Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEJMAN SAMOUHA M.D. INC

NPI: 1194090688 · LOS ANGELES, CA 90006 · Specialist · NPI assigned 03/15/2012

$2.23M
Total Medicaid Paid
49,211
Total Claims
46,260
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSAMOUHA, PEJMAN (OWNER)
NPI Enumeration Date03/15/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 902 $97K
2019 567 $60K
2020 4,110 $302K
2021 9,434 $541K
2022 9,906 $373K
2023 11,055 $465K
2024 13,237 $394K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,626 9,568 $1.56M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,088 3,779 $386K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,198 3,669 $118K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 4,451 4,451 $56K
S9088 Services provided in an urgent care center (list in addition to code for service) 6,727 5,801 $35K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,149 1,115 $13K
81025 3,702 3,571 $10K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 423 407 $9K
81002 5,087 4,954 $9K
99072 3,953 3,400 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 344 303 $6K
J0696 Injection, ceftriaxone sodium, per 250 mg 828 787 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 35 35 $3K
99401 1,116 1,105 $3K
71046 Radiologic examination, chest; 2 views 181 178 $3K
36415 Collection of venous blood by venipuncture 1,339 1,311 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 208 116 $2K
81003 976 953 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 157 157 $550.59
86580 259 249 $492.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg 217 210 $478.85
99070 78 73 $233.64
J0690 Injection, cefazolin sodium, 500 mg 26 26 $99.24
99000 16 16 $58.08
81000 27 26 $36.93