Providers
ZUBAIR QURESHI, M.D.
NPI 1922234228, individual, Pittsburgh, PA, Internal Medicine
5
Evidence tier
informational
score 31 of 100, rank 10940, $1.3M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ZUBAIR QURESHI, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | June 2, 2009, last updated June 2, 2009 |
| Practice location | 5230-CENTER AVENUE, Pittsburgh, PA 15232-2342, 412-623-3592 |
| Mailing address | 2355 ELDRIDGE ST, APT # 1A, Pittsburgh, PA 15217-2342 |
| Specialties | Internal Medicine (207R00000X, primary, license MT 194809 PA) |
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 | |
|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $847K | 42% | $146 | $67 (top 5% from $174) | 92nd percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $613K | 31% | $129 | $96 (top 5% from $249) | 70th percentile | |
| 99254 | Medicaid service code | $336K | 17% | $143 | $90 (top 5% from $178) | 86th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $202K | 10% | $80 | $81 (top 5% from $170) | 49th percentile | |
| 99291 | Critical care, first 30-74 minutes | $3K | 0% | $229 | $175 (top 5% from $536) | too few months to rank | |
| G8427 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.08) | 0th 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 |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,286 | 379 | $73K | $140 | $72 | 1.9x | 2.6x (90th percentile 4.3x) |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 777 | 338 | $66K | $200 | $108 | 1.8x | 2.6x (90th percentile 4.7x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 359 | 335 | $45K | $390 | $158 | 2.5x | 3.0x (90th percentile 5.6x) |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | 16 | $1K | $265 | $120 | 2.2x | 2.7x (90th percentile 4.4x) |
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
6 providers in Allegheny County, PA carry an indicator in the public record, with $2K at stake between them. The most common is part of a provider network, on 4 of them, followed by paid after a public list action on 1. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | PLEASANT HILLS APOTHECARY Clairton, PA, ranked 420 | $452 |
|
| 1 | MT. LEBANON OPERATIONS LLC Pittsburgh, PA, ranked 611 | $0 |
|
| 3 | CELTIC HEALTHCARE OF WESTMORELAND LLC Warrendale, PA, ranked 1657 | $1K |
|
| 3 | AFFINITY CARE OF PITTSBURGH LLC Pittsburgh, PA, ranked 2244 | $0 |
|
| 3 | ADVANTAGE HOME HEALTH SERVICES, LLC Pittsburgh, PA, ranked 3110 | $0 |
|
| 3 | CELTIC HOSPICE & PALLIATIVE CARE SERVICES, LLC Warrendale, PA, ranked 6688 | $0 |
|
Recent enforcement in PA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedAug 4, 2026
The Fraud Division Announces Charges Against 19 Defendants for Medicaid Home Health Aid Schemes
Nineteen defendants, including owners and employees of home care companies, home health aides, and Medicaid recipients, were charged with submitting claims for home care services that were not provided, including claims for hours when purported aides were incarcerated, hospitalized, working other jobs, or traveling overseas.
DOJIndictedJun 23, 2026
Two Doctors, Physician’s Assistant Charged With Unlawfully Distributing Controlled Substances Via Voicemail “Refill Line”
From January 2020 through March 2025 the defendants allegedly operated a voicemail refill line that allowed patients to receive refills of Schedule II controlled substance prescriptions, namely oxycodone and amphetamine, without interacting with a licensed prescriber, and submitted prescriptions in another medical professional's name to deceive pharmacies.
DOJChargedJun 23, 2026
Scranton Woman Charged With Conspiracy To Commit Bank Fraud With Funds Derived From Federal Health Care Programs
Beaubrun is alleged to have stolen and appropriated checks intended by Entity #1 for various payees, including funds derived from Medicare and Medicaid, and endorsed them to herself, causing a loss of over $300,000.
DOJCivil settlementJun 10, 2026
Ahold Delhaize USA Inc. to Pay $40M for Allegedly Reporting Inflated Drug Prices on Claims to Federal Healthcare Programs
Ahold Delhaize's in-store retail pharmacies operated prescription savings programs offering discounted prices but failed to report those discounted prices as their "usual and customary" prices on claims to Medicare Part D, Medicaid and TRICARE, causing those programs to pay inflated amounts.
DOJCivil settlementJun 10, 2026
Ahold Delhaize USA Inc. to Pay $40M for Allegedly Reporting Inflated Drug Prices on Claims to Federal Healthcare Programs
Ahold Delhaize supermarket pharmacies operated prescription savings programs offering discounted prices but failed to report those discounted prices as their "usual and customary" prices on claims to Medicare Part D, Medicaid, and TRICARE, causing those programs to pay inflated amounts.
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.