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.

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $549 per patient in 2015.
They performed about 13 services per patient. Here’s how this provider compares.

Number of
Patients
310
Rank: 77th
out of 231 providers in this state & specialty
Services
Performed
2,931
Rank: 61st
out of 231 providers in this state & specialty
Avg Services
Per Patient
9.5 This Provider
Avg 13.1
Total Paid
by Medicare
$163K
Rank: 65th
out of 231 providers in this state & specialty
Avg Paid
Per Patient
$525 This Provider
Avg $549

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 Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 61 different services in 2015
(33 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
593
times performed,
20% of his services

1st 2nd

most performed service for this provider most performed service in this state & specialty

157
patients got this service, 51% of his patients
3.8
average number of visits a patient made for this service
(Peers: 3.4)
$263,956.16an average of $445.12 per time performed $54,081.60
an average of $91.20 per time performed
drug
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
375
times performed,
13% of his services

2nd 4th

most performed service for this provider most performed service in this state & specialty

64
patients got this service, 21% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.9)
$5,625.00an average of $15.00 per time performed $525.00
an average of $1.40 per time performed
drug
TEMPORARY CODES

Low osmolar contrast material, 100-199 mg/ml iodine conce... +

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ×

Service Code: Q9965
Performed in a facility
223
times performed,
8% of his services

3rd Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

119
patients got this service, 38% of his patients
1.9
average number of visits a patient made for this service
$5,575.00an average of $25.00 per time performed $171.71
an average of $0.77 per time performed
medical
PROCEDURES

Drug screen, other than chromatographic; any number of dr... +

Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter ×

Service Code: G0434
Performed in an office
165
times performed,
6% of his services

4th 12th

most performed service for this provider most performed service in this state & specialty

133
patients got this service, 43% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.9)
$14,739.45an average of $89.33 per time performed $3,199.35
an average of $19.39 per time performed
drug

Injection, propofol, 10 mg

Service Code: J2704
Performed in an office
153
times performed,
5% of his services

5th Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

14
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
$3,060.00an average of $20.00 per time performed $13.77
an average of $0.09 per time performed
medical
ANESTHESIA

Anesthesia for nerve block and injection procedure, prone... +

Anesthesia for nerve block and injection procedure, prone position ×

Service Code: 01992
Performed in a facility
151
times performed,
5% of his services

6th 114th

most performed service for this provider most performed service in this state & specialty

77
patients got this service, 25% of his patients
2
average number of visits a patient made for this service
(Peers: 1.5)
$244,799.69an average of $1,621.19 per time performed $22,000.70
an average of $145.70 per time performed
medical

Chronic care management services at least 20 minutes per ... +

Chronic care management services at least 20 minutes per calendar month ×

Service Code: 99490
Performed in an office
121
times performed,
4% of his services

7th Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

81
patients got this service, 26% of his patients
1.5
average number of visits a patient made for this service
$35,549.80an average of $293.80 per time performed $4,475.79
an average of $36.99 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
96
times performed,
3% of his services

8th 17th

most performed service for this provider most performed service in this state & specialty

96
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$79,200.00an average of $825.00 per time performed $13,490.88
an average of $140.53 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves with imaging guidance ×

Service Code: 64636
Performed in a facility
62
times performed,
2% of his services

9th 39th

most performed service for this provider most performed service in this state & specialty

32
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$43,959.86an average of $709.03 per time performed $3,199.82
an average of $51.61 per time performed
medical
DRUGS

Unclassified drugs

Service Code: J3490
Performed in an office
60
times performed,
2% of his services

10th 20th

most performed service for this provider most performed service in this state & specialty

44
patients got this service, 14% of his patients
1.3
average number of visits a patient made for this service
(Peers: 4.9)
$5,325.00an average of $88.75 per time performed $4.20
an average of $0.07 per time performed
drug
DRUGS

Injection, midazolam hydrochloride, per 1 mg

Service Code: J2250
Performed in an office
57
times performed,
2% of his services

11th 13th

most performed service for this provider most performed service in this state & specialty

22
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.8)
$1,140.00an average of $20.00 per time performed $5.70
an average of $0.10 per time performed
medical
NERVOUS SYSTEM

Injections and continuous infusion into lower or sacral s... +

Injections and continuous infusion into lower or sacral spinal canal ×

Service Code: 62319
Performed in a facility
55
times performed,
2% of his services

