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

Pouya Lavian MD INC a Medical Corporation

Pouya Lavian MD INC a Medical Corporation was paid $2.83M by Medicaid between Jan 2018 and Sep 2024, across 12 billing codes. Its largest line is 95886, — 24% of everything it billed.

33Billing provider infoPOUYA LAVIAN MD INC A MEDICAL CORPORATION
ENCINO, CA 91436
33aNPI1922429406assigned 12/30/2013
28Total paid$2.83M
24GClaims23,688
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Neuromusculoskeletal Medicine & OMM Physician providers in California

Rank by total paid#1 of 12
Median peer was paid$23K
This provider vs. median123×

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$25K$50K$75K2018201920202021202220232024
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
2018375$19K
20193,191$382K
20204,116$376K
20214,489$428K
20223,928$608K
20234,372$646K
2024incomplete3,217$367K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95886 24% 3,133 3,123 $670K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 18% 4,422 4,355 $515K
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 16% 6,708 6,392 $449K
95913 11% 1,340 1,338 $305K
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 10% 2,525 2,507 $286K
99205 Prolong outpt/office vis 9.6% 1,571 1,569 $270K
95912 6.8% 997 995 $193K
99401 2.7% 2,273 2,242 $78K
95910 <1% 172 172 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 376 371 $19K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 136 136 $14K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 35 35 $3K

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 officialLAVIAN, POUYA (PRESIDENT)