AMEEN ALSHAREEF, MD
NPI 1821301086, individual, El Centro, CA, Pediatrics
- Hours beyond a day in 12 months, but with up to 2096 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 96110 ($77 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 |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 25.3 | 23.1 | 15.4 | 20.8 | 1983 | 1 | 97802 99204 99211 99213 99214 99222 99232 99233 99238 | $76K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 27.9 | 24.0 | 16.0 | 21.8 | 2042 | 1 | 97802 99203 99204 99211 99213 99214 99222 99232 99238 | $84K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 28.3 | 23.8 | 15.8 | 23.4 | 2086 | 1 | 97802 99203 99204 99211 99213 99214 99222 99232 99238 | $85K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 30.0 | 22.8 | 15.2 | 20.7 | 2096 | 1 | 97802 99203 99204 99211 99213 99214 99222 99232 99238 | $81K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 26.1 | 21.9 | 14.6 | 20.6 | 1986 | 1 | 97802 99204 99211 99213 99214 99222 99232 99238 | $78K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 26.9 | 19.2 | 12.8 | 18.0 | 1985 | 1 | 97802 99203 99211 99213 99214 99222 99232 99233 99238 | $78K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 27.6 | 20.1 | 13.4 | 18.8 | 1883 | 1 | 97802 99211 99213 99214 99222 99232 99233 99238 | $74K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 25.3 | 18.3 | 12.2 | 16.4 | 2038 | 1 | 97802 99203 99211 99213 99214 99222 99232 99238 | $76K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 27.1 | 19.8 | 13.2 | 18.8 | 1904 | 1 | 97802 99204 99211 99213 99214 99222 99232 99238 | $79K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 27.7 | 19.7 | 13.1 | 18.5 | 1985 | 1 | 97802 99211 99213 99214 99222 99232 99238 | $82K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 24.6 | 18.2 | 12.1 | 16.6 | 1739 | 1 | 97802 99211 99213 99214 99222 99232 99238 | $73K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 26.3 | 19.1 | 12.7 | 18.8 | 1777 | 1 | 97802 99211 99213 99214 99222 99232 99238 | $79K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | AMEEN ALSHAREEF, MD |
| Type | Individual |
| Status | Active |
| NPI issued | July 16, 2010, last updated August 29, 2024 |
| Practice location | 1446 W. PICO AVE, SUITE 1, El Centro, CA 92243, 714-767-5659 |
| Mailing address | 1503 N IMPERIAL AVE, SUITE 204, EL Centro, CA 92243-6301 |
| Specialties | Pediatrics (208000000X, primary, license A123164 CA) |
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 | $2.7M | 18% | $62 | $44 (top 5% from $110) | 74th percentile | |
| T1015 | Medicaid service code | $1.9M | 13% | $232 | $182 (top 5% from $488) | 69th percentile | |
| 96110 | Medicaid service code | $1.7M | 11% | $77 | $10 (top 5% from $38) | 98th percentile | |
| 99392 | Medicaid service code | $901K | 6% | $61 | $78 (top 5% from $124) | 31st percentile | |
| 99391 | Medicaid service code | $803K | 5% | $74 | $76 (top 5% from $126) | 46th percentile | |
| 97802 | Therapy procedure for nutrition management, each 15 minutes | $736K | 5% | $30 | $3.93 (top 5% from $105) | 79th percentile | |
| 99393 | Medicaid service code | $408K | 3% | $68 | $78 (top 5% from $121) | 38th percentile | |
| G9920 | Medicaid service code | $406K | 3% | $31 | $0.17 (top 5% from $29) | 96th percentile |
In this area
14 providers in Imperial County, CA carry an indicator in the public record, with $17.1M at stake between them. The most common is more hours than a day holds, on 10 of them, followed by part of a provider network on 3. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JAVAD AGHALOO EL Centro, CA, ranked 233 | $23K |
|
| 3 | ARIA HOSPICE LLC EL Centro, CA, ranked 1163 | $458K |
|
| 3 | ASSISTING HANDS HEALTH CARE EL Centro, CA, ranked 1768 | $0 |
|
| 3 | IMPERIAL CARE LLC EL Centro, CA, ranked 3534 | $0 |
|
| 4 | VISHWA KAPOOR EL Centro, CA, ranked 7604 | $2.6M |
|
| 4 | HAMID ZADEH Imperial, CA, ranked 7825 | $1.1M |
|
| 4 | BRIAN TYSON EL Centro, CA, ranked 8360 | $6.3M |
|
| 4 | TIEN VO EL Centro, CA, ranked 8458 | $4.0M |
|
Recent enforcement in CA
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.