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    OpenPayerNPI Medicare & MedicaidMehdi Gheshlaghi
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    Mehdi Gheshlaghi — Billing Profile & Reimbursement Data

    NPI 1831487966 · Cheyenne, WY · Cardiovascular Disease Physician

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    Mehdi Gheshlaghi is a cardiovascular disease physician provider located in Cheyenne, Wyoming. This profile covers 21 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
    OrganizationMehdi Gheshlaghi
    Address2301 House Ave Ste 301
    CityCheyenne
    StateWY
    ZIP82001
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJuly 11, 2011

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

    Payer SourceTotal Paid
    Medicare$348.3K
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer: Total Medicare revenue is $348.3K and there is no Medicaid billing on file, so all recorded public‑payer activity is concentrated in Medicare. Analysts should treat this profile as a Medicare‑centric practice when modeling payer mix and market reach.

    Revenue is highly concentrated in a small set of services: the top 3 Medicare codes — 99215 ($65.9K, 19.0%), 78452 ($51.2K, 14.7%), and 93306 ($48.6K, 14.0%) — together account for 47.7% of this provider’s total Medicare revenue. This level of concentration indicates that a few office/E&M and cardiac imaging services drive nearly half of the Medicare dollars recorded.

    The code mix indicates a blended cardiology practice model combining high‑acuity evaluation/management with advanced cardiac imaging and testing. High‑level office and consult codes such as 99215 ($65.9K), 99223 ($35.9K), 99233 ($33.4K), and 99205 ($17.4K) appear alongside imaging/diagnostic codes including 78452 ($51.2K), 93306 ($48.6K), 93010 ($28K) and 93245 ($10.2K), which suggests the provider delivers both outpatient/inpatient consults and on‑site noninvasive cardiac testing.

    Several individual codes show unusually high national volume relative to peers and signal operational specialization rather than across‑the‑board dominance: 99215 ranks #2178 of 145531 providers (98th percentile; extreme outlier) and 93010 ranks #130 of 50616 providers (100th percentile; extreme outlier), indicating exceptionally high throughput for high‑complexity office visits and ECG interpretation respectively. At the same time other diagnostic and imaging codes such as 78452 (rank #2714 of 14946, 82th percentile; typical, unremarkable volume) and 93306 (rank #3095 of 24624, 87th percentile; typical, unremarkable volume) sit at more conventional peer levels, so the provider is a national outlier on a few specific activities rather than uniformly across all cardiology services.

    Inpatient/observation E/M care is a meaningful part of the mix: 99223 accounts for $35.9K (10.3%) and ranks #4800 of 139583 providers (97th percentile; notably above typical national volume), while 99233 accounts for $33.4K (9.6%) and ranks #16124 of 128818 providers (87th percentile; typical, unremarkable volume). These volumes point to a consistent role in initial and subsequent inpatient evaluation and management rather than strictly office‑based practice.

    The practice runs a significant noninvasive testing and stress imaging footprint alongside E/M work: 93010 has 4.7K claims for $28K (8.1%) and is an extreme outlier by rank, J2785 (regadenoson) shows 437 claims for $19.2K (5.5%), A9500 contributes $9.5K (2.7%), and 93245 yields $10.2K (2.9%). Together these items indicate a programmatic capacity for stress testing, nuclear perfusion studies, and prolonged ambulatory monitoring that materially contributes to Medicare revenue.

    Compared with national peers the provider shows pockets of dominance but otherwise a conventional profile: multiple high‑revenue codes are in top percentiles or labeled "notably above typical" or "extreme outlier" (e.g., 99215, 93010, 99223), while many other cardiac imaging and E/M codes are described as "typical, unremarkable volume" in their percentile bands. This mixed standing suggests targeted strengths in specific high‑volume services rather than broad geographic market dominance across all cardiology procedures.

    The provider has an established NPI tenure (enumerated 2011-07-11, ~15 years ago), which combined with the concentrated Medicare revenue stream suggests a stable, Medicare‑focused practice built over time. For payers and competitors, this signals an experienced operator with entrenched workflows and referral patterns centered on the cardiac diagnostic and high‑complexity E/M services listed above.

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…470$140$65.9K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…130$390$51.2K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…530$90$48.6K
    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…260$140$35.9K
    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…340$100$33.4K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.4,670$10$28K
    J2785Injection, regadenoson, 0.1 mg440$40$19.2K
    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…100$170$17.4K
    93245In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient who wears it for more than seven days, up to 15 days, to help detect abnormal heart rates and…40$230$10.2K
    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…100$100$10K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306420300$100$29.6K
    A950081090$130$15.8K
    99214390780100$80$14.8K
    7845222070$210$13.7K
    99233911070$90$11.3K
    J2785210180$40$10.6K
    9324511040$230$10.2K
    99215222040$120$8.3K
    99223613040$130$7.8K
    9920598020$150$6.3K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medstar Medical Group Ii LLCMDGeneral Practice Physician$0$91.5M
    Union Hospital Of Cecil CountyMDInternal Medicine Physician$0$4.9M
    Medstar Heart Institute LLCDCSurgery Physician$0$4.8M
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Brittney StatlerCOOphthalmology Physician$3.7M$0
    Arthur KorotkinCOOphthalmology Physician$3.7M$0
    Howard HauptmanMDRheumatology Physician$2.9M$0
    John PurvianceWYRadiation Oncology Physician$2.5M$0
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K
    Matthew AsanoCOOphthalmology Physician$2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Magic City Enterprises, IncWYDevelopmentally Disabled Services Day Training Agency$0$23.6M
    Cheyenne Habilitation & Therapeutic Center, IncWYDevelopmentally Disabled Services Day Training Agency$0$14.4M
    Specialty Counseling & ConsultingWYCommunity/Behavioral Health Agency$0$8.2M
    University Of WyomingWYFederally Qualified Health Center (FQHC)$0$5.5M
    Cheyenne Regional Physicians Group, LLCWYMedical Oncology Physician$0$5.1M
    Cheyenne Surgical Center LLCWYAmbulatory Surgical Clinic/Center$567.4K$4.5M
    Memorial Hospital Of Laramie CountyWYGeneral Acute Care Hospital$0$4M
    Goodwill Industries Of Wy, Inc.WYCase Management Agency$0$3.9M
    American Medical Response Ambulance Service IncWYAmbulance$1.4M$2.3M
    Summit Medical Group, LLCWYEmergency Medicine Physician$0$3.7M

    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. Wyoming Distribution
    Mehdi Gheshlaghi — 6 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming