Koussayan, Ani
Koussayan, Ani was paid $63K by Medicaid between Dec 2018 and Nov 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 24% of everything it billed.
33Billing provider infoKOUSSAYAN, ANI
GRANADA HILLS, CA 91344
GRANADA HILLS, CA 91344
33aNPI1578085866assigned 07/09/2017
33bProvider typeOptometrist
28Total paid$63K
24GClaims13,823
24DCodes billed8
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#646 of 1,899
Median peer was paid$23K
This provider vs. median2.8×
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 | 181 | $0.00 | |
| 2019 | 3,270 | $2K | |
| 2020 | 2,974 | $15K | |
| 2021 | 3,143 | $7K | |
| 2022 | 2,847 | $14K | |
| 2024incomplete | 1,408 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 2,195 | 2,195 | $15K |
| V2020 | Frames, purchases | 21% | 3,116 | 3,114 | $13K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 2,778 | 2,776 | $11K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 1,573 | 1,573 | $9K |
| 92285 | 9.8% | 163 | 88 | $6K | |
| 92015 | Determination of refractive state | 8.2% | 3,782 | 3,782 | $5K |
| 92341 | 5.1% | 182 | 182 | $3K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 34 | 28 | $243.96 |
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.