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    OpenPayerNPI Medicare & MedicaidArash Mansouri
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    Arash Mansouri — Billing Profile & Reimbursement Data

    NPI 1780662312 · Fredericksburg, VA · Ophthalmology Physician

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    Arash Mansouri is a ophthalmology physician provider located in Fredericksburg, Virginia. This profile covers 24 Medicare and 6 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
    OrganizationArash Mansouri
    Address110 Cambridge St
    CityFredericksburg
    StateVA
    ZIP22405
    TaxonomyOphthalmology Physician
    NPI EnumeratedJanuary 4, 2006

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

    Payer SourceTotal Paid
    Medicare$518.4K
    Medicaid$19.9K

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…370$390$142K
    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$90$77.8K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…630$80$52.8K
    J7351Injection, bimatoprost, intracameral implant, 1 microgram320$160$51.8K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.200$250$49.2K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.50$630$30.2K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…600$40$25.3K
    65855In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.90$180$16K
    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…180$60$11.5K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…470$20$10.7K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984158380250$130$139K
    65820184030$1,110$63.1K
    J7351410340$160$61.5K
    92014162870170$80$32.8K
    668212023060$210$23K
    9921463112,890140$80$21K
    992133,53612,44090$60$10K
    9213412668070$30$9.7K
    65855129040$170$9.6K
    67840172030$210$8.8K

    Showing 1–10 of 24

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens140$70$9.7K
    S0621Routine ophthalmological examination including refraction; established patient80$50$3.6K
    S0620Routine ophthalmological examination including refraction; new patient80$50$3.5K
    V2020Frames, purchases140$10$1.4K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.20$50$860
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…20$50$860

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…400450300$60$89.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.454510270$70$68.4K
    V2020Frames, purchases245400230$40$36.6K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens190350160$30$19K
    S0621Routine ophthalmological examination including refraction; established patient3610040$60$5.8K
    S0620Routine ophthalmological examination including refraction; new patient228040$60$4.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bradley SmithMORetina Specialist (Ophthalmology) Physician$2M$0
    Matthew TadrusVAOphthalmology Physician$389.2K$0
    Derek EvansVAOptometrist$158.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Addus Healthcare, Inc.VAIn Home Supportive Care Agency$0$9.9M
    Manan MehtaVAHematology & Oncology Physician$1.5M$0
    Devashish SenVAPhysical Medicine & Rehabilitation Physician$717.7K$0
    Philip BrandtVAHematology & Oncology Physician$460.5K$0
    Steven HudsonVAOphthalmology Physician$278.2K$0
    Anusha Manje GowdaVAHematology & Oncology Physician$134.5K$0
    Darrell DilaVAPhysical Therapist$134.1K$0
    Angela TsaiVAOptometrist$104.5K$0
    Laboratory Corporation Of America HoldingsVAClinical Medical Laboratory$45.3K$24.2K
    Kerri Newman-darrowVAOccupational Therapist$17K$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. Virginia Distribution
    Arash Mansouri — 2 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Arash Mansouri — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia