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    OpenPayerNPI Medicare & MedicaidSom Kohanzadeh
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    Som Kohanzadeh — Billing Profile & Reimbursement Data

    NPI 1952575342 · Beverly Hills, CA · Plastic and Reconstructive Surgery Physician

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    Som Kohanzadeh is a plastic and reconstructive surgery physician provider located in Beverly Hills, California. This profile covers 19 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
    OrganizationSom Kohanzadeh
    Address250 N Robertson Blvd Ste 106
    CityBeverly Hills
    StateCA
    ZIP90211
    TaxonomyPlastic and Reconstructive Surgery Physician
    NPI EnumeratedApril 16, 2008

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

    Payer SourceTotal Paid
    Medicare$14.7M
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is highly concentrated in a narrow set of procedure add-ons: Q4158 and Q4205 together account for 90.3% of Medicare revenue and the precomputed top 3 codes represent 94.5% of total Medicare revenue. The mix of dominant codes — Q4158 (Kerecis omega3) and Q4205 (membrane graft/wrap) — indicates the practice is focused on advanced skin substitute and grafting products rather than general outpatient office care or routine E/M services.

    Q4158 is the single largest revenue driver, generating $8.4M and representing 57.0% of the provider’s Medicare revenue; the provider ranks #1 of 36 nationally for this code and is described as an extreme outlier. This national leading position for Q4158 signals a specialized, high-volume use of this particular graft material relative to peers and suggests differentiated service capability or a specialized wound-care/surgical supply emphasis.

    Q4205 contributes $4.9M (33.3% of Medicare revenue) and the provider ranks #7 of 63 nationally (90th percentile). While not as uniquely dominant as Q4158, this high placement for Q4205 reinforces that membrane grafting/wraps are a core service line and that the provider performs at substantially higher-than-typical national volumes for these skin-substitute products.

    G0277 (hyperbaric oxygen therapy) accounts for $623.7K and 4.2% of Medicare revenue, with a #3 national rank and a 97th percentile standing described as notably above typical national volume. The presence of both high-volume skin substitute codes and elevated hyperbaric oxygen utilization suggests an integrated wound care and tissue-healing service line offering multiple advanced therapies for complex or non-healing wounds.

    The provider shows negligible Medicaid activity — the record states no Medicaid billing on file — so payer mix is effectively single-payer Medicare for the dataset provided. With $14.7M in total Medicare revenue and no Medicaid revenue, this practice’s exposure and financial footprint in public payer data is concentrated entirely in Medicare and specific high-cost product codes.

    Several other procedural and inpatient E/M codes (for example, 99233, 99232, 15271, and 99183) appear with notable ranks at or near extreme outlier percentiles, indicating unusually high volumes of related inpatient and adjunct wound-care services versus national peers. This pattern — high-volume add-on graft materials, hyperbaric therapy supervision codes, and inpatient E/M claims — is consistent with a practice that treats complex wound and reconstructive cases requiring both surgical grafting and supportive therapies.

    The provider has a long tenure in the NPI registry, enumerated approximately 18 years ago (2008-04-16), which supports the possibility of an established referral base or institutional relationships feeding high volumes of the specialized services reflected in the billing mix. That tenure combined with concentrated service lines and national-ranking outlier positions suggests established operational scale in these therapies.

    From a competitive standpoint, the combination of a #1 national rank for Q4158 and top-decile ranks for several other product and therapy codes positions this provider as a dominant national outlier for a small set of advanced wound-care/skincare substitute services, rather than a broad-spectrum plastic surgery practice. Payers and provider analysts should view this entity as a specialized, high-volume supplier of specific graft and wound-healing interventions within the Medicare population.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4158Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)17,820$470$8.4M
    Q4205Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)4,220$1,160$4.9M
    G0277Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval3,900$160$623.7K
    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…1,850$100$189.1K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…790$160$126.5K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…1,580$70$107.2K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.780$130$100.9K
    99183In this procedure, the provider attends and supervises the administration of hyperbaric oxygen therapy to a patient to treat specific conditions, such as decompression sickness in deep sea divers,…980$90$85.1K
    11046The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at…1,060$50$56.3K
    11047The provider uses surgical instruments to remove dead, infected tissue from bone as well as the epidermis, dermis, and subcutaneous tissue, muscle, and/or fascia if needed. She performs this service…260$80$21.1K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q41581106,260$470$3.6M
    Q42052101,890$1,150$2.7M
    G02772101,930$150$336.8K
    1104346370120$170$52.1K
    110443711060$240$29.1K
    9923318411,530120$100$26.2K
    1104618160270$50$24.2K
    110471130190$90$21K
    991833110120$90$18.8K
    152716170110$110$18.6K

    Showing 1–10 of 19

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Neurological Institute Of Los AngelesCANeurology Physician$0$36M
    Robertson AdhcCAAdult Day Care Clinic/Center$0$26.9M
    Specialty Surgical Center, LLCCAAmbulatory Surgical Clinic/Center$6.5M$552.7K
    Ohrelle Laboratories IncCAClinical Medical Laboratory$576.7K$6.2M
    Gather Labs LLCCAClinical Medical Laboratory$2.7M$2.1M
    Jonathan EskenaziCANeurology Physician$2.9M$407.6K
    David ParksCARetina Specialist (Ophthalmology) Physician$2.8M$353.4K
    R Swamy VenuturupalliCARheumatology Physician$2.8M$0
    Daniel EsmailiCAOphthalmology Physician$2.7M$2.2K
    Demijon DicenCAPhysician Assistant$2.3M$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
    Som Kohanzadeh — 7 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California