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    OpenPayerNPI Medicare & MedicaidBabak Hooshmand
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    Babak Hooshmand — Billing Profile & Reimbursement Data

    NPI 1023380086 · Las Vegas, NV · Infectious Disease Physician

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    Babak Hooshmand is a infectious disease physician provider located in Las Vegas, Nevada. This profile covers 5 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBabak Hooshmand
    Address4472 S Eastern Ave
    CityLas Vegas
    StateNV
    ZIP89119
    TaxonomyInfectious Disease Physician
    NPI EnumeratedFebruary 6, 2012

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

    Payer SourceTotal Paid
    Medicare$271.3K
    Medicaid$26.2K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…1,940$60$120.1K
    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…710$140$96.9K
    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…520$90$48.4K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.20$140$3.4K
    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…30$70$2.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992332141,150150$90$26.8K
    99232581,340140$60$23.7K
    99285443500100$140$17.7K
    9922381,28060$130$13.7K
    992132,5943,50080$60$10K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…240$70$15.7K
    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…30$190$6K
    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…50$100$4.5K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nevada median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…395470380$70$281.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…266430500$40$214.4K
    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…349430180$130$158K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ronald A Shockley Md A Professional CorporationNVInfectious Disease Physician$0$3.7M
    Jacqueline WalkerNVNurse Practitioner$3.4M$0
    Nevada Post-acute Medical Services-scherr 1 PCNVHospitalist Physician$0$2.3M
    Comprehensive Infectious Disease Of NevadaNVInfectious Disease Physician$0$1.9M
    Ronald ShockleyNVInfectious Disease Physician$594.8K$91.7K
    Danny SayeghNVFamily Medicine Physician$378.7K$0
    Hatim GemilNVInternal Medicine Physician$297.5K$4.6K
    Elizabeth BeutlerNVNurse Practitioner$271.2K$0
    Jissy ThomasNVNurse Practitioner$259.5K$0
    Gini GireeshNVNurse Practitioner$248.2K$2.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quest Diagnostics IncorporatedNVClinical Medical Laboratory$18.2M$59.3M
    Jed Adam Enterprises, LLCNVHome Health Agency$0$61.5M
    Solace Pediatric Healthcare Nursing Services, Nv, LLCNVHome Health Agency$0$36.1M
    Desert Springs HospitalNVGeneral Acute Care Hospital$0$22.3M
    Founders Healthcare, LLCNVDurable Medical Equipment & Medical Supplies$0$18.9M
    A Better Way Home Care, LLCNVIn Home Supportive Care Agency$0$14.7M
    Absolute Personal Care,llcNVIn Home Supportive Care Agency$0$11.3M
    Accessible Space Inc.NVIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$10.7M
    Healthcare Partners Medical Group Coats Ltd.NVFamily Medicine Physician$0$9.1M
    Quality Health Partners IncNVHealth Service Clinic/Center$0$6.9M

    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. Nevada Distribution
    Babak Hooshmand — 2 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Babak Hooshmand — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada