Active NPI 1457386294 Individual Practitioner Male Practitioner

Mohammad Afzal Arain

Surgery • Madera, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mohammad Arain is a certified Surgery practicing in Madera, CA. With approximately 57 years of clinical experience since completing medical education in 1969, Mohammad Arain delivers high-quality medical care to the local community at 1019 W YOSEMITE AVE.

Mohammad Arain is affiliated with Camarena Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1019 W Yosemite Ave

Madera, CA 936374584

Telephone 5596738001

Fax 5596738682

Associated Practice Facility / Clinic

🏢 Mohammad Afzal Arain Md Inc Facility NPI 1104076280

Medicare Profile & Education

Medical School

Other

Graduation Year

1969

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Madera, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

57 Yrs +6.2 yrs vs City Avg

City Avg: 50.8 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Madera, CA (3346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Arain (57 Years) 57 Yrs

Madera Specialty Average (50.8 Years) 50.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,232	286	$95.32	$92.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	125	$110.00	$108.65
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	47	44	$80.00	$5.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$198.27	$169.01
45380 Biopsy of large bowel using an endoscope	22	22	$860.00	$195.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$670.00	$135.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,506	335	$95.17	$92.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	66	$165.00	$162.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	49	$111.20	$108.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	41	$70.39	$58.16
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	43	39	$80.00	$5.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$175.00	$169.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$155.00	$114.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$657.08	$131.57
45380 Biopsy of large bowel using an endoscope	16	16	$860.00	$198.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,660	358	$95.00	$93.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	116	112	$165.00	$163.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$155.00	$115.58
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	38	$666.32	$138.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	33	$1210.00	$257.67
45380 Biopsy of large bowel using an endoscope	29	29	$860.00	$199.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$110.00	$109.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	11	$108.50	$71.77
46260 Removal of multiple hemorrhoid groups	17	17	$1285.00	$497.59
47562 Removal of gallbladder using an endoscope	11	11	$2968.00	$666.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,626	340	$95.00	$95.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	145	139	$165.00	$165.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$155.00	$116.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	34	$670.00	$141.97
45380 Biopsy of large bowel using an endoscope	30	30	$860.00	$205.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$1192.08	$260.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	15	$108.50	$73.08
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$1210.00	$232.21
49561 Repair of trapped incisional or abdominal hernia	12	12	$1735.83	$897.52
46260 Removal of multiple hemorrhoid groups	11	11	$1285.00	$491.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,413	337	$90.00	$78.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	17	$102.00	$74.59
45380 Biopsy of large bowel using an endoscope	23	23	$855.22	$210.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$664.09	$144.71
G0008 Administration of influenza virus vaccine	14	14	$45.00	$17.68
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$55.00	$19.17
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	14	14	$1205.71	$238.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,795	381	$85.00	$76.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	20	$98.50	$73.66
45380 Biopsy of large bowel using an endoscope	42	41	$850.00	$208.58
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	29	$660.00	$141.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$145.50	$112.29
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	19	19	$1200.00	$235.76
G0008 Administration of influenza virus vaccine	18	18	$35.00	$17.33
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	18	$54.72	$18.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$155.00	$149.77
43245 Dilation of stomach outlet using an endoscope	13	13	$850.00	$181.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,857	380	$85.00	$71.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	28	$98.50	$69.87
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43	43	$657.44	$133.14
45380 Biopsy of large bowel using an endoscope	43	43	$831.40	$195.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$145.50	$105.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$155.00	$141.50
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1200.00	$250.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,890	390	$85.00	$70.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	30	$98.50	$68.86
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	68	66	$660.00	$130.38
45380 Biopsy of large bowel using an endoscope	49	49	$843.88	$195.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	38	$155.00	$140.34
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	37	37	$1200.00	$222.48
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	26	26	$55.00	$17.48
G0008 Administration of influenza virus vaccine	26	26	$35.00	$26.83
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$1200.00	$249.24
47562 Removal of gallbladder using an endoscope	16	16	$2958.00	$595.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$145.50	$104.58

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A32711

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Camarena Health

344 E 6th St, Madera, CA 936383631

Phone: 5596644000

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1019 W YOSEMITE AVE, MADERA, CA 936374584 (Tel: 5596738001)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1019 W YOSEMITE AVE, MADERA, CA 936374584 (Tel: 5596738001)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MOHAMMAD ARAIN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #A32711 in CA)

🟢

Initial NPI Registration & Enumeration July 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Mohammad Arain. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1457386294

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 11, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1019 W Yosemite Ave

Madera, CA 936374584

Phone: 5596738001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.