Rousta, Sepideh

Rousta, Sepideh was paid $159K by Medicaid between Jan 2018 and Mar 2020, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.

33Billing provider infoROUSTA, SEPIDEH
EAST BRUNSWICK, NJ 08816

33aNPI1275513277assigned 01/18/2006

33bProvider typeOphthalmology Physician

28Total paid$159K

24GClaims2,394

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Ophthalmology Physician providers in New Jersey

Rank by total paid#61 of 213

Median peer was paid$20K

This provider vs. median8.1×

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	1,056	$69K
2019	1,146	$78K
2020	192	$13K

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	35%	488	486	$56K
92060		32%	894	890	$52K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	22%	259	259	$35K
92015	Determination of refractive state	7.7%	700	700	$12K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	2.7%	53	53	$4K

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.