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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSam Pourbabak
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    Sam Pourbabak — Billing Profile & Reimbursement Data

    NPI 1043271018 · Lake Forest, CA · Endocrinology, Diabetes & Metabolism Physician

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    Sam Pourbabak is a endocrinology, diabetes & metabolism physician provider located in Lake Forest, California. This profile covers 50 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
    OrganizationSam Pourbabak
    Address23331 El Toro Rd
    CityLake Forest
    StateCA
    ZIP92630
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedMarch 30, 2006

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

    Payer SourceTotal Paid
    Medicare$393.7K
    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.

    50 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…770$100$76.3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…730$50$37.3K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.340$90$30.9K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.700$40$27.8K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…700$30$20.2K
    G0108Diabetes outpatient self-management training services, individual, per 30 minutes310$50$13.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…90$140$12.9K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…70$170$12.7K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…720$20$11.5K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.680$20$10.2K

    Showing 1–10 of 50

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 50 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    50 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8397033190160$40$45.6K
    867693250150$40$45.1K
    8230667490100$30$44.2K
    84443100620120$20$39.4K
    8006195700110$10$35.3K
    994902161,060210$50$25.8K
    992142,63637,970120$90$23.2K
    8415318533090$20$22.5K
    844037622080$30$20.3K
    8260767440100$10$19.1K

    Showing 1–10 of 50

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Salar HakhamCAVascular & Interventional Radiology Physician$2.6M$350
    Victor ShiCAVascular & Interventional Radiology Physician$2.2M$280
    Charles Chol Bae KimCAAdult Medicine Physician$1.2M$190
    Stephen OhCAAnatomic Pathology & Clinical Pathology Physician$901.7K$0
    Brian ChavezCAEndocrinology, Diabetes & Metabolism Physician$435.8K$0
    Ku-juey Raymond ChangCAEndocrinology, Diabetes & Metabolism Physician$431.5K$0
    Warren PleskowCAInternal Medicine Physician$398.5K$0
    Matthew SchultzelCASurgery Physician$238.4K$0
    Wesley OhCADiagnostic Radiology Physician$210.4K$1.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inspire Diagnostics LLCCAClinical Medical Laboratory$239.6K$23.2M
    Genomic Testing Cooperative LcaCAClinical Medical Laboratory$4.8M$78.2K
    Unique Medi Tech, LLCCAClinical Medical Laboratory$643.7K$358.8K
    Kim TangCADermatology Physician$793.5K$320
    Adel BoutrosCAFamily Medicine Physician$343.8K$405.1K
    Timothy SamsCACognitive & Behavioral Psychologist$190.6K$0
    Sprintdx LLCCAClinical Medical Laboratory$173.6K$1.1K
    Janis CorbinCAPsychologist$34K$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. California Distribution
    Sam Pourbabak — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California