Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Violetta Mailyan (NPI 1679959845)

Field	Value
Entity Type	Individual
Organization	Violetta Mailyan
Address	815 E Colorado St
City	Glendale
State	CA
ZIP	91205
Taxonomy	Family Medicine Physician
NPI Enumerated	August 10, 2015

Payer Source	Total Paid
Medicare	$8.8M
Medicaid	$0

Key Findings

This provider’s Medicare footprint dominates its public-payer billing: Total Medicare revenue is $8.8M while Total Medicaid revenue is none (no Medicaid billing on file), indicating an effectively single‑payer (Medicare) billing profile in the dataset. Analysts should treat Medicaid as not material when evaluating payer mix or state Medicaid positioning for this NPI.

Revenue is highly concentrated in a very small set of procedures: the precomputed top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, with J0585 generating $7.9M (89.0% of this provider's total Medicare revenue) and 64615 generating $969K (11.0% of this provider's total Medicare revenue). This concentration means almost all reported Medicare dollars derive from these injection and denervation services.

The code mix points to a specialized, procedure-driven operation rather than broad primary-care billing. J0585 (injection, onabotulinumtoxina) and 64615 (chemical denervation for muscles as described, commonly used in chronic migraine treatment) together dominate revenue, suggesting the practice’s service line is focused on high-volume onabotulinumtoxinA injections and migraine-related chemical denervation procedures despite the provider’s Family Medicine Physician taxonomy.

Claim volume and payment patterns differ sharply between the two top codes: J0585 shows 1.6M claims at $5 avg paid/claim while 64615 shows 7.9K claims at $123 avg paid/claim. This indicates a high-volume, low-dollar-per-claim revenue engine for J0585 paired with a much lower-volume, higher-paid procedural line for 64615, which together produce the full Medicare revenue picture.

On a competitive basis the provider is a national outlier for both primary codes: J0585 ranks #1 of 3636 providers nationally and 64615 ranks #1 of 1825 providers nationally, and both are labeled as extreme outlier (100th percentile; far above typical national volume for these codes). In plain terms, this NPI is operating at an unusually high national scale for these specific services and should be considered a dominant national-volume provider for those codes.

The provider has an established enrollment record, with NPI enumeration dated 2015-08-10 (~11 years ago), indicating multiple years of presence in Medicare billing data to generate the observed high volumes. Tenure supports that the observed concentration and volume patterns are not a single-year anomaly but a multi-year operational profile.

From a business-risk and strategic-coverage perspective, the combination of extreme revenue concentration in J0585 and 64615 (100.0% of Medicare revenue) and the absence of Medicaid billing creates exposure to any payer policy, coverage, or reimbursement changes specific to onabotulinumtoxinA injections or chemical denervation procedures. Absent diversification across other Medicare codes or into Medicaid, changes targeting these specific codes would materially affect this provider’s reported revenue stream.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	1,575,590	$10	$7.9M
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	7,880	$120	$969K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Violetta Mailyan — 2 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	1	400	7,640	$1	$86K
64615	1	220	60	$120	$14.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Comprehensive Community Health Centers Inc	CA	Family Medicine Physician	$0	$58.4M
Los Feliz Residential Care Center Inc.	CA	Assisted Living Facility	$0	$36.6M
Am Healthcare, Inc.	CA	Adult Day Care Clinic/Center	$0	$26.8M
Hichoice Health Care, Inc.	CA	Adult Day Care Clinic/Center	$0	$24.9M
Chevy Chase Ambulatory Center LP	CA	Ambulatory Surgical Clinic/Center	$2.2M	$1.3M
Hermoz Ayvazian	CA	Foot & Ankle Surgery Podiatrist	$1.1M	$54.7K
Zulfiqar Ahmed	CA	Internal Medicine Physician	$844.4K	$1.8K
Yuri Busi	CA	Cardiovascular Disease Physician	$784K	$8.6K
Hrachya Paruyryan	CA	Family Medicine Physician	$776.6K	$770
Shahin Derboghossians	CA	Urology Physician	$592.4K	$0

Violetta Mailyan — Billing Profile & Reimbursement Data

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Violetta Mailyan — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References