Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › ORANGE › FRED KHONSARI MEDICAL CORPORATION

FRED KHONSARI MEDICAL CORPORATION

NPI: 1275734410 · ORANGE, CA 92868 · Urology Physician · NPI assigned 05/29/2007

$17K
Total Medicaid Paid
724
Total Claims
676
Beneficiaries
3
Codes Billed
2019-04
First Month
2022-08
Last Month

Provider Details

Authorized OfficialKHONSARI, FERAIDOUN (CORPORATION PRESIDENT)
NPI Enumeration Date05/29/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 406 $11K
2020 197 $4K
2021 57 $1K
2022 64 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 468 445 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 58 58 $5K
81000 198 173 $556.64