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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Masoud Afshar
⚕️
MDIndividual

Masoud Afshar, M.D.

NPI: 1225287378
Imperial, CA
10 years of data
Nephrology
$4.8M
Total Payments
16.1K
Beneficiaries
40.4K
Services
2.42x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$4.8M
Specialty median$185.2K

📋 Key Findings

1Billed $4.8M over 10 years
22.42x markup ratio (above median)
398th percentile in Nephrology by payments
4Payments surged 56% in 2022
57 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $4.8M in total Medicare payments ranks in the 98th percentile of Nephrology providers nationally.

Medicare payments to this provider grew 66% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 56% in 2022

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$230.28$97.862.35x$132.42$381.7K2.8K1.2K
2015$290.16$99.012.93x$191.15$397.5K3.0K1.5K
2016$409.63$103.383.96x$306.25$476.1K3.6K1.8K
2017$287.70$106.652.70x$181.05$426.7K3.4K1.8K
2018$595.31$105.335.65x$489.98$540.2K4.0K1.8K
2019$481.06$104.484.60x$376.58$517.0K3.9K1.8K
2020$506.85$103.164.91x$403.69$464.5K3.3K1.7K
2021$373.96$122.483.05x$251.48$363.5K2.6K1.0K
2022$339.60$112.143.03x$227.46$565.3K5.8K1.8K
2023$351.30$108.763.23x$242.54$632.7K8.0K1.9K

Top Procedures (20)

90960Dialysis services (4 or more physician visits per month), patient 20 years of age and older
$2.4M
9.9K services$242.57/svc1.94x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$376.3K
4.3K services$87.61/svc1.90x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day
$335.3K
5.6K services$59.46/svc2.34x markup
90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older
$300.2K
1.5K services$205.36/svc2.21x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$206.5K
1.3K services$160.94/svc1.88x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$147.5K
1.7K services$84.60/svc2.01x markup
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
$139.8K
3.5K services$39.50/svc1.90x markup
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation⚠ 8.5x markup
$133.6K
727 services$183.77/svc8.52x markup
99222Initial hospital inpatient care, typically 50 minutes per day
$85.4K
789 services$108.18/svc2.41x markup
99204New patient office or other outpatient visit, typically 45 minutes
$80.4K
658 services$122.23/svc1.77x markup
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
$76.4K
1.8K services$42.98/svc1.98x markup
90935Hemodialysis procedure with one physician evaluation
$57.6K
975 services$59.11/svc1.71x markup
36907Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation⚠ 8.2x markup
$56.9K
491 services$115.91/svc8.17x markup
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes
$49.9K
1.5K services$32.32/svc1.86x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$48.0K
823 services$58.36/svc2.02x markup
35476Balloon dilation of narrowed or blocked vein, accessed through the skin⚠ 4.8x markup
$30.0K
147 services$204.22/svc4.82x markup
36558Insertion of central venous catheter for infusion, patient 5 years or older⚠ 4.2x markup
$28.6K
137 services$208.55/svc4.21x markup
36901Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation⚠ 7.1x markup
$27.0K
218 services$123.69/svc7.07x markup
36589Removal of central venous catheter for infusion⚠ 3.4x markup
$26.9K
203 services$132.39/svc3.43x markup
36215Insertion of catheter into chest or arm artery⚠ 8.0x markup
$21.7K
192 services$112.89/svc8.03x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
90960Dialysis services (4 or more physician visits per month), patient 20 years of age and older9.9K$2.4M$242.571.94x
99214Established patient office or other outpatient, visit typically 25 minutes4.3K$376.3K$87.611.90x
99232Subsequent hospital inpatient care, typically 25 minutes per day5.6K$335.3K$59.462.34x
90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older1.5K$300.2K$205.362.21x
99223Initial hospital inpatient care, typically 70 minutes per day1.3K$206.5K$160.941.88x
99233Subsequent hospital inpatient care, typically 35 minutes per day1.7K$147.5K$84.602.01x
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes3.5K$139.8K$39.501.90x
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation727$133.6K$183.778.52x
99222Initial hospital inpatient care, typically 50 minutes per day789$85.4K$108.182.41x
99204New patient office or other outpatient visit, typically 45 minutes658$80.4K$122.231.77x
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days1.8K$76.4K$42.981.98x
90935Hemodialysis procedure with one physician evaluation975$57.6K$59.111.71x
36907Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation491$56.9K$115.918.17x
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes1.5K$49.9K$32.321.86x
99213Established patient office or other outpatient visit, typically 15 minutes823$48.0K$58.362.02x
35476Balloon dilation of narrowed or blocked vein, accessed through the skin147$30.0K$204.224.82x
36558Insertion of central venous catheter for infusion, patient 5 years or older137$28.6K$208.554.21x
36901Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation218$27.0K$123.697.07x
36589Removal of central venous catheter for infusion203$26.9K$132.393.43x
36215Insertion of catheter into chest or arm artery192$21.7K$112.898.03x

Markup Analysis

Charge-to-Payment Ratio

2.42x

This provider submits charges 2.42 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.42x means for every $100 Medicare pays, this provider initially charges $242. This is higher than the national average.

Location

Imperial, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Nephrology providers in CA for peer comparison.

Masoud Afshar (you)
$4.8M
Feliciano Serrano, M.D.
$45.3M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Feliciano Serrano, M.D.Huntington Park, CA$45.3M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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