ZAHRA HUSSAIN, PMHNP-BC
NPI 1487176053, individual, Leesburg, VA, Nurse Practitioner, Family
- Medicaid dollars per patient on code 90838 ($296 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ZAHRA HUSSAIN, PMHNP-BC |
| Type | Individual |
| Status | Active |
| NPI issued | July 14, 2017, last updated July 3, 2025 |
| Practice location | 224 CORNWALL ST NW, Leesburg, VA 20176-2701, 703-828-7516 |
| Mailing address | 224 CORNWALL ST NW STE 211, Leesburg, VA 20176-2701 |
| Specialties | Nurse Practitioner, Psych/Mental Health (363LP0808X, license 0024175092 VA) Nurse Practitioner, Family (363LF0000X, primary, license 0024175092 VA) |
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 | |
|---|---|---|---|---|---|---|---|
| 90838 | Psychotherapy with evaluation and management visit, 1 hour | $553K | 40% | $296 | $87 (top 5% from $222) | 98th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $360K | 26% | $352 | $191 (top 5% from $442) | 90th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $281K | 20% | $125 | $60 (top 5% from $133) | 94th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $95K | 7% | $160 | $44 (top 5% from $110) | 98th percentile | |
| 90785 | Psychiatric services complicated by communication factor | $32K | 2% | $42 | $15 (top 5% from $35) | 98th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $19K | 1% | $93 | $49 (top 5% from $109) | 91st percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $11K | 1% | $111 | $95 (top 5% from $171) | 65th percentile | |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | $7K | 1% | $7.47 | $6.45 (top 5% from $106) | 54th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 90838 | Psychotherapy with evaluation and management visit, 1 hour | 211 | 15 | $18K | $146 | $110 | 1.3x | 1.8x (90th percentile 3.1x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 92 | 13 | $8K | $143 | $120 | 1.2x | 2.3x (90th percentile 3.8x) |
| 90785 | Psychiatric services complicated by communication factor | 135 | 14 | $1K | $19 | $13 | 1.4x | 2.4x (90th percentile 7.3x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
3 providers in Loudoun County, VA carry an indicator in the public record, with $208K at stake between them. The most common is paid after a public list action, on 1 of them, followed by part of a provider network on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | STONESPRINGS GASTROENTEROLOGY PLLC Dulles, VA, ranked 264 | $14K |
|
| 3 | CCSP NOVA LLC Sterling, VA, ranked 2963 | $0 |
|
| 5 | AMR BEHIRI Ashburn, VA, ranked 11471 | $194K |
Recent enforcement in VA
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.