Ghaffari, Ali

Ghaffari, Ali was paid $220K by Medicaid between Jan 2019 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoGHAFFARI, ALI
CLOVIS, NM 88101

33aNPI1881647352assigned 05/18/2006

33bProvider typeFamily Medicine Physician

28Total paid$220K

24GClaims3,512

24DCodes billed4

24AFirst – last monthJan 2019 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in New Mexico

Rank by total paid#65 of 148

Median peer was paid$167K

This provider vs. median1.3×

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
2019	243	$16K
2020	441	$28K
2021	602	$38K
2022	1,065	$59K
2023	666	$43K
2024incomplete	495	$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	55%	1,664	1,348	$121K
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	42%	913	874	$92K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.8%	28	28	$4K
81002		1.1%	907	876	$3K

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.