SIAMAK ETEHAD MD INC A MEDICAL CORPORATION
NPI: 1043657802
· NORTHRIDGE, CA 91325
· Internal Medicine Physician
· NPI assigned 06/03/2013
$137K
Total Medicaid Paid
Provider Details
| Authorized Official | ETEHAD, SIAMAK (PRESIDENT) |
| NPI Enumeration Date | 06/03/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
872 |
$13K |
| 2019 |
929 |
$20K |
| 2020 |
508 |
$12K |
| 2021 |
622 |
$26K |
| 2022 |
723 |
$23K |
| 2023 |
935 |
$24K |
| 2024 |
2,112 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,730 |
3,519 |
$110K |
| 99309 |
|
1,696 |
396 |
$14K |
| 99213 |
|
447 |
410 |
$5K |
| 99442 |
|
74 |
68 |
$4K |
| 99215 |
Prolong outpt/office vis |
95 |
94 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
18 |
$562.51 |
| 99308 |
|
12 |
12 |
$266.11 |
| 96372 |
|
61 |
54 |
$250.97 |
| 99335 |
|
13 |
13 |
$140.98 |
| 90686 |
|
43 |
43 |
$11.26 |
| 36415 |
|
410 |
380 |
$9.38 |
| 90688 |
|
30 |
30 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
72 |
72 |
$0.00 |