Albana, Fouad

Albana, Fouad was paid $605K by Medicaid between Jan 2018 and Feb 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoALBANA, FOUAD
HOLMDEL, NJ 07733

33aNPI1750326211assigned 06/18/2006

33bProvider typeNephrology Physician

28Total paid$605K

24GClaims18,773

24DCodes billed28

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Nephrology Physician providers in New Jersey

Rank by total paid#11 of 117

Median peer was paid$38K

This provider vs. median16×

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	1,083	$34K
2019	2,121	$88K
2020	3,267	$104K
2021	3,883	$146K
2022	4,938	$138K
2023	3,376	$93K
2024incomplete	105	$2K

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	39%	5,386	4,197	$235K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	4,857	3,693	$164K
99309	Subsequent nursing facility care, per day, low to moderate complexity	6.5%	1,681	1,551	$39K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	5.8%	1,056	430	$35K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	4.1%	454	440	$25K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.5%	730	629	$21K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	2.4%	374	326	$15K
99308	Subsequent nursing facility care, per day, straightforward	1.6%	547	345	$10K
99231	Subsequent hospital care, per day, straightforward or low complexity	1.6%	585	117	$9K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.4%	189	186	$9K
99222	Initial hospital care, per day, moderate complexity	1.4%	276	259	$9K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	34	30	$5K

16 more codes

99203	Doctor's office visit, new patient (routine)	<1%	91	$5K
93000		<1%	299	$4K
99204	Doctor's office visit, new patient (more involved)	<1%	43	$4K
99490	Ccm add 20min	<1%	206	$3K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	53	$2K
36415	Collection of venous blood by venipuncture	<1%	1,413	$2K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	55	$2K
99238	Hospital discharge day management, 30 minutes or less	<1%	106	$2K
90688		<1%	109	$1K
99205	Prolong outpt/office vis	<1%	16	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	69	$781.60
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	40	$768.82
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	23	$532.94
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	40	$300.94
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	29	$231.83
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	12	$71.24

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.