Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › San Juan Capistrano › NPI 1841389814
Physician

Fahim, Ashraf

Fahim, Ashraf was paid $4.71M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoFAHIM, ASHRAF
SAN JUAN CAPISTRANO, CA 92675
33aNPI1841389814assigned 10/11/2006
33bProvider typePediatrics Physician
28Total paid$4.71M
24GClaims248,789
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#32 of 1,490
Median peer was paid$15K
This provider vs. median314×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201817,127$277K
201935,629$720K
202037,692$779K
202137,154$764K
202249,651$971K
202339,153$725K
2024incomplete32,383$472K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 42,688 33,927 $1.60M
96156 16% 10,550 10,333 $734K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.3% 7,716 7,523 $439K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8.5% 5,816 5,698 $398K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.2% 4,995 4,770 $244K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.0% 12,855 10,341 $236K
92551 4.0% 15,094 14,964 $188K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.7% 2,548 2,297 $126K
96151 2.6% 5,820 5,597 $124K
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 2.3% 2,550 1,951 $106K
G9920 Screening performed and negative 2.0% 13,695 13,511 $94K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.8% 1,905 1,295 $83K
48 more codes
90686 <1% 5,168 $46K
85018 <1% 17,615 $34K
81000 <1% 10,713 $25K
90651 <1% 2,416 $20K
97802 <1% 8,518 $17K
90670 <1% 1,805 $16K
90698 <1% 1,768 $15K
99460 <1% 225 $15K
99406 <1% 14,925 $14K
90710 <1% 1,564 $13K
90633 <1% 1,536 $13K
90620 <1% 1,513 $13K
90734 <1% 1,400 $12K
90715 <1% 1,336 $11K
90680 <1% 1,210 $10K
90674 <1% 998 $9K
90744 <1% 904 $8K
90696 <1% 816 $7K
99203 Doctor's office visit, new patient (routine) <1% 113 $7K
90619 <1% 809 $6K
99381 <1% 97 $5K
96150 <1% 213 $5K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 5,288 $4K
90688 <1% 366 $3K
90697 <1% 416 $3K
90671 <1% 562 $3K
86580 <1% 455 $2K
99383 <1% 15 $990.22
99382 <1% 16 $972.80
99239 Hospital discharge day management, more than 30 minutes <1% 24 $856.39
90661 <1% 329 $783.00
90685 <1% 56 $504.00
90707 <1% 32 $288.00
90716 <1% 31 $279.00
99463 <1% 14 $150.00
90713 <1% 13 $117.00
G9919 Screening performed and positive and provision of recommendations <1% 25 $90.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 125 $74.00
81002 <1% 243 $61.29
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 13 $32.20
99173 <1% 10,847 $2.30
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 0% 15 $0.00
0071A 0% 20 $0.00
17110 0% 51 $0.00
99421 0% 81 $0.00
99050 0% 27,569 $0.00
99422 0% 266 $0.00
91307 0% 23 $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.