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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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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Babak Baharloo
๐Ÿฆถ
Individual

Babak Baharloo

NPI: 1740662147
Houston, TX
6 years of data
Podiatry
$31.1M
Total Payments
101
Beneficiaries
96.4K
Services
1.47x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$31.1M
Specialty median$90.2K

๐Ÿ“‹ Key Findings

1Billed $31.1M over 6 years
299th percentile in Podiatry by payments
364 services/day โ€” unusually high
4Payments surged 1688% in 2021
57 procedures with >3x markup

This provider averages 64 services per working day

Based on 96.4K total services over 6 years (250 working days/year). Learn about impossible service volumes โ†’

๐Ÿ”Ž Data Analysis

This provider's $31.1M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.

Averaging 64 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 28607% from 2015 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 1688% in 2021

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 โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2015$164.65$51.233.21x$113.42$63.7K1.2K10
2016$149.18$32.764.55x$116.42$29.2K8913
2020$220.61$68.473.22x$152.14$195.5K2.9K16
2021$327.03$204.901.60x$122.13$3.5M17.1K24
2022$533.14$385.871.38x$147.27$9.0M23.4K23
2023$520.83$358.511.45x$162.32$18.3M51.0K25

Top Procedures (20)

Q4180Revita, per square centimeter
$5.2M
15.8K services$330.62/svc1.30x markup
Q4205Membrane graft or membrane wrap, per square centimeter
$5.1M
4.4K services$1.2K/svc1.28x markup
Q4158Kerecis omega3, per square centimeter
$4.7M
10.0K services$472.06/svc1.27x markup
Q4236Carepatch, per square centimeter
$4.5M
4.5K services$991.46/svc1.29x markup
Q4253Zenith amniotic membrane, per square centimeter
$2.4M
4.8K services$484.76/svc1.34x markup
Q4238Derm-maxx, per square centimeter
$1.6M
1.0K services$1.5K/svc1.30x markup
Q4227Amniocore, per square centimeter
$1.5M
6.6K services$228.68/svc1.29x markup
Q4232Corplex, per square centimeter
$1.4M
3.0K services$484.18/svc1.26x markup
Q4248Dermacyte amniotic membrane allograft, per square centimeter
$1.2M
1.5K services$809.07/svc1.28x markup
Q4234Xcellerate, per square centimeter
$1.2M
1.9K services$633.66/svc1.53x markup
99213Established patient office or other outpatient visit, 20-29 minutesโš  3.7x markup
$419.6K
6.3K services$66.49/svc3.73x markup
Q4231Corplex p, per cc
$375.4K
360 services$1.0K/svc1.25x markup
J0875Injection, dalbavancin, 5 mgโš  6.0x markup
$219.4K
18.6K services$11.79/svc6.01x markup
Q4229Cogenex amniotic membrane, per square centimeter
$187.8K
960 services$195.68/svc2.56x markup
15275Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or lessโš  3.7x markup
$170.0K
1.4K services$121.39/svc3.68x markup
11721Removal of fingernails or toenails, 6 or more nailsโš  3.9x markup
$112.9K
3.6K services$31.80/svc3.86x markup
29581Application of vein wound compression bandages on lower leg, ankle, and footโš  6.5x markup
$107.1K
2.2K services$49.66/svc6.50x markup
11042Removal of skin and tissue, 20.0 sq cm or lessโš  4.3x markup
$86.3K
1.0K services$85.44/svc4.26x markup
17110Destruction of skin growth, 1-14 growthsโš  3.9x markup
$84.4K
1.0K services$81.71/svc3.92x markup
Q4177Floweramnioflo, 0.1 cc
$65.5K
340 services$192.71/svc1.25x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
Q4180Revita, per square centimeter15.8K$5.2M$330.621.30x
Q4205Membrane graft or membrane wrap, per square centimeter4.4K$5.1M$1.2K1.28x
Q4158Kerecis omega3, per square centimeter10.0K$4.7M$472.061.27x
Q4236Carepatch, per square centimeter4.5K$4.5M$991.461.29x
Q4253Zenith amniotic membrane, per square centimeter4.8K$2.4M$484.761.34x
Q4238Derm-maxx, per square centimeter1.0K$1.6M$1.5K1.30x
Q4227Amniocore, per square centimeter6.6K$1.5M$228.681.29x
Q4232Corplex, per square centimeter3.0K$1.4M$484.181.26x
Q4248Dermacyte amniotic membrane allograft, per square centimeter1.5K$1.2M$809.071.28x
Q4234Xcellerate, per square centimeter1.9K$1.2M$633.661.53x
99213Established patient office or other outpatient visit, 20-29 minutes6.3K$419.6K$66.493.73x
Q4231Corplex p, per cc360$375.4K$1.0K1.25x
J0875Injection, dalbavancin, 5 mg18.6K$219.4K$11.796.01x
Q4229Cogenex amniotic membrane, per square centimeter960$187.8K$195.682.56x
15275Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less1.4K$170.0K$121.393.68x
11721Removal of fingernails or toenails, 6 or more nails3.6K$112.9K$31.803.86x
29581Application of vein wound compression bandages on lower leg, ankle, and foot2.2K$107.1K$49.666.50x
11042Removal of skin and tissue, 20.0 sq cm or less1.0K$86.3K$85.444.26x
17110Destruction of skin growth, 1-14 growths1.0K$84.4K$81.713.92x
Q4177Floweramnioflo, 0.1 cc340$65.5K$192.711.25x

Markup Analysis

Charge-to-Payment Ratio

1.47x

This provider submits charges 1.47 times higher than what Medicare actually pays.

What This Means

A markup ratio of 1.47x means for every $100 Medicare pays, this provider initially charges $147. This is lower than the national average.

Location

Houston, TX

Provider Verification

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

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข 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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