Medicaid Provider Spending

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

MANSOUR MERCY MEDICAL CENTER PLLC

NPI: 1699852343 · EASTPOINTE, MI 48021 · Family Medicine Physician · NPI assigned 11/01/2006

$159K
Total Medicaid Paid
4,127
Total Claims
3,786
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMANSOUR, ALAA (PRESADENT)
NPI Enumeration Date11/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 532 $30K
2019 597 $10K
2021 199 $11K
2022 680 $38K
2023 1,197 $47K
2024 922 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,121 1,100 $90K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 735 668 $42K
99222 Initial hospital care, per day, moderate complexity 117 109 $9K
99232 Subsequent hospital care, per day, moderate complexity 173 59 $7K
99239 Hospital discharge day management, more than 30 minutes 79 70 $5K
99496 28 25 $4K
36415 Collection of venous blood by venipuncture 187 178 $554.23
90756 12 12 $350.46
90686 12 12 $217.35
G0008 Administration of influenza virus vaccine 15 15 $212.59
99408 29 29 $140.07
93000 14 14 $123.63
90658 12 12 $113.93
99406 42 40 $91.52
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $77.14
3074F 194 183 $0.01
3075F 19 16 $0.01
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 49 46 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 126 114 $0.00
3078F 134 129 $0.00
1160F 74 72 $0.00
1159F 134 124 $0.00
G0444 Annual depression screening, 5 to 15 minutes 17 15 $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) 40 40 $0.00
1111F 16 15 $0.00
3044F 70 69 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 571 522 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 14 12 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 56 50 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 12 12 $0.00
3079F 13 12 $0.00