ARIEL A. SALAS, M.D.
NPI 1336464007, individual, Philadelphia, PA, Pediatrics
- Hours beyond a day in 2 months, but with up to 109 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99233 ($453 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2021 | More hours than a day holds at a conservative unit price | 10.8 | 38.2 | 25.5 | 37.6 | 109 | 1 | 99233 99238 | $60K |
| Jan 2022 | More hours than a day holds at a conservative unit price | 11.3 | 36.3 | 24.2 | 35.7 | 89 | 1 | 99233 99238 | $60K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ARIEL A. SALAS, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | April 6, 2010, last updated May 13, 2015 |
| Practice location | 3401 CIVIC CENTER BLVD, 9NW63, Philadelphia, PA 19104-4319, 215-590-1220 |
| Specialties | Pediatrics (208000000X, primary, license MT204845 PA) |
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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99472 | Medicaid service code | $1.7M | 36% | $2K | $1K (top 5% from $3K) | 84th percentile | |
| 99479 | Medicaid service code | $994K | 20% | $588 | $347 (top 5% from $691) | 91st percentile | |
| 99469 | Medicaid service code | $924K | 19% | $2K | $1K (top 5% from $2K) | 89th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $770K | 16% | $453 | $96 (top 5% from $249) | 99th percentile | |
| 99468 | Medicaid service code | $211K | 4% | $1K | $815 (top 5% from $1K) | 96th percentile | |
| 99478 | Medicaid service code | $140K | 3% | $715 | too few months to rank | ||
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $46K | 1% | $294 | $81 (top 5% from $170) | 99th percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $45K | 1% | $111 | $48 (top 5% from $80) | 98th percentile |
In this area
18 providers in Philadelphia County, PA carry an indicator in the public record, with $11.6M at stake between them. The most common is more hours than a day holds, on 8 of them, followed by part of a provider network on 6. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | BRETT WILLS Phila, PA, ranked 439 | $148 |
|
| 3 | HOLY REDEEMER HEALTH SYSTEM Philadelphia, PA, ranked 1307 | $155K |
|
| 3 | JEFFHOME PA, LLC. Philadelphia, PA, ranked 1458 | $32K |
|
| 3 | GHODRAT SHOLEVAR Philadelphia, PA, ranked 1736 | $26 |
|
| 3 | PAUL'S RUN Philadelphia, PA, ranked 2909 | $0 |
|
| 3 | HOLY REDEEMER HEALTH SYSTEM Philadelphia, PA, ranked 2948 | $0 |
|
| 3 | HOLY REDEEMER HEALTH SYSTEM Philadelphia, PA, ranked 4893 | $0 |
|
| 3 | SIMPSON HOUSE INC. Philadelphia, PA, ranked 5188 | $0 |
|
Recent enforcement in PA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.