Physician
Al-Qaisi, Anmar
Al-Qaisi, Anmar was paid $1.11M by Medicaid between Jan 2018 and May 2023, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoAL-QAISI, ANMAR
ROCK HILL, NY 12775
ROCK HILL, NY 12775
33aNPI1811278195assigned 08/31/2011
33bProvider typePediatrics Physician
28Total paid$1.11M
24GClaims19,129
24DCodes billed46
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#266 of 1,983
Median peer was paid$17K
This provider vs. median65×
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 | 713 | $41K | |
| 2019 | 2,982 | $167K | |
| 2020 | 3,603 | $190K | |
| 2021 | 5,626 | $306K | |
| 2022 | 5,612 | $354K | |
| 2023 | 593 | $52K |
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 | 27% | 3,299 | 2,970 | $302K |
| 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 | 18% | 1,654 | 1,586 | $202K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,119 | 1,119 | $133K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 11% | 935 | 907 | $117K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 844 | 767 | $94K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 662 | 662 | $77K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.6% | 2,523 | 2,485 | $62K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 297 | 297 | $38K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 483 | 469 | $15K |
| 87634 | 1.1% | 180 | 178 | $12K | |
| 87631 | 1.0% | 82 | 76 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 138 | 132 | $9K |
34 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 176 | $6K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 57 | $4K |
| S9083 | Global fee urgent care centers | <1% | 27 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 256 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 344 | $4K |
| 96127 | <1% | 449 | $3K | |
| 87420 | <1% | 165 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 282 | $2K |
| 87070 | <1% | 199 | $2K | |
| 80061 | Lipid panel | <1% | 134 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 152 | $1K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 57 | $1K |
| 83655 | <1% | 91 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 36 | $469.01 |
| 92551 | <1% | 1,103 | $340.60 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 883 | $247.00 |
| 85018 | <1% | 91 | $215.67 | |
| 82728 | <1% | 12 | $163.56 | |
| 84466 | <1% | 12 | $153.12 | |
| 90716 | <1% | 160 | $138.31 | |
| 90686 | <1% | 707 | $69.92 | |
| 36416 | <1% | 13 | $3.60 | |
| 90633 | 0% | 228 | $0.00 | |
| 90670 | 0% | 483 | $0.00 | |
| 90707 | 0% | 130 | $0.00 | |
| 99173 | 0% | 46 | $0.00 | |
| 96160 | 0% | 54 | $0.00 | |
| 90734 | 0% | 82 | $0.00 | |
| 90685 | 0% | 12 | $0.00 | |
| 90680 | 0% | 113 | $0.00 | |
| 90651 | 0% | 92 | $0.00 | |
| 90698 | 0% | 196 | $0.00 | |
| 90744 | 0% | 56 | $0.00 | |
| 90696 | 0% | 15 | $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.