Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

POUYA AFSHAR MD INC

NPI: 1710336094 · SAN DIEGO, CA 92108 · Specialist · NPI assigned 06/08/2016

$4.61M
Total Medicaid Paid
61,855
Total Claims
51,623
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAFSHAR, POUYA (MEDICAL DIRECTOR)
NPI Enumeration Date06/08/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,273 $76K
2019 5,157 $102K
2020 5,045 $190K
2021 6,294 $390K
2022 7,974 $457K
2023 14,026 $1.13M
2024 18,086 $2.26M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9008 Coordinated care fee, physician coordinated care oversight services 7,563 3,888 $1.33M
99494 3,103 3,022 $585K
99493 4,375 4,372 $476K
99350 Prolong home eval add 15m 4,836 4,228 $452K
99310 Prolong nursin fac eval 15m 7,101 5,036 $297K
99487 Ccm add 20min 1,815 1,811 $200K
99490 Ccm add 20min 4,285 4,283 $173K
99491 Ccm add 20min 2,134 2,132 $139K
99306 Prolong nursin fac eval 15m 1,845 1,829 $129K
99337 4,409 4,090 $126K
99336 4,882 3,676 $105K
99349 2,604 2,202 $97K
G9012 Other specified case management service not elsewhere classified 386 286 $89K
99489 Ccm add 20min 578 571 $81K
G2214 Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional 1,440 1,429 $55K
99335 2,287 1,869 $37K
99497 552 540 $30K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,604 838 $30K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 177 176 $29K
99348 1,231 1,157 $26K
99356 596 595 $24K
99347 663 625 $24K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 140 135 $18K
99345 Prolong home eval add 15m 88 88 $16K
99492 131 131 $15K
99358 Prolong nursin fac eval 15m 207 198 $10K
99484 93 93 $4K
99344 28 28 $3K
99308 Subsequent nursing facility care, per day, straightforward 215 123 $2K
99354 103 99 $1K
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 16 16 $1K
99334 100 93 $993.82
99342 15 15 $883.48
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 23 12 $762.33
99328 15 15 $541.68
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,993 1,705 $479.04
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 12 12 $201.24
90694 14 14 $60.00
90686 110 110 $43.04
11721 13 13 $3.75
G8752 Most recent systolic blood pressure < 140 mmhg 16 16 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 18 15 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 13 12 $0.00
1123F 13 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $0.00