Montazeri, Rasoul

Montazeri, Rasoul was paid $18K by Medicaid between Dec 2020 and Jan 2022, across 4 billing codes. Its largest line is 99202, Office or other outpatient visit for the evaluation and management of a new patient, straightforward — 72% of everything it billed.

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
2020	18	$204.20
2021	563	$14K
2022	118	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	72%	445	437	$13K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	16%	93	79	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	8.3%	93	75	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	3.6%	68	60	$625.38

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.