Physician
OIG excluded
Rostami, Mike
Rostami, Mike was paid $36K by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoROSTAMI, MIKE
LOS ANGELES, CA 90029
LOS ANGELES, CA 90029
33aNPI1720135726assigned 01/04/2007
33bProvider typeGeneral Practice Physician
28Total paid$36K
24GClaims22,884
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#157 of 474
Median peer was paid$10K
This provider vs. median3.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (01/20/2026).
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 | 4,639 | $2K | |
| 2019 | 117 | $364.60 | |
| 2020 | 71 | $406.06 | |
| 2022 | 2,845 | $6K | |
| 2023 | 6,312 | $10K | |
| 2024incomplete | 8,900 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 12,895 | 6,304 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 28% | 454 | 452 | $10K |
| 92552 | 15% | 833 | 828 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 289 | 288 | $4K |
| 85018 | 3.9% | 884 | 879 | $1K | |
| 92060 | 2.8% | 745 | 740 | $1K | |
| 90620 | 1.2% | 90 | 90 | $424.00 | |
| 90734 | 1.0% | 109 | 109 | $378.00 | |
| 92551 | <1% | 428 | 428 | $294.45 | |
| 90686 | <1% | 98 | 98 | $270.00 | |
| 90651 | <1% | 45 | 45 | $243.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 73 | 73 | $222.12 |
23 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 26 | $176.65 |
| 90674 | <1% | 14 | $117.00 | |
| 81000 | <1% | 373 | $101.77 | |
| 83655 | <1% | 49 | $84.16 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 82 | $49.90 |
| 86580 | <1% | 52 | $33.30 | |
| 90649 | <1% | 75 | $18.00 | |
| 99173 | <1% | 12 | $11.40 | |
| 90672 | <1% | 14 | $9.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 669 | $2.00 |
| 3008F | 0% | 647 | $0.00 | |
| 90657 | 0% | 345 | $0.00 | |
| 97802 | 0% | 492 | $0.00 | |
| 85032 | 0% | 471 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 492 | $0.00 |
| 99172 | 0% | 401 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 29 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 492 | $0.00 |
| 90716 | 0% | 13 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 675 | $0.00 |
| 99401 | 0% | 492 | $0.00 | |
| 90707 | 0% | 13 | $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.