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    OpenPayerNPI Medicare & MedicaidAndrew Iraniha
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    Andrew Iraniha — Billing Profile & Reimbursement Data

    NPI 1700887833 · Newport Beach, CA · Surgery Physician

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    Andrew Iraniha is a surgery physician provider located in Newport Beach, California. This profile covers 7 Medicare and 3 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
    OrganizationAndrew Iraniha
    Address496 Old Newport Blvd
    CityNewport Beach
    StateCA
    ZIP92663
    TaxonomySurgery Physician
    NPI EnumeratedAugust 10, 2005

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

    Payer SourceTotal Paid
    Medicare$88.4K
    Medicaid$79K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    49020In this procedure, the provider incises the abdomen and drains an area of infection or abscess in the membrane lining of the abdominal contents, not involving the appendix.30$1,250$32.4K
    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…230$100$22.8K
    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$140$14.7K
    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…50$150$8.2K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.10$360$3.9K
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.10$320$3.9K
    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…20$150$2.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4902011020$1,190$28.6K
    992333,73911,530120$100$26.2K
    4965018420020$660$15.7K
    9921512,77615,36050$130$14.4K
    992232,98213,19050$140$11.3K
    4756213719020$540$9.2K
    992052,0658,36030$170$7.2K

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…900$60$50.1K
    49020In this procedure, the provider incises the abdomen and drains an area of infection or abscess in the membrane lining of the abdominal contents, not involving the appendix.50$400$20.5K
    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…330$30$8.3K

    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

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,5382,670540$40$183.4K
    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…6382,730190$90$100.3K
    49020In this procedure, the provider incises the abdomen and drains an area of infection or abscess in the membrane lining of the abdominal contents, not involving the appendix.11050$370$18.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Newport Bay Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$1.8M$242.6K
    David NabiCAVascular Surgery Physician$1.4M$0
    Ryan KleinCAInternal Medicine Physician$1.3M$0
    Hoag Outpatient Centers, LLCCAAmbulatory Surgical Clinic/Center$1.2M$0
    Howard MangoCAAudiologist$1M$148K
    Rafael PenunuriCAInternal Medicine Physician$1.1M$0
    Melissa SmithCAPlastic Surgery Physician$754.8K$255K
    Newport Beach Endoscopy Center, LLCCAAmbulatory Surgical Clinic/Center$967.7K$0
    George SiegelCAOccupational Therapist$891.6K$0
    Christopher O'carrollCANeurology Physician$655.3K$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
    Andrew Iraniha — 0 of 7 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 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Andrew Iraniha — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California