Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sevag Balikian, M.D., a Professional Corporation

Sevag Balikian, M.D., a Professional Corporation was paid $568K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 69% of everything it billed.

33Billing provider infoSEVAG BALIKIAN, M.D., A PROFESSIONAL CORPORATION
PASADENA, CA 91105
33aNPI1851635999assigned 11/15/2012
33bProvider typeNephrology Physician
28Total paid$568K
24GClaims12,778
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#75 of 363
Median peer was paid$80K
This provider vs. median7.1×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018404$22K
20191,162$56K
20201,072$67K
20212,044$103K
20222,108$110K
20232,436$107K
2024incomplete3,552$103K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 69% 3,280 3,269 $392K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 26% 8,103 2,076 $150K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.7% 392 128 $9K
90961 <1% 97 97 $6K
99222 Initial hospital care, per day, moderate complexity <1% 151 149 $4K
99454 <1% 259 254 $3K
99223 Prolong inpt eval add15 m <1% 60 56 $2K
99457 <1% 300 295 $812.99
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 <1% 98 98 $180.31
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 0% 26 26 $0.00
99453 0% 12 12 $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.

From NPPES

Who's on the registration

Authorized officialBALIKIAN, SEVAG (PRESIDENT)