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    OpenPayerNPI Medicare & MedicaidMichael Rezaian
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    Michael Rezaian — Billing Profile & Reimbursement Data

    NPI 1598821449 · Martinsburg, WV · Rheumatology Physician

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    Michael Rezaian is a rheumatology physician provider located in Martinsburg, West Virginia. This profile covers 10 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
    OrganizationMichael Rezaian
    Address2010 Doctor Oates Dr
    CityMartinsburg
    StateWV
    ZIP25401
    TaxonomyRheumatology Physician
    NPI EnumeratedDecember 28, 2006

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

    Payer SourceTotal Paid
    Medicare$109.3K
    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.

    10 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…880$80$68K
    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…420$60$24.9K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.250$20$3.9K
    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…30$100$3.1K
    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…40$80$3K
    99443N/A40$80$2.8K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…40$40$1.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…30$40$1.2K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg50$10$270
    J1030Injection, methylprednisolone acetate, 40 mg30$10$190

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214292,740100$70$11.8K
    992132122,86080$50$7.5K
    2061014524060$40$5.3K
    992045821,22030$100$4.1K
    99443143030$70$4.1K
    9920337194030$60$2.8K
    9921232062030$30$2K
    9921144030$10$1K
    J1030436050$10$550
    J0702234070$1$490

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shenandoah Valley Medical System, Inc.WVFederally Qualified Health Center (FQHC)$0$61M
    City Hospital, IncWVGeneral Acute Care Hospital$0$41.1M
    Eastern Panhandle Mental Health Center (waiver)WVCommunity/Behavioral Health Agency$0$28.8M
    Stepping Stones Cottages, LLCWVCounseling Psychologist$0$26.6M
    University Healthcare Physicians, Inc.WVFamily Medicine Physician$0$17.5M
    American Family Matters LLCWVCommunity/Behavioral Health Agency$0$16.9M
    Berkeley County Emergency Ambulance AuthorityWVLand Ambulance$864.6K$5.6M
    Eastern Panhandle Mental Health (rehab)WVCommunity/Behavioral Health Agency$0$5.7M
    City Of MartinsburgWVLand Ambulance$222.2K$2.7M
    Lance PittmanWVOrthodontics and Dentofacial Orthopedics Dentistry$0$2.3M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. West Virginia Distribution
    Michael Rezaian — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia