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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBahram Ahmadi
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    Bahram Ahmadi — Billing Profile & Reimbursement Data

    NPI 1003849001 · Sebring, FL · Gastroenterology Physician

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    Bahram Ahmadi is a gastroenterology physician provider located in Sebring, Florida. This profile covers 25 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBahram Ahmadi
    Address7441 Us Highway 27 N
    CitySebring
    StateFL
    ZIP33870
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 10, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$551.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…2,000$90$188.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,400$70$92.5K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…560$140$76.7K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…500$120$60.5K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…220$90$20.8K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…200$100$20.6K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.300$50$16.1K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…80$200$15.7K
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.110$90$9.4K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…20$350$8.1K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453854221,14060$300$31K
    9921412,01932,760140$90$25K
    99233499,970100$90$20.1K
    453801251,16050$200$18.7K
    432391211,26080$130$16.8K
    992239211,11060$130$12.5K
    462214110030$210$12.4K
    9921342130,01080$60$12K
    432491830020$300$10.9K
    91110617020$460$9.8K

    Showing 1–10 of 25

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Bahram Ahmadi, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hung-wei LeeFLAnatomic Pathology & Clinical Pathology Physician$396.7K$0
    Riva DasFLSurgery Physician$49.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Bahram Ahmadi, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    National Medical Care, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9.5M
    F&s Radiology, P.C.FLDiagnostic Radiology Physician$0$7.5M
    Highlands County Board Of County CommissionersFLLand Ambulance$1.7M$1.8M
    Scott GasiorekFLRadiation Oncology Physician$3M$0
    Darrin RotmanFLDermatology Physician$2.7M$0
    Mahender YelluFLMedical Oncology Physician$2.6M$0
    Amit ShahFLMedical Oncology Physician$2M$0
    Syed AhmedFLMedical Oncology Physician$1.2M$0
    Thomas LackeyFLSurgery Physician$1.1M$61.7K
    Winter Haven-sebring Fl Ophthalmology Asc LLCFLAmbulatory Surgical Clinic/Center$923K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Bahram Ahmadi — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida