Physician
Michael Kermani, MD, INC
Michael Kermani, MD, INC was paid $164K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.
33Billing provider infoMICHAEL KERMANI, MD, INC
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
33aNPI1104929777assigned 09/07/2006
33bProvider typeOphthalmology Physician
28Total paid$164K
24GClaims15,907
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#246 of 759
Median peer was paid$35K
This provider vs. median4.6×
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 | |
|---|---|---|---|
| 2018 | 2,287 | $35K | |
| 2019 | 2,169 | $51K | |
| 2020 | 2,022 | $27K | |
| 2021 | 1,261 | $13K | |
| 2022 | 1,889 | $16K | |
| 2023 | 3,073 | $12K | |
| 2024incomplete | 3,206 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 3,019 | 2,992 | $45K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 27% | 2,316 | 2,267 | $43K |
| 92226 | 16% | 1,959 | 1,906 | $26K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.2% | 925 | 918 | $15K |
| 92201 | 6.6% | 4,628 | 4,580 | $11K | |
| 99305 | 4.8% | 221 | 220 | $8K | |
| 92225 | 4.3% | 560 | 554 | $7K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.0% | 499 | 498 | $5K |
| 92202 | 1.7% | 1,642 | 1,625 | $3K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 20 | 20 | $576.81 |
| 99310 | Prolong nursin fac eval 15m | <1% | 102 | 99 | $506.33 |
| 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 | <1% | 16 | 16 | $38.19 |
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.
From NPPES
Who's on the registration
Authorized officialKERMANI, MICHAEL (PRESIDENT)