Active NPI 1205916418 Individual Practitioner Female Practitioner

Dr. Heba L Mikhail , MD

Internal Medicine • Niles, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Heba Mikhail, MD is a certified Internal Medicine practicing in Niles, OH. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Mikhail delivers high-quality medical care to the local community at 1254 YOUNGSTOWN WARREN RD.

Dr. Mikhail is affiliated with Mercy Health Physicians Youngstown Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1254 Youngstown Warren Rd
Suite 3 A

Niles, OH 444464651

Telephone 3306523000

Associated Practice Facility / Clinic

🏢 St. George Medical Practice, Inc. Facility NPI 1366522583

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Niles, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs -2.3 yrs vs City Avg

City Avg: 35.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

9 Specialists

Practicing in Niles, OH (5516 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mikhail (33 Years) 33 Yrs

Niles Specialty Average (35.3 Years) 35.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	296	133	$104.00	$74.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	153	70	$149.00	$112.49
99239 Hospital discharge day management, more than 30 minutes	104	97	$154.00	$107.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$198.00	$124.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$291.00	$164.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	191	73	$104.00	$76.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	85	$191.00	$122.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	36	$149.00	$114.99
99239 Hospital discharge day management, more than 30 minutes	53	48	$154.00	$110.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	27	$267.00	$163.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	27	$198.00	$125.89
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$134.00	$86.25
93000 Routine ekg using at least 12 leads including interpretation and report	19	17	$35.00	$13.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$215.00	$122.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	98	$174.35	$123.72
99213 Established patient office or other outpatient visit, typically 15 minutes	100	60	$122.38	$88.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	14	$127.32	$69.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	26	$245.43	$166.81
93000 Routine ekg using at least 12 leads including interpretation and report	30	27	$46.50	$13.80
G0008 Administration of influenza virus vaccine	28	28	$46.93	$27.97
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	23	23	$131.00	$70.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	13	$35.33	$13.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$281.32	$126.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	14	$151.21	$100.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	182	81	$120.00	$89.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	73	$160.00	$126.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	82	20	$127.46	$69.05
93000 Routine ekg using at least 12 leads including interpretation and report	42	40	$50.00	$14.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	19	$35.00	$13.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$285.00	$128.66
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	30	16	$12.00	$1.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	21	$188.36	$129.57
81003 Automated urinalysis test	16	11	$10.00	$2.25
99238 Hospital discharge day management, 30 minutes or less	16	11	$98.00	$66.93
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	16	13	$65.00	$39.70
G0008 Administration of influenza virus vaccine	12	11	$45.00	$16.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	85	$160.00	$105.55
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	104	27	$65.00	$40.60
99213 Established patient office or other outpatient visit, typically 15 minutes	95	60	$120.00	$72.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	19	$130.00	$71.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$285.00	$112.10
93000 Routine ekg using at least 12 leads including interpretation and report	58	48	$50.00	$16.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	20	$35.00	$13.71
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	40	17	$12.00	$2.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	14	$210.00	$141.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	14	$183.00	$136.69
G0008 Administration of influenza virus vaccine	19	19	$45.00	$16.07
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$40.00	$19.17
99238 Hospital discharge day management, 30 minutes or less	16	13	$98.00	$71.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	221	108	$90.68	$71.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	101	$142.83	$104.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	130	32	$108.08	$71.06
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	71	30	$65.00	$40.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	24	$35.00	$15.84
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	49	17	$12.00	$1.78
93000 Routine ekg using at least 12 leads including interpretation and report	48	46	$50.00	$16.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	16	$58.33	$38.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$179.89	$110.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	18	$191.10	$140.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	24	$183.00	$133.86
G0008 Administration of influenza virus vaccine	27	26	$43.52	$15.75
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	25	25	$40.00	$17.88
99238 Hospital discharge day management, 30 minutes or less	23	21	$98.00	$71.03
99239 Hospital discharge day management, more than 30 minutes	18	13	$142.00	$104.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$54.00	$43.02
81002 Urinalysis, manual test	15	13	$10.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	340	126	$90.00	$67.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	88	88	$175.00	$108.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	30	$100.00	$69.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	41	$135.00	$99.38
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	51	51	$100.00	$59.08
93000 Routine ekg using at least 12 leads including interpretation and report	51	49	$50.00	$15.75
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	46	25	$65.00	$39.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	23	$35.00	$18.85
G0008 Administration of influenza virus vaccine	30	30	$25.00	$19.30
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	28	11	$12.00	$1.98
90756 Vaccine for influenza for injection into muscle	20	20	$30.00	$22.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	17	$183.00	$130.12
99238 Hospital discharge day management, 30 minutes or less	18	14	$98.00	$69.15
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	15	15	$35.00	$19.25
81002 Urinalysis, manual test	14	12	$10.00	$3.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$54.00	$40.66
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	11	11	$40.00	$21.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	335	116	$90.00	$66.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	64	$135.00	$99.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	32	$100.00	$68.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	56	25	$35.00	$23.19
G0008 Administration of influenza virus vaccine	38	36	$25.00	$23.76
Q2039 Influenza virus vaccine, not otherwise specified	34	34	$40.00	$22.33
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	33	13	$12.00	$2.67
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$50.00	$15.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$175.00	$107.20
J1040 Injection, methylprednisolone acetate, 80 mg	19	12	$40.00	$10.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	13	$183.00	$129.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$54.00	$40.20
99239 Hospital discharge day management, more than 30 minutes	11	11	$142.00	$101.27

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35-079495

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Mercy Health Physicians Youngstown Specialty Care Llc

8401 Market St, Boardman, OH 445126725

Phone: 3307292929

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Joseph Cordova , MD

Family Medicine

NPI 1710974027

Doctor of Medicine (M.D.)

Dr. Bahaa Awadalla , MD

Internal Medicine

NPI 1891763728

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 17, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 17, 2010

Registered at 1254 YOUNGSTOWN WARREN RD, SUITE 3 A, NILES, OH 444464651 (Tel: 3306523000)

📍

Updated Business Mailing Address November 17, 2010

Registered at 1254 YOUNGSTOWN WARREN RD, SUITE 3 A, NILES, OH 444464651 (Tel: 3306523000)

👤

Provider Name / Credentials Updated November 17, 2010

Recorded as HEBA MIKHAIL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2010

Internal Medicine (License #35-079495 in OH)

🟢

Initial NPI Registration & Enumeration October 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205916418

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 16, 2006

Last Update: November 17, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1254 Youngstown Warren Rd, Suite 3 A

Niles, OH 444464651

Phone: 3306523000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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