Mansouri, Arash

Mansouri, Arash was paid $20K by Medicaid between Jan 2018 and Jan 2019, across 6 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 49% of everything it billed.

33Billing provider infoMANSOURI, ARASH
FREDERICKSBURG, VA 22405

33aNPI1780662312assigned 01/04/2006

33bProvider typeOphthalmology Physician

28Total paid$20K

24GClaims467

24DCodes billed6

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Ophthalmology Physician providers in Virginia

Rank by total paid#60 of 129

Median peer was paid$14K

This provider vs. median1.4×

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	441	$19K
2019	26	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	49%	135	135	$10K
S0621	Routine ophthalmological examination including refraction; established patient	18%	79	79	$4K
S0620	Routine ophthalmological examination including refraction; new patient	18%	78	78	$4K
V2020	Frames, purchases	7.1%	137	137	$1K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	4.3%	19	19	$855.00
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	4.3%	19	19	$855.00

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.