Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Toluie, Kamran

Toluie, Kamran was paid $134K by Medicaid between Jan 2018 and Nov 2020, across 9 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 70% of everything it billed.

33Billing provider infoTOLUIE, KAMRAN
BEVERLY HILLS, CA 90212
33aNPI1346219045assigned 03/15/2006
28Total paid$134K
24GClaims4,121
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers

Next to other Clinical Cardiac Electrophysiology Physician providers in California

Rank by total paid#21 of 55
Median peer was paid$44K
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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20182,038$44K
20191,561$66K
2020522$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 70% 2,665 585 $93K
99223 Prolong inpt eval add15 m 17% 414 388 $22K
99255 5.5% 105 100 $7K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.3% 85 82 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3.0% 444 421 $4K
93018 <1% 40 40 $1K
93016 <1% 40 40 $589.68
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 313 58 $491.02
99222 Initial hospital care, per day, moderate complexity <1% 15 15 $46.67

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.