K | |
| 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 | 21% | 2,665 | 2,165 | $77K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 18% | 272 | 70 | $66K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,691 | 1,459 | $40K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 7.0% | 86 | 79 | $26K |
| 95924 | 3.1% | 182 | 163 | $11K | |
| 93923 | 2.5% | 178 | 159 | $9K | |
| 95923 | 2.0% | 177 | 159 | $7K | |
| 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 | 1.3% | 92 | 85 | $5K |
| 99091 | <1% | 16 | 16 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 27 | 27 | $2K |
| 92552 | <1% | 71 | 71 | $2K |
25 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 17 | $1K |
| 95115 | <1% | 177 | $1K | |
| 99385 | <1% | 14 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 90 | $872.63 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $679.93 |
| 93040 | <1% | 240 | $644.66 | |
| 99406 | <1% | 83 | $597.34 | |
| 99442 | <1% | 33 | $539.03 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 43 | $329.28 |
| 81003 | <1% | 45 | $59.07 | |
| 99490 | Ccm add 20min | <1% | 188 | $43.89 |
| 99497 | <1% | 17 | $1.43 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 167 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 450 | $0.00 |
| 99173 | 0% | 68 | $0.00 | |
| 99401 | 0% | 420 | $0.00 | |
| 99051 | 0% | 18 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 426 | $0.00 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 317 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 880 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 448 | $0.00 |
| 90686 | 0% | 31 | $0.00 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 73 | $0.00 |
| 93000 | 0% | 13 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 21 | $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 officialBOGHARA, HARESH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Raghav LLC | Surprise, AZ | $1.46M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.