Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Moghimi
    Ask Trek AI about this page

    Robert Moghimi — Billing Profile & Reimbursement Data

    NPI 1184679664 · Simi Valley, CA · Gastroenterology Physician

    Customize your policy alerts

    Sign up for Robert Moghimi — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Robert Moghimi is a gastroenterology physician provider located in Simi Valley, California. This profile covers 20 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Moghimi
    Address1156 Swallow Ln
    CitySimi Valley
    StateCA
    ZIP93065
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 23, 2006

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

    Payer SourceTotal Paid
    Medicare$373.9K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…640$150$93.4K
    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…730$70$53.7K
    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…360$130$46.9K
    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.370$90$32.7K
    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…320$100$31.3K
    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…110$210$23.1K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…130$150$20.5K
    43246The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum to direct the placement of a tube through the skin and abdominal tissues into the…120$170$19.9K
    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…150$120$17.2K
    99203The provider sees a new 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 provider…70$90$6.2K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453853821,41060$340$33.9K
    992332,70011,530120$100$26.2K
    453802791,46060$230$23.8K
    9921432,94537,970120$90$23.2K
    43239731,50080$150$17.3K
    992131,85234,66080$70$13.2K
    992236213,19050$140$11.3K
    43274568020$330$9.9K
    432496427020$310$9.1K
    453782380020$220$7.5K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David BoyerCAOphthalmology Physician$5.6M$3.4K
    Homayoun TabandehCAOphthalmology Physician$5.1M$6.8K
    Victor GabrielianCANuclear Cardiology Physician$5M$0
    David KimCAOphthalmology Physician$3.5M$8.8K
    Saman FakheriCAInternal Medicine Physician$3.2M$0
    Rizwan BhattiCAOphthalmology Physician$2.9M$4.7K
    Navid EzraCADermatology Physician$1.8M$975.2K
    Daniel EsmailiCAOphthalmology Physician$2.7M$2.2K
    Pouya DayaniCAOphthalmology Physician$2.6M$4.2K
    Thomas HanscomCAOphthalmology Physician$2.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of VenturaCAFederally Qualified Health Center (FQHC)$0$47.8M
    Clinicas Del Camino Real IncCAFederally Qualified Health Center (FQHC)$0$26.4M
    Tony MakhloufCARheumatology Physician$2.6M$0
    Nika BagheriCARetina Specialist (Ophthalmology) Physician$1.7M$0
    Shahrzad ShareghiCACardiovascular Disease Physician$908.2K$0
    Sunset Sleep Labs LLCCAClinical Medical Laboratory$391.8K$446.3K
    Eugene AhnCARadiation Oncology Physician$643.9K$0
    Ashim AroraCAPulmonary Disease Physician$622.1K$0
    Samira MehriziCAFoot & Ankle Surgery Podiatrist$437.5K$83.6K
    Megha AgarwalCACardiovascular Disease Physician$377.1K$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
    Robert Moghimi — 5 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California