NEVVI Medicare utilization intelligence

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ALEXAN-SHIRABAD, RICHARDM.D. NPI 1104859909 Clinician

Neurology · BAKERSFIELD, CA

Specialty Neurology — from billed Medicare claims
In practice about 28 years since medical school (class of 1998, self-reported to CMS)
Location BAKERSFIELD, CA · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 43 codes billed · 49,305 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20212026
RICHARD ALEXAN MD INC
2021–2026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2022-07

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

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The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were in CY2024. Included with Platform.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
J0585 Injection, onabotulinumtoxina, 1 unit
J0588 Injection, incobotulinumtoxin a, 1 unit
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
95886 Needle measurement of electrical activity in arm or leg muscles, complete study
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
76881 Complete ultrasound scan of joint
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
76942 Ultrasonic guidance for needle placement
95816 Measurement of brain wave activity (eeg), awake and drowsy
95913 Nerve conduction, 13 or more studies
95911 Nerve conduction, 9-10 studies
64616 Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box
64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve
64450 Injection of anesthetic agent and/or steroid into other nerve or branch
64400 Injection of anesthetic agent and/or steroid into face nerve
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face
96413 Administration of chemotherapy into vein, 1 hour or less
93886 Complete ultrasound of within the brain blood flow
96132 Evaluation of neuropsychological test, first hour
99483 Assessment of and care planning for patient with impaired thought processing, typically 60 minutes
93660 Evaluation of heart function using tilt table
92537 Test to assess balance during warm and cool irrigation in both ears
92540 Evaluation and testing for balance with recording
92546 Test for abnormal eye movement using a rotating chair
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels
93892 Ultrasound of within the brain blood flow for blood clots
20606 Aspiration and/or injection of fluid from medium joint using ultrasound guidance
95819 Measurement of brain wave activity (eeg), awake and asleep
11104 Punch biopsy, first skin growth
11105 Punch biopsy, each additional skin growth
95921 Testing of autonomic nervous system function and heart rate response to deep breathing
96139 Administration of psychological or neuropsychological test by technician, each additional 30 minutes
11103 Biopsy of related skin growth, each additional growth
95910 Nerve conduction, 7-8 studies
95923 Testing of autonomic (sympathetic) nervous system function
96138 Administration of psychological or neuropsychological test by technician, first 30 minutes
95885 Needle measurement of electrical activity in arm or leg muscles, limited study
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
20553 Injection of trigger points, 3 or more muscles
92519 Vemp testing of upper and lower branches of inner ear nerve with interpretation and report
95700 Measurement of brain wave activity (eeg), continuous
95708 Measurement of brain wave activity (eeg), 12-26 hours

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.