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

    NPI 1437282936 · Los Angeles, CA · Pediatric Urology Physician

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    Babak Bamshad is a pediatric urology physician provider located in Los Angeles, California. This profile covers 31 Medicare and 4 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 Bamshad
    Address8635 W 3rd St
    CityLos Angeles
    StateCA
    ZIP90048
    TaxonomyPediatric Urology Physician
    NPI EnumeratedMarch 13, 2007

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$1.4K

    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52214The provider uses a cystoscope passed through the urethra and into the bladder to inspect the structures; he destroys (fulgurates) tissue on the bladder trigone, bladder neck, prostatic fossa,…580$660$381.5K
    52224The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…400$630$249.5K
    52317The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…250$800$202.9K
    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…1,120$150$167.6K
    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…1,470$100$152.6K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.730$120$86.3K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…270$290$79.7K
    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…920$70$60.5K
    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…860$70$58.6K
    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…590$100$58.5K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5221411020$590$42.8K
    993086381,640190$60$35.5K
    5231711010$720$34.5K
    9931047684090$120$31.2K
    5222413020$600$28.9K
    992331,18711,530120$100$26.2K
    9921464537,970120$90$23.2K
    J921797320130$130$22.1K
    52281311020$310$17.2K
    9923265712,28090$70$16.3K

    Showing 1–10 of 31

    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.

    4 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…50$20$720
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.80$10$500
    76775A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…10$10$110
    81000The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…60$1$60

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…11,34313,300640$40$169.6K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.163230290$20$26.9K
    76775A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…151160100$30$13.3K
    81000The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…701990260$1$2.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Aaron JengCAInternal Medicine Physician$43.2M$0
    Harbinder BrarCAMaternal & Fetal Medicine Physician$0$31.3M
    Jack AzadCAGeneral Practice Physician$17.2M$0
    Mark LeFLDiagnostic Radiology Physician$10.7M$0
    Leo PolosajianCAClinical Cardiac Electrophysiology Physician$6M$1.6M
    Amiel MoshfeghCAVascular & Interventional Radiology Physician$7.6M$0
    John SaitoCAPediatric Pulmonology Physician$468.7K$6.5M
    Geoffrey TrenkleCAFacial Plastic Surgery Physician$517.4K$6.5M
    David BoyerCAOphthalmology Physician$5.6M$3.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cedars-sinai Medical CenterCAGeneral Acute Care Hospital$0$70M
    The Los Angeles Free ClinicCAFederally Qualified Health Center (FQHC)$0$31.8M
    Mehran KhorsandiCACardiovascular Disease Physician$6.1M$1.4K
    Arash HorizonCARheumatology Physician$4.8M$0
    Ernst SchwarzCACardiovascular Disease Physician$1.1M$1.7M
    Robert VescioCAHematology & Oncology Physician$2.1M$0
    Kiarash MichelCAUrology Physician$2.1M$0
    Stephen CordayCAInternal Medicine Physician$1.9M$0
    Jay SchapiraCAInterventional Cardiology Physician$1.9M$0
    Payam YasharCACardiovascular Disease Physician$1.9M$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
    Babak Bamshad — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Babak Bamshad — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California