MUSTANSAR RAZA, M.D.

NPI 1326441072, individual, Hoffman Estates, IL, Psychiatry & Neurology, Child & Adolescent Psychiatry

Evidence tier

informational

Medicaid dollars per patient on code 90833 ($247 per patient-month) sit in the top 5% of every provider billing that code.

score 34 of 100, rank 10430, $136K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	MUSTANSAR RAZA, M.D.
Type	Individual, sole proprietor
Status	Active
NPI issued	October 8, 2014, last updated October 12, 2018
Practice location	1786 MOON LAKE BLVD STE 104, Hoffman Estates, IL 60169-1016, 847-755-8090
Specialties	Psychiatry & Neurology, Psychiatry (2084P0800X, license 036147264 IL) Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, primary, license 036147264 IL)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
90833	Psychotherapy with evaluation and management visit, 30 minutes	$323K	55%	$247	$49 (top 5% from $109)	100th percentile
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	$222K	38%	$178	$96 (top 5% from $249)	86th percentile
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	$36K	6%	$125	$81 (top 5% from $170)	83rd percentile
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$7K	1%	$510	$60 (top 5% from $133)	too few months to rank
99239	Hospital discharge day management, more than 30 minutes	$1K	0%	$96	$49 (top 5% from $101)	too few months to rank

In this area

226 providers in Cook County, IL carry an indicator in the public record, with $140.7M at stake between them. The most common is part of a provider network, on 112 of them, followed by more hours than a day holds on 91. 17 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	FA 1ST SOLUTIONS Chicago, IL, ranked 21	$43K	Listed on the Medicare revocation list since March 1, 2024. Medicaid still paid claims in 7 later months, $42,753 in total. and 1 more
1	HISHAM SADEK Chicago, IL, ranked 51	$2.0M	Listed on the IN Medicaid exclusion list since July 15, 2015. Medicaid still paid claims in 54 later months, $2,029,469 in total.
1	RAPID HEALTHCARE LABORATORY LLC Elgin, IL, ranked 94	$369K	Listed on the Medicare revocation list since June 4, 2024. Medicaid still paid claims in 1 later month, $368,928 in total.
1	GORDON DENTAL ASSOCIATES, LTD. Olympia Fields, IL, ranked 98	$323K	Listed on the KY Medicaid exclusion list since February 17, 2021. Medicaid still paid claims in 35 later months, $323,243 in total.
1	TAMMY DOBBIN Chicago, IL, ranked 134	$127K	Listed on the Medicare revocation list since November 9, 2021. Medicaid still paid claims in 13 later months, $126,624 in total.
1	KENNETH PELEHAC Oak Lawn, IL, ranked 294	$9K	Listed on the Medicare revocation list since May 13, 2022. Medicaid still paid claims in 1 later month, $8,894 in total.
1	MASTURA ZALWANGO Skokie, IL, ranked 302	$8K	Listed on the Medicare revocation list since September 3, 2022. Medicaid still paid claims in 5 later months, $7,805 in total.
1	WESTERN LABS COMPANY Chicago, IL, ranked 311	$6K	Listed on the Medicare revocation list since February 23, 2023. Medicaid still paid claims in 3 later months, $6,276 in total.

All 226 in IL

Recent enforcement in IL

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJChargedJun 23, 2026

United States Attorney Andrew S. Boutros Announces Charges Against Two Chicago-Area Defendants as Part of Department of Justice’s National Healthcare Fraud Takedown

Two Chicago-area defendants were charged, one for selling Medicare beneficiary information and providing fake AI-generated consent recordings so laboratories could bill Medicare for over-the-counter Covid-19 test kits that were never requested or provided, and the other for directing the creation of fake medical records and billing Illinois Medicaid for behavioral health counseling and therapy services that were never provided, including for deceased beneficiaries.

DOJConvictedJun 18, 2026

Suburban Chicago Chiropractor Convicted of Healthcare Fraud

A chiropractor submitted fraudulent claims to Blue Cross Blue Shield of Illinois for health care services that were not actually provided and submitted false patient medical records when the insurer attempted to audit the claims.

DOJSentencedJun 10, 2026

Jacksonville Chiropractor Sentenced to a Year in Prison for Healthcare Fraud and Related Offenses

Rondeau submitted more than 2,000 fraudulent claims to health insurance companies and convinced clients to sign false documents after learning he was under investigation.

DOJCivil settlementMay 8, 2026

Three Affiliated Skilled Nursing Facilities to Pay $300,000 to Resolve False Claims Act Allegations Related to Medically Unnecessary Rehabilitation Services

Three affiliated skilled nursing facilities billed Medicare between Jan. 1, 2014, and Sept. 30, 2019, for physical therapy, occupational therapy, and speech pathology services provided to patients for longer than medically necessary and without regard for patients' individual medical needs, resulting in claims based on inflated RUG levels.

DOJIndictedFeb 12, 2026

Two Foreign Nationals Indicted in Chicago as Part of $10 Million Health Care Fraud Scheme

The indictment alleges the defendants used nominee-owned laboratories and durable medical equipment providers to submit fraudulent claims to Medicare and private health care benefit programs for items and services that were not provided, and laundered and transferred proceeds to Pakistan.

Referral packet

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