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NPI 1548581192 · Los Angeles, CA · Internal Medicine Physician
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Michael Ghods is a internal medicine physician provider located in Los Angeles, California. This profile covers 38 Medicare and 11 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 | Michael Ghods |
| Address | 955 Carrillo Dr Ste 300 |
| City | Los Angeles |
| State | CA |
| ZIP | 90048 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | June 17, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.4M |
| Medicaid | $38.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
38 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99489 | 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… | 4,840 | $60 | $295.1K |
| 97610 | The provider uses a low–frequency ultrasound device to try to improve wound healing. | 720 | $390 | $278.7K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 1,460 | $100 | $138.4K |
| 99487 | 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… | 1,050 | $120 | $121.2K |
| 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… | 1,850 | $50 | $95.9K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 280 | $150 | $43.5K |
| 99350 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60… | 270 | $150 | $40.4K |
| 99223 | The 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… | 260 | $140 | $37.2K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 180 | $200 | $35.8K |
| 99439 | 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… | 730 | $40 | $30K |
Showing 1–10 of 38
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
38 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 97610 | 13 | 50 | 260 | $390 | $182.8K |
| 11043 | 272 | 370 | 120 | $170 | $52.1K |
| 99309 | 997 | 1,790 | 210 | $80 | $48.1K |
| 99350 | 120 | 550 | 80 | $140 | $38.8K |
| 99489 | 2 | 120 | 130 | $60 | $31.8K |
| 99349 | 44 | 870 | 110 | $90 | $31.7K |
| 99310 | 622 | 840 | 90 | $120 | $31.2K |
| 99233 | 3,129 | 11,530 | 120 | $100 | $26.2K |
| 99490 | 69 | 1,060 | 210 | $50 | $25.8K |
| 99487 | 6 | 220 | 90 | $100 | $22.9K |
Showing 1–10 of 38
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 520 | $30 | $17.2K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 490 | $20 | $10.8K |
| 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… | 170 | $40 | $6.5K |
| 99336 | N/A | 30 | $50 | $1.5K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 20 | $70 | $980 |
| 86769 | The lab analyst performs a multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease… | 20 | $40 | $680 |
| 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. | 50 | $10 | $320 |
| 1090F | Urinary incontinence refers to the leakage of urine due to lack of bladder control. The provider assesses a female patient of 65 years or older for the presence or absence of urinary incontinence… | 70 | $0 | $0 |
| 1123F | No Summary found for this code | 40 | $0 | $0 |
| 99072 | The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items… | 50 | $0 | $0 |
Showing 1–10 of 11
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
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 254 | 500 | 530 | $20 | $128.1K |
| 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… | 251 | 620 | 320 | $20 | $50.3K |
| 86769 | The lab analyst performs a multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease… | 141 | 160 | 120 | $30 | $43.2K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 291 | 320 | 180 | $40 | $38.5K |
| 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… | 382 | 640 | 320 | $20 | $32.8K |
| 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. | 2,139 | 2,710 | 300 | $10 | $29.5K |
| 99336 | N/A | 137 | 170 | 270 | $20 | $18.8K |
| 99072 | The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items… | 358 | 490 | 140 | $1 | $2.9K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 552 | 920 | 220 | $1 | $1.3K |
| 1123F | No Summary found for this code | 152 | 220 | 110 | $1 | $270 |
Showing 1–10 of 11
Other providers in the same ZIP code as Michael Ghods, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Cedars-sinai Medical Center | CA | General Acute Care Hospital | $0 | $70M |
| The Los Angeles Free Clinic | CA | Federally Qualified Health Center (FQHC) | $0 | $31.8M |
| Mehran Khorsandi | CA | Cardiovascular Disease Physician | $6.1M | $1.4K |
| Arash Horizon | CA | Rheumatology Physician | $4.8M | $0 |
| Ernst Schwarz | CA | Cardiovascular Disease Physician | $1.1M | $1.7M |
| Robert Vescio | CA | Hematology & Oncology Physician | $2.1M | $0 |
| Kiarash Michel | CA | Urology Physician | $2.1M | $0 |
| Stephen Corday | CA | Internal Medicine Physician | $1.9M | $0 |
| Jay Schapira | CA | Interventional Cardiology Physician | $1.9M | $0 |
| Payam Yashar | CA | Cardiovascular Disease Physician | $1.9M | $0 |
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