SEPEHR KATIRAIE MD INC.

$1.61M

Total Medicaid Paid

35,267

Total Claims

30,215

Beneficiaries

60

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99202		1,795	1,637	$296K
99203		946	869	$242K
99212		2,888	2,502	$237K
Z1034		3,709	2,282	$228K
Z1032		803	803	$131K
Z6500		878	878	$108K
99213		1,214	1,074	$94K
Z6304		1,418	1,156	$37K
J3490	Drugs unclassified injection	478	387	$31K
Z6400		1,989	1,389	$31K
S9445	Pt education noc individ	2,108	2,108	$27K
Z6406		1,101	867	$23K
59425		1,037	590	$21K
Z6204		944	715	$19K
99000		4,861	4,678	$16K
Z6410		439	320	$12K
99214		1,392	1,166	$8K
81025		1,784	1,689	$7K
G8510	Scr dep neg, no plan reqd	834	822	$6K
99391		49	49	$5K
H1001	Antepartum management	318	184	$4K
99393		34	34	$4K
99394		34	25	$3K
92552		174	174	$3K
90713		267	267	$2K
Q0111	Wet mounts/ w preparations	410	409	$1K
90744		143	143	$1K
83986		410	409	$1K
99395		231	198	$1K
99211		16	15	$1K
90716		113	112	$972.00
90700		108	108	$927.00
92551		89	89	$925.69
92081		30	30	$812.53
90633		70	70	$612.00
90707		57	57	$477.00
85014		206	206	$419.90
96127		121	121	$412.91
81000		164	164	$407.96
G0442	Annual alcohol screen 15 min	36	35	$385.58
Z6412		26	13	$263.12
90658		29	29	$238.50
97802		15	15	$205.47
99385		18	14	$142.96
G0447	Behavior counsel obesity 15m	12	12	$132.24
90715		13	13	$108.00
90677		13	13	$90.00
90670		12	12	$81.00
90649		12	12	$81.00
86580		25	24	$74.68
1036F		35	35	$0.00
3008F		85	76	$0.00
G0439	Ppps, subseq visit	17	17	$0.00
1170F		34	34	$0.00
99396		121	96	$0.00
1160F		502	439	$0.00
1159F		536	470	$0.00
G0444	Depression screen annual	15	15	$0.00
3078F		31	27	$0.00
1124F		18	18	$0.00

Medicaid Provider Spending