Providers
All 13 in NY
MUHAMMAD NAEEM, MD
NPI 1568431179, individual, Yonkers, NY, Internal Medicine
5
Evidence tier
informational
- Medicaid dollars per patient on code 99308 ($90 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10315, $393K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MUHAMMAD NAEEM, MD |
| Type | Individual |
| Status | Active |
| NPI issued | March 16, 2006, last updated August 14, 2024 |
| Practice location | 530 YONKERS AVE, Yonkers, NY 10704-2874, 914-237-7031 |
| Mailing address | PO BOX 157H, Scarsdale, NY 10583-8657 |
| Specialties | Internal Medicine (207R00000X, primary, license 209347-1 NY) |
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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $373K | 36% | $74 | $44 (top 5% from $110) | 85th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $367K | 35% | $103 | $60 (top 5% from $133) | 87th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $150K | 14% | $90 | $14 (top 5% from $58) | 98th percentile | |
| 99396 | Medicaid service code | $62K | 6% | $92 | $70 (top 5% from $132) | 70th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $33K | 3% | $35 | $21 (top 5% from $84) | 76th percentile | |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $14K | 1% | $13 | $11 (top 5% from $25) | 71st percentile | |
| 99395 | Medicaid service code | $10K | 1% | $88 | $73 (top 5% from $138) | 68th percentile | |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | $10K | 1% | $140 | $36 (top 5% from $193) | too few months to rank |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 3,138 | 203 | $187K | $114 | $77 | 1.5x | 2.0x (90th percentile 3.4x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 741 | 160 | $63K | $183 | $112 | 1.6x | 2.0x (90th percentile 3.3x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 628 | 265 | $57K | $165 | $137 | 1.2x | 2.3x (90th percentile 3.8x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 478 | 201 | $32K | $116 | $97 | 1.2x | 2.2x (90th percentile 3.8x) |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 165 | 98 | $24K | $232 | $188 | 1.2x | 1.9x (90th percentile 3.1x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 173 | 173 | $23K | $162 | $134 | 1.2x | 2.3x (90th percentile 4.1x) |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 27 | 25 | $4K | $243 | $204 | 1.2x | 3.8x (90th percentile 9.5x) |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 34 | 31 | $3K | $121 | $92 | 1.3x | 2.1x (90th percentile 3.7x) |
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
13 providers in Westchester County, NY carry an indicator in the public record, with $39.1M at stake between them. The most common is more hours than a day holds, on 11 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | HEALING THERAPEUTICS PHYSICAL THERAPY PLLC Port Chester, NY, ranked 356 | $3K |
|
| 3 | PREFERRED CERTIFIED, LLC Mount Vernon, NY, ranked 3864 | $0 |
|
| 4 | MARY DIDIE Valhalla, NY, ranked 7343 | $29.2M |
|
| 4 | CHRISTINA RAWLS-DOLIN Mount Vernon, NY, ranked 7513 | $37K |
|
| 4 | DANIEL KUSHNER White Plains, NY, ranked 8577 | $2.9M |
|
| 4 | ROBERT SAMANIEGO Rye, NY, ranked 9337 | $317K |
|
| 4 | SURINDER PAL Ardsley, NY, ranked 9477 | $192K |
|
| 5 | CAMERON BUDENZ Tarrytown, NY, ranked 10044 | $1.4M |
|
Recent enforcement in NY
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedAug 20, 2026
Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme
Members of a Bronx-based racketeering organization known as the "War Room" fabricated ride data for methadone clinic transportation using a GPS spoofing application, paid Medicaid patients kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in claims to Medicaid, and laundered the proceeds.
DOJIndictedAug 20, 2026
Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme
Four members of a Bronx racketeering organization known as the "War Room" fabricated medical transportation ride data using a ride-tracking app and GPS spoofing, paid Medicaid patients at methadone clinics kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in Medicaid claims, and laundered the proceeds.
DOJCivil settlementAug 17, 2026
Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegations
The United States alleged that Safire submitted false claims to Medicare and Medicaid for skilled rehabilitative therapy services that were not reasonable or necessary, not supported by medical records, not documented as provided, or not provided at all, including by scheduling therapy based on insurer reimbursement policies, pressuring therapists and residents, and manufacturing or altering therapy referrals and medical records.
DOJSentencedJul 21, 2026
Owner of Long Island Ambulette Services Company Sentenced to Prison for Multimillion Dollar Healthcare Fraud Scheme
Arshad and co-conspirators paid kickbacks to Medicaid beneficiaries to order transportation through his companies and billed Medicaid over $19 million for medical transportation rides that were not provided, including for individuals who were deceased, hospitalized or incarcerated, and inflated reimbursements with false pickup addresses and distant treatment centers.
DOJIndictedJul 2, 2026
Two Defendants Charged with Multi-Million Dollar Health Care Fraud Scheme
The defendants, who owned and operated Tri-Hamlet Taxi Inc., allegedly paid kickbacks to Medicaid beneficiaries and submitted more than $35 million in claims to Medicaid for ambulette trips that were not provided or whose costs were inflated by using false pickup or drop-off addresses.
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.