Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIMARY HOSPITALIST GROUP PLLC

NPI: 1942752845 · CARO, MI 48723 · Pain Medicine Physician · NPI assigned 10/27/2016

$403K
Total Medicaid Paid
11,226
Total Claims
5,890
Beneficiaries
13
Codes Billed
2018-01
First Month
2020-04
Last Month

Provider Details

Authorized OfficialMAHFOOZ, NAVEED (OWNER)
NPI Enumeration Date10/27/2016

Related Entities

Other providers sharing the same authorized official: MAHFOOZ, NAVEED

ProviderCityStateTotal Paid
SHATTUCK FAMILY PHYSICIANS PLLC CARO MI $2.11M
VALLEY URGENT CARE SAGINAW MI $1.38M
COLUMBIAVILLE FAMILY CLINIC PLLC SAGINAW MI $651K
GLADWIN FAMILY CARE PLLC GLADWIN MI $499K
ST. CHARLES FAMILY CLINIC PLLC SAINT CHARLES MI $497K
CARO HEALTH PLAZA PLC CARO MI $465K
MOHAMED ALLY HEALTH PLAZA PLLC OTISVILLE MI $418K
CARO EXPRESS CLINIC PLC FLINT MI $101K
CASS RIVER HEALTH PLAZA PLLC BRIDGEPORT MI $72K
GLADWIN FAMILY CARE PLLC GLADWIN MI $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,424 $177K
2019 5,055 $188K
2020 747 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 3,783 797 $180K
99223 Prolong inpt eval add15 m 1,053 871 $88K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,330 1,306 $47K
99239 Hospital discharge day management, more than 30 minutes 945 766 $41K
99308 Subsequent nursing facility care, per day, straightforward 1,245 739 $20K
99306 Prolong nursin fac eval 15m 125 114 $8K
99334 352 203 $5K
99310 Prolong nursin fac eval 15m 143 108 $5K
99335 174 132 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 982 771 $4K
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 39 38 $780.94
99336 23 16 $416.06
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 32 29 $320.57