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NPI 1063450757 · Melrose Park, IL · Family Medicine Physician
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Peyman Pahlavan is a family medicine physician provider located in Melrose Park, Illinois. This profile covers 32 Medicare and 96 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Peyman Pahlavan |
| Address | 153 1/2 N. Broadway Avenue |
| City | Melrose Park |
| State | IL |
| ZIP | 60160 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | June 3, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.6M |
| Medicare | $102.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
32 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 480 | $90 | $43K |
| 99213 | The 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… | 320 | $60 | $20.2K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 50 | $140 | $7.3K |
| G0010 | Administration of hepatitis b vaccine | 100 | $30 | $3.1K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 40 | $80 | $3.1K |
| G0008 | Administration of influenza virus vaccine | 90 | $30 | $3K |
| G0009 | Administration of pneumococcal vaccine | 100 | $30 | $2.8K |
| 96136 | The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of… | 130 | $20 | $2.7K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 760 | $1 | $2.3K |
| 95250 | In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a… | 20 | $80 | $2K |
Showing 1–10 of 32
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
32 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 1,956 | 18,540 | 110 | $80 | $17.1K |
| G0439 | 2,348 | 4,030 | 70 | $130 | $13.6K |
| 99213 | 2,050 | 17,390 | 70 | $60 | $8.8K |
| 90694 | 1,092 | 1,830 | 60 | $70 | $6.5K |
| 90480 | 1,527 | 1,570 | 130 | $40 | $5.9K |
| 90662 | 2,635 | 3,060 | 50 | $70 | $4.9K |
| 95004 | 83 | 130 | 990 | $1 | $4.1K |
| 95251 | 256 | 270 | 90 | $30 | $2.9K |
| G0008 | 1,378 | 4,590 | 50 | $30 | $2.8K |
| 95250 | 15 | 40 | 20 | $110 | $2.7K |
Showing 1–10 of 32
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
96 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 29,380 | $70 | $2.1M |
| 99213 | The 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… | 21,430 | $50 | $985.8K |
| 95144 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more single dose vials. | 1,040 | $280 | $287.8K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 2,920 | $80 | $224.7K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 2,730 | $80 | $210.4K |
| 96136 | The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of… | 4,140 | $30 | $136.7K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 8,740 | $10 | $104.9K |
| 90636 | This code represents a vaccine product administered into a muscle to protect against hepatitis A and hepatitis B, which are liver infections. This code is specific to an adult dosage. | 990 | $100 | $100K |
| 90750 | The provider injects an adjuvanted vaccine into a muscle to protect the patient against varicella zoster infection. | 660 | $150 | $99.3K |
| 99385 | The provider performs a well–patient visit for a patient who is between the ages of 18 and 39. | 1,050 | $90 | $95.9K |
Showing 1–10 of 96
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
96 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 95144 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more single dose vials. | 4 | 10 | 460 | $250 | $332.9K |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 100 | 250 | 450 | $40 | $185.7K |
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 1,202 | 1,220 | 540 | $60 | $179.4K |
| 86328 | The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen for antibodies to the severe acute respiratory syndrome coronavirus 2… | 25 | 30 | 110 | $40 | $95K |
| 99214 | The 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… | 27 | 14,680 | 300 | $50 | $48.7K |
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 28 | 50 | 190 | $20 | $42.6K |
| 87811 | The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by… | 110 | 550 | 240 | $40 | $42.4K |
| 95250 | In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a… | 1 | 10 | 530 | $80 | $41.1K |
| 99213 | The 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… | 163 | 14,190 | 280 | $20 | $38.9K |
| 99490 | The 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… | 59 | 190 | 160 | $60 | $37.3K |
Showing 1–10 of 96
Other providers in the same ZIP code as Peyman Pahlavan, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Presence Behavioral Health | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $10.3M |
| Access Community Health Network | IL | Federally Qualified Health Center (FQHC) | $0 | $6.7M |
| Mary Uckerman | IL | Anatomic Pathology & Clinical Pathology Physician | $33.5K | $4.2M |
| Youngwoo Lim | IL | Dentist | $0 | $3.4M |
| Village Of Melrose Park | IL | Ambulance | $162.4K | $3.2M |
| Sat Pyol Lee | IL | General Practice Dentistry | $0 | $2.8M |
| Tracy Campbell | IL | Dermatology Physician | $1.4M | $0 |
| John Wilson | IL | Neurology Physician | $245.2K | $649.5K |
| David Kracker | IL | Nephrology Physician | $249.6K | $528K |
| George Naratadam | IL | Nephrology Physician | $317.9K | $358.2K |
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