Physician

Kourosh Baghelai, M.D.

According to 2025 Medicare claims, Kourosh Baghelai, M.D. (NPI: 1366434987) practices cardiac surgery in the Niles, MI market, with the plurality of this provider's patient population coming from Berrien, MI. This provider's primary affiliated billing organization is LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC (NPI: 1134220031; TIN: 382156872) and primary practice location at 49085-2112. Baghelai is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Baghelai's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 411 traditional Medicare patients, billed 1,082 HCPCS/CPT codes, and received $206,410 in Medicare payments. The top billing code was 93925 (Ultrasound of leg arteries or artery grafts). Part D data shows 430 prescription claims across 142 beneficiaries totaling $33,296 in drug costs, led by Eliquis (Apixaban). 2018 DME data shows 22 claims. Open Payments data shows 11 records totaling $912. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $306,043 to $206,410. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $17,155 to $33,296. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.