MOUSA HAMED, M.D

NPI 1629360953, individual, Parma, OH, Family Medicine

Evidence tier

informational

score 31 of 100, rank 11293, $377K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	MOUSA HAMED, M.D
Type	Individual
Status	Active
NPI issued	May 4, 2011, last updated August 12, 2015
Practice location	1400 W PLEASANT VALLEY RD, Parma, OH 44134-6720, 440-882-6595
Specialties	Family Medicine (207Q00000X, primary, license 35.124059 OH)

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	$339K	37%	$46	$44 (top 5% from $110)	53rd percentile
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$231K	25%	$56	$67 (top 5% from $121)	33rd percentile
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$124K	14%	$67	$60 (top 5% from $133)	58th percentile
87428	Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	$75K	8%	$33	$44 (top 5% from $75)	33rd percentile
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$70K	8%	$84	$95 (top 5% from $171)	36th percentile
87880	Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	$32K	4%	$12	$12 (top 5% from $18)	48th percentile
99051	Medicaid service code	$11K	1%	$12	$6.71 (top 5% from $30)	66th percentile
87426	Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	$4K	0%	$22	$32 (top 5% from $49)	24th percentile

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
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	294	261	$17K	$147	$85	1.7x	2.2x (90th percentile 3.8x)
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	153	153	$10K	$218	$105	2.1x	2.4x (90th percentile 3.9x)
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	112	$10K	$217	$120	1.8x	2.3x (90th percentile 3.8x)
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$9K	$334	$158	2.1x	2.4x (90th percentile 3.9x)
87428	Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	112	108	$8K	$80	$69	1.2x	1.9x (90th percentile 3.1x)
87880	Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	41	39	$664	$33	$16	2.0x	2.6x (90th percentile 4.1x)
71046	X-ray of chest, 2 views	22	21	$539	$60	$31	2.0x	3.6x (90th percentile 8.1x)
81002	Urinalysis, manual test	104	94	$355	$30	$3	8.8x	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

67 providers in Cuyahoga County, OH carry an indicator in the public record, with $78.3M at stake between them. The most common is part of a provider network, on 39 of them, followed by more hours than a day holds on 19. 3 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	EBONY GIBSON Cleveland, OH, ranked 137	$122K	Listed on the OIG exclusion list since November 20, 2022. Medicaid still paid claims in 2 later months, $122,425 in total.
1	MUNA ORRA Westlake, OH, ranked 360	$2K	Adjudicated (sentenced) per a Department of Justice release dated June 15, 2026. Medicaid paid $2,279 in the last 12 observed months.
1	NEESHA HAYNES Cleveland, OH, ranked 601	$0	Adjudicated (sentenced) per a state attorney general release dated February 27, 2026. No Medicaid payments in the last 12 observed months.
3	PEARL'S HOPE, LLC Beachwood, OH, ranked 815	$11.7M	Part of provider network D1-00115, ranked 115 nationally. 65% of Medicaid dollars are on codes with a history of abuse.
3	GREATER CLEVELAND HOME HEALTH CARE INC Beachwood, OH, ranked 839	$1.9M	Part of provider network D1-00098, ranked 98 nationally. 64% of Medicaid dollars are on codes with a history of abuse.
3	MERCY MEDICAL STAFFING, LLC Cleveland, OH, ranked 866	$731K	Part of provider network D1-00066, ranked 66 nationally. 100% of Medicaid dollars are on codes with a history of abuse.
3	MERCY HOME HEALTHCARE SERVICES LLC Cleveland, OH, ranked 868	$712K	Part of provider network D1-00066, ranked 66 nationally. 90% of Medicaid dollars are on codes with a history of abuse.
3	DIAMONDS & PEARLS HEALTH SERVICES LLC Beachwood, OH, ranked 893	$110K	Part of provider network D1-00098, ranked 98 nationally. 61% of Medicaid dollars are on codes with a history of abuse.

All 67 in OH

Recent enforcement in OH

All releases

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

DOJCivil settlementJun 23, 2026

Ohio Dentist Agrees to Pay $500,000 to Resolve Allegations of Submitting False Claims to Medicaid

Meckler billed the Ohio Department of Medicaid for services provided by Ball, who was excluded from the Medicaid program, by listing Meckler as the rendering provider instead of Ball.

DOJSentencedJun 15, 2026

Ohio Doctor Ordered to Pay Nearly $1M for Facilitating Fraud on Medicare

A physician working as an independent contractor for a telemedicine company signed doctor's orders for durable medical equipment braces and genetic testing without meaningfully reviewing patient records or performing required in-person assessments, and those orders were used to bill Medicare more than $1,842,524.

DOJCivil settlementApr 2, 2026

Trinity Hospital Agrees to Pay $1.7M to Resolve Alleged Stark Law Violations

Trinity agreed to pay $1.7 million to resolve allegations that from 2014 through 2020 it made improper financial contributions to two referring physicians through office space rental arrangements that exceeded fair market value, in violation of the Stark Law.

DOJComplaint filedFeb 20, 2026

Justice Department Sues OhioHealth for Anticompetitive Healthcare Contracts That Increase Costs for Ohio Patients

The Justice Department and Ohio Attorney General filed a civil antitrust complaint alleging OhioHealth used its market power to impose contractual restrictions that prevent insurers from offering lower-cost health plans and limit access to price information.

DOJSentencedJan 14, 2026

Ohio Doctor Sentenced to Prison for $14M Healthcare Fraud Scheme

A licensed Ohio physician employed by two Florida telemedicine companies signed pre-completed orders for durable medical equipment and cancer genetic testing, falsely affirming he had examined the patients, causing more than $14.5 million in fraudulent Medicare claims.

Referral packet

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