Treatment Tracker
The Doctors and Services in Medicare Part B
This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.
This Provider: At A Glance
We aren’t showing our typical comparisons because this provider had an address in a different state in 2015.
Note: About 11% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.
How This Provider’s Patients Compare
Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.
This Provider's Services
This provider performed 54 different services in 2015
(29 were redacted as they were performed on less than 11 patients)
Show Only:
CATEGORYDescription of Service |
Times Performed (or Units) | This Service's Rank | Patients | Unique Visits Per Patient |
Billed to Medicare | Payments from Medicare |
|---|---|---|---|---|---|---|
DRUGSService Code: J0897Performed in an office |
1,260 times performed, 12% of his services |
1st
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
11 patients got this service, 1% of his patients |
1.9 average number of visits a patient made for this service |
$28,526.40an average of $22.64 per time performed |
$14,086.80 an average of $11.18 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 25 minutes × Service Code: 99214Performed in an office |
951 times performed, 9% of his services |
2nd
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
415 patients got this service, 52% of his patients |
2.3 average number of visits a patient made for this service |
$213,975.00an average of $225.00 per time performed |
$74,197.02 an average of $78.02 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 40 minutes × Service Code: 99215Performed in an office |
304 times performed, 3% of his services |
3rd
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
269 patients got this service, 33% of his patients |
1.1 average number of visits a patient made for this service |
$91,200.00an average of $300.00 per time performed |
$30,667.52 an average of $100.88 per time performed |
PROCEDURESAdministration of influenza virus vaccine Service Code: G0008Performed in an office |
286 times performed, 3% of his services |
4th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
282 patients got this service, 35% of his patients |
1 average number of visits a patient made for this service |
$8,580.00an average of $30.00 per time performed |
$7,607.60 an average of $26.60 per time performed |
|
Vaccine for influenza for injection into muscle Service Code: 90661Performed in an office |
286 times performed, 3% of his services |
5th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
282 patients got this service, 35% of his patients |
1 average number of visits a patient made for this service |
$8,580.00an average of $30.00 per time performed |
$6,186.18 an average of $21.63 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 15 minutes × Service Code: 99213Performed in an office |
251 times performed, 2% of his services |
6th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
192 patients got this service, 24% of his patients |
1.3 average number of visits a patient made for this service |
$37,650.00an average of $150.00 per time performed |
$13,363.24 an average of $53.24 per time performed |
EVALUATION AND MANAGEMENTSubsequent nursing facility visit, typically 35 minutes p... + Subsequent nursing facility visit, typically 35 minutes per day × Service Code: 99310Performed in a facility |
241 times performed, 2% of his services |
7th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
87 patients got this service, 11% of his patients |
2.8 average number of visits a patient made for this service |
$67,480.00an average of $280.00 per time performed |
$26,391.91 an average of $109.51 per time performed |
EVALUATION AND MANAGEMENTSubsequent hospital inpatient care, typically 35 minutes ... + Subsequent hospital inpatient care, typically 35 minutes per day × Service Code: 99233Performed in a facility |
162 times performed, 2% of his services |
8th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
82 patients got this service, 10% of his patients |
1.9 average number of visits a patient made for this service |
$34,020.00an average of $210.00 per time performed |
$13,489.74 an average of $83.27 per time performed |
PROCEDURESAnnual wellness visit, includes a personalized prevention... + Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit × Service Code: G0439Performed in an office |
147 times performed, 1% of his services |
9th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
147 patients got this service, 18% of his patients |
1 average number of visits a patient made for this service |
$18,025.14an average of $122.62 per time performed |
$17,664.99 an average of $120.17 per time performed |
MEDICINEInjection beneath the skin or into muscle for therapy, di... + Injection beneath the skin or into muscle for therapy, diagnosis, or prevention × Service Code: 96372Performed in an office |
118 times performed, 1% of his services |
10th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
33 patients got this service, 4% of his patients |
3.6 average number of visits a patient made for this service |
$5,900.00an average of $50.00 per time performed |
$2,394.22 an average of $20.29 per time performed |
EVALUATION AND MANAGEMENTEstablished patient assisted living visit, typically 60 m... + Established patient assisted living visit, typically 60 minutes × Service Code: 99337Performed in an office |
115 times performed, 1% of his services |
11th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
18 patients got this service, 2% of his patients |
6.4 average number of visits a patient made for this service |
$44,275.00an average of $385.00 per time performed |
$16,975.15 an average of $147.61 per time performed |
EVALUATION AND MANAGEMENTInitial nursing facility visit, typically 45 minutes per day + Initial nursing facility visit, typically 45 minutes per day × Service Code: 99306Performed in a facility |
114 times performed, 1% of his services |
12th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
102 patients got this service, 13% of his patients |
1.1 average number of visits a patient made for this service |
$39,330.00an average of $345.00 per time performed |
$15,070.80 an average of $132.20 per time performed |
