KOUROSH ALEXANDER DASTGHEIB, M.D., INC
NPI: 1922205202
· GARDEN GROVE, CA 92843
· Ophthalmology Physician
· NPI assigned 06/29/2007
$726K
Total Medicaid Paid
Provider Details
| Authorized Official | ROWLAND, HEATHER (BILLING/CREDENTIALING MANAGER) |
| NPI Enumeration Date | 06/29/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
541 |
$26K |
| 2019 |
1,473 |
$102K |
| 2020 |
1,544 |
$78K |
| 2021 |
2,778 |
$188K |
| 2022 |
2,484 |
$208K |
| 2023 |
1,811 |
$110K |
| 2024 |
1,203 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67210 |
|
742 |
533 |
$276K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,256 |
3,178 |
$204K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
547 |
544 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,222 |
1,130 |
$56K |
| 92202 |
|
4,164 |
2,107 |
$51K |
| 92226 |
|
525 |
370 |
$23K |
| 92133 |
|
474 |
467 |
$16K |
| 92225 |
|
250 |
207 |
$13K |
| 92083 |
|
275 |
271 |
$12K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
21 |
14 |
$5K |
| 92020 |
|
162 |
159 |
$4K |
| 92250 |
|
81 |
81 |
$4K |
| 68761 |
|
28 |
12 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 92134 |
|
24 |
24 |
$838.36 |
| 76514 |
|
50 |
50 |
$585.28 |