Kermani, Michael

Kermani, Michael was paid $9K by Medicaid between Mar 2019 and Jul 2023, across 11 billing codes. Its largest line is 92201, — 43% of everything it billed.

33Billing provider infoKERMANI, MICHAEL
NEWPORT BEACH, CA 92660

33aNPI1013010685assigned 09/07/2006

33bProvider typeOphthalmology Physician

28Total paid$9K

24GClaims2,919

24DCodes billed11

24AFirst – last monthMar 2019 – Jul 2023

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#497 of 759

Median peer was paid$35K

This provider vs. median0.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	457	$198.40
2020	604	$6K
2021	539	$2K
2022	811	$1K
2023	508	$340.71

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92201		43%	1,238	1,237	$4K
99308	Subsequent nursing facility care, per day, straightforward	19%	669	669	$2K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	19%	157	155	$2K
92202		17%	300	300	$1K
92226		1.3%	225	225	$111.70
92225		<1%	88	88	$50.12
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	50	50	$40.00
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	0%	60	60	$0.00
99305		0%	93	93	$0.00
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	0%	13	13	$0.00
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	0%	26	26	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.