Ghalili, Saman

Ghalili, Saman was paid $335K by Medicaid between Jan 2018 and Oct 2024, across 31 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 54% of everything it billed.

33Billing provider infoGHALILI, SAMAN
LOS ANGELES, CA 90011

33aNPI1891724993assigned 07/01/2006

33bProvider typeUrgent Care Clinic/Center

28Total paid$335K

24GClaims22,554

24DCodes billed31

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Urgent Care Clinic/Center providers in California

Rank by total paid#114 of 284

Median peer was paid$147K

This provider vs. median2.3×

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	11,182	$73K
2019	4,388	$44K
2020	1,990	$19K
2021	2,232	$54K
2022	1,351	$65K
2023	938	$59K
2024incomplete	473	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	54%	842	797	$180K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	11,687	10,525	$92K
G9920	Screening performed and negative	4.9%	1,585	1,575	$16K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.7%	804	802	$16K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.8%	714	713	$13K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.3%	293	293	$8K
99205	Prolong outpt/office vis	<1%	12	12	$2K
92551		<1%	383	382	$2K
90649		<1%	604	601	$2K
90734		<1%	357	357	$1K
85018		<1%	404	403	$514.45
81000		<1%	203	203	$484.59

19 more codes

90715		<1%	157	$403.65
90696		<1%	28	$212.40
90710		<1%	28	$144.00
90686		<1%	54	$99.00
90633		<1%	12	$81.00
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	921	$80.00
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	<1%	1,230	$72.00
S9451	Exercise classes, non-physician provider, per session	<1%	740	$66.00
90620		<1%	15	$63.00
90655		<1%	16	$62.55
Q2039	Influenza virus vaccine, not otherwise specified	<1%	51	$56.08
90674		<1%	12	$54.00
90619		<1%	15	$54.00
97802		<1%	831	$30.00
92015	Determination of refractive state	<1%	339	$21.57
S9452	Nutrition classes, non-physician provider, per session	0%	58	$0.00
17000		0%	12	$0.00
81003		0%	133	$0.00
69200		0%	14	$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.