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    OpenPayerNPI Medicare & MedicaidAlireza Sedarat
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    Alireza Sedarat — Billing Profile & Reimbursement Data

    NPI 1629133913 · Santa Monica, CA · Gastroenterology Physician

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    Alireza Sedarat is a gastroenterology physician provider located in Santa Monica, 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAlireza Sedarat
    Address1223 16th St Ste 3100
    CitySanta Monica
    StateCA
    ZIP90404
    TaxonomyGastroenterology Physician
    NPI EnumeratedDecember 27, 2006

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

    Payer SourceTotal Paid
    Medicare$109.2K
    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
    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…190$100$19.6K
    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…100$150$14.5K
    43259An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic…80$180$13.7K
    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…50$170$8.9K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…30$270$6.8K
    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…40$190$6.6K
    45390The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope.20$270$4.9K
    43242The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where, under endoscopic ultrasound guidance, he carries out a fine needle aspiration or…20$200$4.7K
    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…30$150$4.5K
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.40$110$3.9K

    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
    453857681,41060$340$33.9K
    992334,29011,530120$100$26.2K
    453801,0671,46060$230$23.8K
    453907312020$590$18.3K
    432396171,50080$150$17.3K
    9921510,10315,36050$130$14.4K
    992233,05713,19050$140$11.3K
    43274318020$330$9.9K
    432495627020$310$9.1K
    4325998030$160$7.5K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Regents Of The University Of CaliforniaCAInternal Medicine Physician$0$35.9M
    Brian DicarloCAHematology & Oncology Physician$4.7M$0
    Daniel GreenwaldCAMedical Oncology Physician$3.5M$0
    Samuel SlomowitzCAHematology & Oncology Physician$3.4M$0
    Bartosz ChmielowskiCAHematology & Oncology Physician$3.2M$0
    Julian DavisCAHematology & Oncology Physician$2.7M$0
    Maria Conrica DawisCAAcute Care Nurse Practitioner$2.4M$0
    Shahryar AshouriCAHematology & Oncology Physician$2.2M$0
    Erin ChamberlainCAHematology & Oncology Physician$1.9M$0
    Sarah LarsonCAHematology & Oncology Physician$1.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jamie Kate AdocCAFamily Nurse Practitioner$4.7M$0
    Sean FischerCAHematology & Oncology Physician$3.2M$0
    Omid HamidCAHematology & Oncology Physician$2.7M$0
    Thomas HanscomCAOphthalmology Physician$2.4M$0
    Dalia ArtalCADiagnostic Radiology Physician$2M$0
    Jesse MillsCAUrology Physician$1.9M$0
    Lisa ChaikenCARadiation Oncology Physician$1.6M$0
    Joshua FriedlanderCADiagnostic Radiology Physician$1.4M$0
    Robert KrasnyCAVascular & Interventional Radiology Physician$1.3M$0
    George GrifkaCACardiovascular Disease Physician$868.5K$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
    Alireza Sedarat — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California