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    OpenPayerNPI Medicare & MedicaidNatan Shaoulian
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    Natan Shaoulian — Billing Profile & Reimbursement Data

    NPI 1114926433 · Beverly Hills, CA · Neurology Physician

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    Natan Shaoulian is a neurology physician provider located in Beverly Hills, California. This profile covers 15 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
    OrganizationNatan Shaoulian
    Address9301 Wilshire Blvd
    CityBeverly Hills
    StateCA
    ZIP90210
    TaxonomyNeurology Physician
    NPI EnumeratedJuly 19, 2005
    NPI DeactivatedMarch 20, 2006

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

    Payer SourceTotal Paid
    Medicare$7.3M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the dominant and effectively sole public-payer activity: total Medicare revenue is $7.3M and there is no Medicaid billing on file, so the practice operates as a single-payer (Medicare) revenue stream in the available data. The absence of any Medicaid claims suggests limited participation in Medicaid-managed care or state programs in California.

    Revenue is highly concentrated in a small set of high-cost injectable products: the precomputed top three Medicare codes (J1599, J1459, J1556) account for 77.6% of this provider’s total Medicare revenue. Those three codes individually represent $2.2M (29.4%), $1.8M (24.9%), and $1.7M (23.3%) of Medicare revenue respectively, indicating the practice’s financial profile is driven overwhelmingly by IV immune globulin administration.

    The code mix and high volumes for immunoglobulin products point to an infusion-focused neurology practice: J1599, J1459, J1556 and J1569 are all immune globulin infusion products, and J1599 ($2.2M) and J1459 ($1.8M) are the single largest revenue generators. Coupled with substantial administration claims (96365: 1.1K claims, $67.6K revenue; 96366: 1.9K claims, $35.7K revenue), the activity pattern is consistent with a dedicated IV infusion service line rather than a primarily office-visit-driven practice.

    This provider is a national leader for several IVIG products: J1599 ranks #1 of 11 providers nationally (100th percentile; notably above typical national volume) and J1459 ranks #1 of 44 providers nationally (100th percentile; extreme outlier, far above typical national volume). J1569 is also an outlier (rank #4 of 542, 99th percentile; extreme outlier), signaling dominant or atypically large market share for specific immune globulin formulations at the national level.

    Market position is uneven across product brands: while J1599 and J1459 are at the top nationally, J1556 ($1.7M) ranks #7 of 46 providers (87th percentile; typical, unremarkable volume) and J1568 ($230.5K) ranks #58 of 381 (85th percentile; typical, unremarkable volume). This pattern suggests the provider concentrates volume on particular IVIG products while maintaining ordinary participation for other formulations.

    Clinical office visit (E/M) billing contributes only a small fraction of revenue compared with infusions: 99215 generated $20K (0.3% of Medicare revenue) from 136 claims and 99205 generated $16.5K (0.2%) from 89 claims, while many E/M codes are single- to double-digit claim counts and sub-percent shares. The disparity between large drug/infusion revenue and modest E/M revenue reinforces that the practice’s business model centers on drug administration rather than routine clinic visits.

    Infusion-related procedure volumes are unusually high relative to national peers: 96365 (initial IV infusion) and 96366 (additional infusion hours) appear as extreme outliers (96365 ranks #74 of 8873 providers, 99th percentile; 96366 ranks #17 of 2976 providers, 99th percentile), which supports the interpretation of sustained, high-throughput infusion operations rather than occasional infusions. Those high administration volumes align with the large counts reported for IVIG codes (e.g., J1459 49.3K claims, J1599 39.8K claims).

    The provider has long tenure in Medicare billing, with NPI enumeration dated 2005-07-19 (~21 years ago), indicating an established practice history. Given the high concentration of Medicare revenue in a few IVIG products (top 3 = 77.6%) and no Medicaid activity, the business is both specialized and highly exposed to reimbursement or supply shifts in those specific drug lines, which is an important consideration for payer contracting and network planning.

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1599Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg39,820$50$2.2M
    J1459Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg49,280$40$1.8M
    J1556Injection, immune globulin (bivigam), 500 mg29,860$60$1.7M
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg34,840$40$1.3M
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg6,780$30$230.5K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.1,130$60$67.6K
    96366The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.1,880$20$35.7K
    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…140$150$20K
    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…90$190$16.5K
    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…50$130$6.9K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J159911039,820$50$2.1M
    J15561109,180$60$677K
    J14591105,730$40$380.4K
    J15693404,560$40$303.5K
    J15682201,880$30$79.7K
    9921434,93337,970120$90$23.2K
    992153,22115,36050$130$14.4K
    963651479080$60$9.7K
    992058518,36030$170$7.2K
    992046,74419,36040$120$7.2K

    Showing 1–10 of 15

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Johnson LeeCAPlastic Surgery Physician$22.5M$0
    Millicent RoveloCAPlastic Surgery Physician$6.1M$0
    Raymond DouglasCAOphthalmology Physician$4.1M$0
    Laboratory Medicine Consultants Inc.CAClinical Medical Laboratory$1.6M$1.6M
    Bobby PourziaeeCAFoot & Ankle Surgery Podiatrist$2.5M$0
    Jasmine AghajaniCAOral and Maxillofacial Surgery (Dentist)$2M$277.5K
    Satinder BhatiaCACardiovascular Disease Physician$1.9M$0
    90210 Surgery Medical Center, LLCCAOphthalmologic Surgery Clinic/Center$1.6M$5.1K
    Ronald KarlsbergCACardiovascular Disease Physician$1.2M$0
    Raghu MurthyCAOphthalmology Physician$1M$3.8K

    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
    Natan Shaoulian — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California