Physician
Sadoughi, Ali
Sadoughi, Ali was paid $3K by Medicaid between Oct 2021 and Oct 2024, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 53% of everything it billed.
33Billing provider infoSADOUGHI, ALI
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
33aNPI1699933879assigned 05/24/2008
33bProvider typePulmonary Disease Physician
28Total paid$3K
24GClaims146
24DCodes billed4
24AFirst – last monthOct 2021 – Oct 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Missouri
Rank by total paid#31 of 35
Median peer was paid$20K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 30 | $837.67 | |
| 2022 | 41 | $1K | |
| 2024incomplete | 75 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 53% | 38 | 38 | $2K |
| 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 | 40% | 42 | 42 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.9% | 15 | 12 | $207.78 |
| 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) | 0% | 51 | 51 | $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.