Nima Goharkhay, PLLC

Nima Goharkhay, PLLC was paid $19.03M by Medicaid between Dec 2019 and Dec 2024, across 29 billing codes. Its largest line is 76819, Fetal biophysical profile; without non-stress testing — 16% of everything it billed.

33Billing provider infoNIMA GOHARKHAY, PLLC
FRIENDSWOOD, TX 77546

33aNPI1437501988assigned 07/08/2016

33bProvider typeMaternal & Fetal Medicine Physician

28Total paid$19.03M

24GClaims292,665

24DCodes billed29

24AFirst – last monthDec 2019 – Dec 2024

Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Texas

Rank by total paid#3 of 34

Median peer was paid$176K

This provider vs. median108×

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
2019	46	$660.40
2020	19,544	$1.22M
2021	63,036	$4.05M
2022	64,851	$4.25M
2023	69,013	$4.52M
2024incomplete	76,175	$4.98M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76819	Fetal biophysical profile; without non-stress testing	16%	45,831	26,848	$3.05M
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	14%	32,057	22,383	$2.76M
76821		12%	34,229	20,490	$2.34M
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	9.4%	39,115	25,595	$1.79M
76820		9.2%	49,871	29,019	$1.75M
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	7.5%	10,601	10,363	$1.44M
76825		7.1%	6,510	6,204	$1.35M
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	5.0%	13,186	11,149	$954K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	4.4%	8,012	7,709	$835K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	3.7%	11,603	8,481	$695K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.9%	10,680	8,493	$364K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.9%	4,534	4,439	$357K

17 more codes

76827		1.8%	6,081	$338K
99243		<1%	1,981	$155K
99215	Doctor's office visit, returning patient (complex)	<1%	2,183	$150K
93325		<1%	7,897	$143K
76826		<1%	1,121	$137K
76801		<1%	1,336	$123K
76813		<1%	1,117	$102K
99203	Doctor's office visit, new patient (routine)	<1%	1,599	$90K
76828		<1%	1,084	$41K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	325	$35K
99205	Prolong outpt/office vis	<1%	321	$30K
76818		<1%	155	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	238	$5K
99242		<1%	20	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	31	$410.41
36415	Collection of venous blood by venipuncture	<1%	930	$224.24
36416		0%	17	$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 officialGOHARKHAY, NIMA (OWNER)