AWAIS MALIK, M.D.
NPI 1508025594, individual, Bridgeport, CT, Family Medicine
- Hours beyond a day in 2 months, but with up to 2108 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 31.4 | 52.6 | 35.1 | 50.1 | 2108 | 1 | 99202 99203 99204 99212 99213 99214 | $196K |
| Dec 2020 | More hours than a day holds at a conservative unit price | 21.9 | 37.2 | 24.8 | 33.4 | 1516 | 1 | 99203 99204 99212 99213 99214 | $143K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | AWAIS MALIK, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 4, 2008, last updated December 11, 2020 |
| Practice location | 754 CLINTON AVE, Bridgeport, CT 06604-2301, 203-923-2204 |
| Specialties | Family Medicine, Adult Medicine (207QA0505X, license 049851 CT) General Practice (208D00000X, license 049851 CT) Family Medicine (207Q00000X, primary, license 049851 CT) |
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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $2.9M | 49% | $81 | $44 (top 5% from $110) | 89th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.4M | 25% | $96 | $60 (top 5% from $133) | 83rd percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $535K | 9% | $107 | $67 (top 5% from $121) | 91st percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $363K | 6% | $160 | $95 (top 5% from $171) | 92nd percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $151K | 3% | $48 | $28 (top 5% from $147) | 79th percentile | |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $80K | 1% | $34 | $32 (top 5% from $49) | 59th percentile | |
| 99395 | Medicaid service code | $68K | 1% | $120 | $73 (top 5% from $138) | 90th percentile | |
| 99396 | Medicaid service code | $58K | 1% | $125 | $70 (top 5% from $132) | 92nd percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 392 | 134 | $23K | $190 | $92 | 2.1x | 2.2x (90th percentile 3.8x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 213 | 106 | $18K | $200 | $130 | 1.5x | 2.3x (90th percentile 3.8x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 18 | 18 | $2K | $176 | $128 | 1.4x | 2.3x (90th percentile 4.1x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 12 | 12 | $878 | $300 | $171 | 1.8x | 2.4x (90th percentile 3.9x) |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 22 | 18 | $762 | $95 | $35 | 2.7x | 2.8x (90th percentile 4.4x) |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 22 | 18 | $357 | $93 | $16 | 5.7x | 2.5x (90th percentile 3.9x) |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 29 | 29 | $274 | $114 | $15 | 7.8x | 4.2x (90th percentile 7.7x) |
| 81002 | Urinalysis, manual test | 28 | 19 | $95 | $19 | $3 | 5.5x | 3.5x (90th percentile 7.6x) |
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
23 providers in Bridgeport, CT carry an indicator in the public record, with $3.8M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by paid after a public list action on 6. 5 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ANANTHAKUMAR THILLAINATHAN Stratford, CT, ranked 418 | $461 |
|
| 1 | MDCARENOW LLC Stratford, CT, ranked 453 | $45 |
|
| 1 | JEANNIE PASACRETA Newtown, CT, ranked 494 | $0 |
|
| 1 | HELPING HANDS ACADEMY Bridgeport, CT, ranked 606 | $0 |
|
| 1 | HAMED GHORBANI-MOGHADDAM Bridgeport, CT, ranked 617 | $0 |
|
| 3 | SOUTHPORT CENTER FOR NURSING & REHABILITATION, LLC Southport, CT, ranked 1478 | $25K |
|
| 3 | HEWITT HEALTH & REHABILITATION Shelton, CT, ranked 5555 | $0 |
|
| 3 | GARDNER HEIGHTS HEALTH CARE CENTER Shelton, CT, ranked 5752 | $0 |
|
Recent enforcement in CT
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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.