ALI RAFATJOO, M.D.
Family Medicine Physician · NEWPORT BEACH, CA
Individual Active NPI 1154341907
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 160 | 767 | $136,606 | $86,812 | $65,486 |
| 2023 | 151 | 728 | $120,467 | $76,646 | $59,075 |
| 2022 | 129 | 729 | $111,981 | $71,420 | $55,579 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 308 | $189 | $139 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 89 | $133 | $93 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 70 | $0 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 41 | $66 | $45 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 32 | $138 | $138 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 29 | $39 | $39 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 22 | $97 | $71 |
| 94640 | Inhalation treatment for airway obstruction or sputum production | 21 | $9 | $7 |
| 96372 | Injection of drug or substance under skin or into muscle | 19 | $16 | $12 |
| 82270 | Stool analysis for blood to screen for colon tumors | 18 | $4 | $4 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 18 | $15 | $10 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 13 | $0 | $0 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | A54980 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.