Managed care
Uri Ben-Zur M.D.,Inc
Uri Ben-Zur M.D.,Inc was paid $270K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoURI BEN-ZUR M.D.,INC
ENCINO, CA 91436
ENCINO, CA 91436
33aNPI1225304843assigned 03/28/2012
33bProvider typeExclusive Provider Organization
28Total paid$270K
24GClaims30,809
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Exclusive Provider Organization providers in California
Rank by total paid#19 of 55
Median peer was paid$90K
This provider vs. median3.0×
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 | 12,920 | $16K | |
| 2019 | 2,434 | $30K | |
| 2020 | 2,471 | $49K | |
| 2021 | 3,420 | $63K | |
| 2022 | 3,754 | $72K | |
| 2023 | 2,245 | $23K | |
| 2024incomplete | 3,565 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 25% | 2,907 | 1,956 | $66K |
| 99490 | Ccm add 20min | 22% | 3,018 | 3,012 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 3,078 | 1,773 | $43K |
| 99454 | 11% | 1,368 | 1,333 | $30K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 7.4% | 460 | 454 | $20K |
| 99439 | 3.7% | 1,918 | 1,913 | $10K | |
| 99457 | 3.7% | 1,648 | 1,644 | $10K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.9% | 74 | 68 | $8K |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 2.8% | 449 | 447 | $8K |
| 99458 | 2.2% | 1,130 | 1,128 | $6K | |
| 93000 | 2.2% | 1,218 | 1,089 | $6K | |
| 99442 | <1% | 60 | 50 | $2K |
17 more codes
| 99443 | <1% | 15 | $2K | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 23 | $990.34 |
| 99497 | <1% | 49 | $594.23 | |
| 94760 | <1% | 97 | $226.35 | |
| 99453 | <1% | 13 | $80.96 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 911 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,567 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 1,380 | $0.00 |
| G8942 | Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 1,530 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 1,419 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 435 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,456 | $0.00 |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 1,539 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 1,378 | $0.00 |
| 4086F | 0% | 25 | $0.00 | |
| 1036F | 0% | 1,562 | $0.00 | |
| 1123F | 0% | 82 | $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.
From NPPES
Who's on the registration
Authorized officialBEN-ZUR, URI (PRESIDENT/OWNER)