12th Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

44
patients got this service, 14% of his patients
1.3
average number of visits a patient made for this service
$22,000.00an average of $400.00 per time performed $4,496.80
an average of $81.76 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64493
Performed in a facility
51
times performed,
2% of his services

13th 29th

most performed service for this provider most performed service in this state & specialty

47
patients got this service, 15% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$27,470.13an average of $538.63 per time performed $3,947.40
an average of $77.40 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64494
Performed in a facility
48
times performed,
2% of his services

14th 35th

most performed service for this provider most performed service in this state & specialty

44
patients got this service, 14% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$15,750.24an average of $328.13 per time performed $2,147.04
an average of $44.73 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
45
times performed,
2% of his services

15th 57th

most performed service for this provider most performed service in this state & specialty

26
patients got this service, 8% of his patients
1.7
average number of visits a patient made for this service
(Peers: 3.3)
$19,739.25an average of $438.65 per time performed $3,951.90
an average of $87.82 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves using imaging guidance ×

Service Code: 64635
Performed in a facility
43
times performed,
1% of his services

16th 67th

most performed service for this provider most performed service in this state & specialty

34
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$52,109.98an average of $1,211.86 per time performed $8,330.39
an average of $193.73 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64495
Performed in a facility
38
times performed,
1% of his services

17th 65th

most performed service for this provider most performed service in this state & specialty

37
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$11,759.86an average of $309.47 per time performed $1,725.20
an average of $45.40 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in a facility
32
times performed,
1% of his services

18th 110th

most performed service for this provider most performed service in this state & specialty

29
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$19,200.00an average of $600.00 per time performed $2,997.12
an average of $93.66 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
29
times performed,
0.99% of his services

19th 28th

most performed service for this provider most performed service in this state & specialty

29
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 2.6)
$17,400.00an average of $600.00 per time performed $3,533.36
an average of $121.84 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64483
Performed in a facility
29
times performed,
0.99% of his services

20th 16th

most performed service for this provider most performed service in this state & specialty

25
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$14,415.03an average of $497.07 per time performed $2,806.04
an average of $96.76 per time performed
medical

Transitional care management services, highly complexity,... +

Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge ×

Service Code: 99496
Performed in a facility
28
times performed,
0.96% of his services

21st Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

26
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
$9,299.92an average of $332.14 per time performed $3,786.72
an average of $135.24 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
26
times performed,
0.89% of his services

22nd 135th

most performed service for this provider most performed service in this state & specialty

26
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$21,481.98an average of $826.23 per time performed $4,446.00
an average of $171.00 per time performed
medical

Transitional care management services, moderately complex... +

Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge ×

Service Code: 99495
Performed in a facility
22
times performed,
0.75% of his services

23rd Alert

most performed service for this provider 5 or fewer providers in this specialty in CA perform this service

19
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
$5,199.92an average of $236.36 per time performed $2,064.26
an average of $93.83 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for spine or spinal canal injection +

Fluoroscopic guidance for spine or spinal canal injection ×

Service Code: 77003
Performed in a facility
20
times performed,
0.68% of his services

24th 33rd

most performed service for this provider most performed service in this state & specialty

18
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$3,384.00an average of $169.20 per time performed $980.40
an average of $49.02 per time performed
medical
NERVOUS SYSTEM

Injections of substances into lower or sacral spine

Service Code: 62311
Performed in a facility
20
times performed,
0.68% of his services

25th 15th

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$7,200.00an average of $360.00 per time performed $1,440.40
an average of $72.02 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64484
Performed in a facility
17
times performed,
0.58% of his services

26th 22nd

most performed service for this provider most performed service in this state & specialty

15
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$4,930.00an average of $290.00 per time performed $756.50
an average of $44.50 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injection procedure into sacroiliac joint for anesthetic ... +

Injection procedure into sacroiliac joint for anesthetic or steroid ×

Service Code: 27096
Performed in a facility
15
times performed,
0.51% of his services

27th 58th

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$6,625.05an average of $441.67 per time performed $704.40
an average of $46.96 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in a facility
13
times performed,
0.44% of his services

28th 102nd

most performed service for this provider most performed service in this state & specialty

11
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$3,694.99an average of $284.23 per time performed $356.46
an average of $27.42 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.

Hover over each slice to see percentage breakdown.

This provider charged Medicare for a higher percentage of 5’s than his peers.

1234512345
Amir B Rafizad
Average for Pain 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.

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