HISHAM ALREFAI, MD
Endocrinology, Diabetes & Metabolism Physician · LOUISVILLE, KY
Individual Active NPI 1811962350
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 616 | 1,498 | $174,800 | $125,869 | $90,717 |
| 2023 | 635 | 1,493 | $191,446 | $146,416 | $104,807 |
| 2022 | 728 | 1,707 | $205,970 | $162,557 | $110,767 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 1,042 | $78 | $56 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 270 | $108 | $78 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 73 | $29 | $22 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 60 | $96 | $72 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 52 | $144 | $102 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ✓ | 37214 | KY |
| Internal Medicine Physician | 207R00000X | 01055359A | IN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.