FAIZ MANSOUR, M.D., P.C.

$294K

Total Medicaid Paid

46,219

Total Claims

42,248

Beneficiaries

42

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		3,111	2,839	$127K
99214		2,139	2,015	$123K
99396		181	177	$17K
99212		471	442	$11K
90674		437	432	$8K
96372		304	276	$2K
36415		342	337	$1K
83036		323	317	$969.03
G0008	Admin influenza virus vac	255	248	$905.06
90471		87	87	$848.29
99347		42	39	$804.61
96127		262	260	$730.58
0013A		18	18	$611.79
90661		15	15	$383.26
93000		74	67	$311.94
99406		14	14	$58.46
2000F		6,216	5,504	$4.30
3074F		1,879	1,759	$3.66
3078F		1,490	1,401	$3.36
1126F		4,752	4,311	$2.44
3079F		1,133	1,065	$1.97
3075F		375	358	$0.86
3077F		101	96	$0.30
1125F		908	845	$0.10
G8420	Calc bmi norm parameters	957	869	$0.00
3017F		14	12	$0.00
G8754	Dias bp less 90	2,687	2,378	$0.00
G8510	Scr dep neg, no plan reqd	703	699	$0.00
1036F		2,071	1,953	$0.00
3008F		45	40	$0.00
G8752	Sys bp less 140	2,576	2,308	$0.00
G8427	Docrev cur meds by elig clin	5,882	5,232	$0.00
G8482	Flu immunize order/admin	434	429	$0.00
G8417	Calc bmi abv up param f/u	2,785	2,516	$0.00
G8730	Pain doc pos and plan	630	585	$0.00
4004F		334	304	$0.00
G8731	Pain neg no plan	2,003	1,837	$0.00
G8753	Sys bp > or = 140	27	26	$0.00
G0444	Depression screen annual	62	62	$0.00
1160F		14	14	$0.00
1159F		31	28	$0.00
G8539	Doc funct and care plan	35	34	$0.00

Medicaid Provider Spending