EVALUATION AND MANAGEMENTNursing facility discharge management, more than 30 minutes + Nursing facility discharge management, more than 30 minutes × Service Code: 99316Performed in a facility |
104 times performed, 1% of his services |
13th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
98 patients got this service, 12% of his patients |
1.1 average number of visits a patient made for this service |
$21,840.00an average of $210.00 per time performed |
$8,837.92 an average of $84.98 per time performed |
PROCEDURESAdministration of pneumococcal vaccine Service Code: G0009Performed in an office |
91 times performed, 0.88% of his services |
14th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
91 patients got this service, 11% of his patients |
1 average number of visits a patient made for this service |
$2,730.00an average of $30.00 per time performed |
$2,417.87 an average of $26.57 per time performed |
MEDICINEPneumococcal vaccine for injection into muscle Service Code: 90670Performed in an office |
56 times performed, 0.54% of his services |
15th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
56 patients got this service, 7% of his patients |
1 average number of visits a patient made for this service |
$14,000.00an average of $250.00 per time performed |
$9,502.64 an average of $169.69 per time performed |
PROCEDURESAnnual wellness visit; includes a personalized prevention... + Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit × Service Code: G0438Performed in an office |
49 times performed, 0.47% of his services |
16th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
49 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service |
$8,856.75an average of $180.75 per time performed |
$8,501.99 an average of $173.51 per time performed |
EVALUATION AND MANAGEMENTInitial hospital inpatient care, typically 70 minutes per... + Initial hospital inpatient care, typically 70 minutes per day × Service Code: 99223Performed in a facility |
45 times performed, 0.44% of his services |
17th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
43 patients got this service, 5% of his patients |
1 average number of visits a patient made for this service |
$18,225.00an average of $405.00 per time performed |
$7,413.30 an average of $164.74 per time performed |
EVALUATION AND MANAGEMENTHospital discharge day management, more than 30 minutes Service Code: 99239Performed in a facility |
44 times performed, 0.43% of his services |
18th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
43 patients got this service, 5% of his patients |
1 average number of visits a patient made for this service |
$9,460.00an average of $215.00 per time performed |
$3,835.92 an average of $87.18 per time performed |
MEDICINEVaccine for pneumococcal polysaccharide for injection ben... + Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older × Service Code: 90732Performed in an office |
35 times performed, 0.34% of his services |
19th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
35 patients got this service, 4% of his patients |
1 average number of visits a patient made for this service |
$4,530.05an average of $129.43 per time performed |
$2,780.05 an average of $79.43 per time performed |
MEDICINERoutine ekg using at least 12 leads including interpretat... + Routine ekg using at least 12 leads including interpretation and report × Service Code: 93000Performed in an office |
32 times performed, 0.31% of his services |
20th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
32 patients got this service, 4% of his patients |
1 average number of visits a patient made for this service |
$2,048.00an average of $64.00 per time performed |
$438.08 an average of $13.69 per time performed |
PROCEDURESPhysician certification for medicare-covered home health ... + Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple × Service Code: G0180Performed in an office |
31 times performed, 0.3% of his services |
21st
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
26 patients got this service, 3% of his patients |
1.2 average number of visits a patient made for this service |
$4,495.00an average of $145.00 per time performed |
$1,373.30 an average of $44.30 per time performed |
AUDITORY SYSTEMRemoval of impact ear wax, one ear Service Code: 69210Performed in an office |
26 times performed, 0.25% of his services |
22nd
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
25 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service |
$2,860.00an average of $110.00 per time performed |
$1,014.00 an average of $39.00 per time performed |
EVALUATION AND MANAGEMENTSubsequent hospital inpatient care, typically 25 minutes ... + Subsequent hospital inpatient care, typically 25 minutes per day × Service Code: 99232Performed in a facility |
21 times performed, 0.2% of his services |
23rd
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
16 patients got this service, 2% of his patients |
1.3 average number of visits a patient made for this service |
$3,045.00an average of $145.00 per time performed |
$1,236.69 an average of $58.89 per time performed |
PROCEDURESInitial preventive physical examination; face-to-face vis... + Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment × Service Code: G0402Performed in an office |
18 times performed, 0.17% of his services |
24th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
18 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service |
$3,148.02an average of $174.89 per time performed |
$3,085.20 an average of $171.40 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 6... + New patient office or other outpatient visit, typically 60 minutes × Service Code: 99205Performed in an office |
16 times performed, 0.15% of his services |
25th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
16 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service |
$6,720.00an average of $420.00 per time performed |
$2,357.92 an average of $147.37 per time performed |
Office Visits
Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.
This provider charged Medicare for a higher percentage of 5’s than his peers.
Kenneth Alex Murachanian
Average for Internal Medicine Providers in California
Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.
Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.
Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association
Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.