Clinic
Hilal D Elia M.D., P.C
Hilal D Elia M.D., P.C was paid $91K by Medicaid between Jan 2018 and Aug 2019, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoHILAL D ELIA M.D., P.C
DETROIT, MI 48203
DETROIT, MI 48203
33aNPI1770871154assigned 07/19/2011
33bProvider typePrimary Care Clinic/Center
28Total paid$91K
24GClaims3,846
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Primary Care Clinic/Center providers in Michigan
Rank by total paid#70 of 113
Median peer was paid$164K
This provider vs. median0.6×
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 | 2,325 | $57K | |
| 2019 | 1,521 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60% | 1,048 | 974 | $55K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 15% | 160 | 157 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.1% | 239 | 232 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 6.2% | 70 | 70 | $6K |
| 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 | 4.2% | 50 | 47 | $4K |
| 36415 | Collection of venous blood by venipuncture | 2.1% | 784 | 760 | $2K |
| 93000 | 1.4% | 134 | 131 | $1K | |
| 81002 | 1.4% | 629 | 620 | $1K | |
| 99407 | <1% | 46 | 46 | $719.17 | |
| 82962 | <1% | 31 | 25 | $82.75 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 543 | 538 | $0.00 |
| 3725F | 0% | 98 | 98 | $0.00 |
1 more codes
| 1111F | 0% | 14 | $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.
From NPPES
Who's on the registration
Authorized officialELIA, ELHAM (OFFICE MANAGER)