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    OpenPayerNPI Medicare & MedicaidMike Rostami
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    Mike Rostami — Billing Profile & Reimbursement Data

    NPI 1720135726 · Los Angeles, CA · General Practice Physician

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    Mike Rostami is a general practice physician provider located in Los Angeles, California. This profile covers 39 Medicare and 35 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
    OrganizationMike Rostami
    Address1119 N Western Ave Ste G
    CityLos Angeles
    StateCA
    ZIP90029
    TaxonomyGeneral Practice Physician
    NPI EnumeratedJanuary 4, 2007

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

    Payer SourceTotal Paid
    Medicare$473.2K
    Medicaid$36.3K

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…3,510$70$245.8K
    J3250Injection, trimethobenzamide hcl, up to 200 mg1,120$30$34.8K
    21556The provider removes an abnormal growth, or mass, less than 5 cm in size, located in the muscle tissue in the neck or front part of the chest. He submits the specimen for analysis and diagnosis of a…70$380$25.8K
    99483The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…100$220$21.9K
    45915In this procedure, the provider removes a foreign body or fecal impaction from the rectal area with the patient under anesthesia.70$270$19.3K
    10061The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…80$170$12.9K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…150$70$10.9K
    23930In this procedure the provider makes an incision to drain any abscess or swelling of clotted blood that is in the deep structures of the upper arm or elbow.50$230$10.5K
    46600The provider performs an anoscopy, or an examination of the anus using a small, rigid, tubular instrument called an anoscope. He collects samples for analysis by brushing or washing the anal canal.…70$110$7.3K
    12034This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 7.6 to 12.5 cm in size.30$230$7K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    29505210550$80$43.7K
    2155611070$380$25.8K
    4591511070$270$19.3K
    J3250110610$30$18.5K
    994834723040$210$18.3K
    170047851,23060$140$16.4K
    2800141030$120$15K
    992134934,66080$70$13.2K
    10061129020$160$12.4K
    2393011050$230$10.5K

    Showing 1–10 of 39

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…12,900$1$12.9K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.450$20$10K
    92552The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.830$10$5K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.290$10$3.5K
    85018The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.880$1$1.8K
    92060The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…750$1$750
    90620This code represents a vaccine product administered into the muscle to protect against meningococcal disease caused by serogroup B. This vaccine uses recombinant proteins and outer membrane vesicles…90$10$450
    92551The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.430$1$430
    90734The provider administers a meningococcal conjugate vaccine in a diphtheria toxoid carrier (MenACWY–D) or CRM197 carrier (MenACWY–CRM) to protect the patient from four strains of meningococcal viruses…110$1$330
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…100$1$290

    Showing 1–10 of 35

    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

    35 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0120Periodic oral evaluation - established patient3,3175,640800$50$163.8K
    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…1,69714,520760$10$122.8K
    92060The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…58160230$30$47.4K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…701820290$20$40.7K
    96110The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…6511,520320$20$37.4K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…1,8962,400580$20$37K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.1,5272,600480$20$33.3K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.1,1682,480380$20$28.8K
    97802The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…5061,280250$20$24K
    92551The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.1,4662,690580$1$14.4K

    Showing 1–10 of 35

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jwch Institute, Inc.CAFederally Qualified Health Center (FQHC)$0$119.3M
    Lusine ApikyanCAAdult Health Nurse Practitioner$838.1K$0
    Hovanes Ter-zakarianCAFamily Medicine Physician$399.5K$60
    Calvin PetersCAPhysical Medicine & Rehabilitation Physician$224.8K$0
    Joseph EshaghianCAOphthalmology Physician$163.4K$0
    Jem Dynamics IncCAClinical Medical Laboratory$80K$10K

    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
    Mike Rostami — 5 of 25 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 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Mike Rostami — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California