Forouzandeh, Bahram
Forouzandeh, Bahram was paid $926K by Medicaid between Jan 2018 and Sep 2023, across 27 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 27% of everything it billed.
33Billing provider infoFOROUZANDEH, BAHRAM
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
33aNPI1750356788assigned 02/22/2006
33bProvider typeSpecialist
28Total paid$926K
24GClaims15,396
24DCodes billed27
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Specialist providers in Kentucky
Rank by total paid#12 of 73
Median peer was paid$107K
This provider vs. median8.6×
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 | 3,529 | $245K | |
| 2019 | 2,613 | $170K | |
| 2020 | 2,574 | $153K | |
| 2021 | 2,807 | $158K | |
| 2022 | 2,258 | $111K | |
| 2023 | 1,615 | $89K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 27% | 2,802 | 2,422 | $247K |
| 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 | 17% | 1,934 | 1,737 | $160K |
| 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 | 9.5% | 2,369 | 2,036 | $88K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.4% | 2,867 | 2,510 | $87K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 7.1% | 463 | 390 | $65K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 6.8% | 322 | 274 | $63K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 4.4% | 276 | 244 | $41K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.5% | 2,277 | 905 | $33K |
| 45384 | 3.1% | 159 | 141 | $29K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 363 | 323 | $21K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.9% | 367 | 325 | $18K |
| 43245 | 1.6% | 108 | 97 | $15K |
15 more codes
| 45381 | 1.5% | 198 | $14K | |
| 99254 | 1.5% | 141 | $14K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 127 | $9K |
| 44361 | <1% | 48 | $6K | |
| 99205 | Prolong outpt/office vis | <1% | 34 | $4K |
| 99219 | <1% | 57 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 126 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 141 | $3K |
| 43248 | <1% | 15 | $2K | |
| 99442 | <1% | 25 | $1K | |
| 99443 | <1% | 14 | $901.37 | |
| 99441 | <1% | 33 | $614.75 | |
| 99224 | <1% | 19 | $380.31 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 91 | $0.00 |
| G8883 | Biopsy results reviewed, communicated, tracked and documented | 0% | 20 | $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.