Rafia Khalil Arthritis & Rheumatology Center PC
Rafia Khalil Arthritis & Rheumatology Center PC was paid $588K by Medicaid between Jan 2018 and Aug 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoRAFIA KHALIL ARTHRITIS & RHEUMATOLOGY CENTER PC
PORT HURON, MI 48060
PORT HURON, MI 48060
33aNPI1720413115assigned 09/04/2013
33bProvider typeSpecialist
28Total paid$588K
24GClaims9,355
24DCodes billed24
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#40 of 181
Median peer was paid$94K
This provider vs. median6.2×
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 | 2,063 | $70K | |
| 2019 | 1,315 | $52K | |
| 2020 | 1,018 | $122K | |
| 2021 | 1,126 | $81K | |
| 2022 | 1,605 | $113K | |
| 2023 | 1,581 | $116K | |
| 2024incomplete | 647 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 3,682 | 3,501 | $206K |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 34% | 109 | 99 | $198K |
| 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 | 15% | 979 | 975 | $85K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 1,001 | 947 | $38K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 3.4% | 563 | 534 | $20K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1.4% | 1,699 | 1,442 | $8K |
| 73110 | <1% | 198 | 135 | $5K | |
| 73130 | <1% | 184 | 124 | $4K | |
| 99442 | <1% | 115 | 110 | $3K | |
| 72170 | <1% | 151 | 149 | $2K | |
| 72050 | <1% | 93 | 93 | $2K | |
| 72110 | <1% | 83 | 82 | $2K |
12 more codes
| 20526 | <1% | 56 | $2K | |
| 73610 | <1% | 79 | $2K | |
| 73630 | <1% | 80 | $2K | |
| 76881 | <1% | 28 | $2K | |
| 76942 | <1% | 61 | $2K | |
| 20611 | <1% | 53 | $1K | |
| 76882 | <1% | 13 | $779.76 | |
| 99441 | <1% | 67 | $648.46 | |
| 73562 | <1% | 20 | $531.75 | |
| 99406 | <1% | 12 | $98.01 | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 14 | $39.62 |
| 96127 | <1% | 15 | $38.78 |
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 officialKHALIL, RAFIA (OWNER/PHYSICIAN)