Medicare Enrolled
Dr. Richard Alexan-Shirabad, M.D.
Neurology · Bakersfield, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Alexan-Shirabad from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Alexan-Shirabad
Dr. Richard Alexan-Shirabad is a neurology specialist in Bakersfield, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Alexan-Shirabad performed 39,936 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Alexan-Shirabad received a total of $42,412 from 102 pharmaceutical and/or device companies across 2110 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Alexan-Shirabad is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 2% volume in CA
$42,412 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗39,936
Medicare services
Top 2% in CA for neurology
Not available
Unique patients (not deduplicated)
$15
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
21,800 | $5 | $13 |
| Botox injection (Xeomin), per unit An injection of incobotulinumtoxin A, a botulinum toxin type A product, administered in a quantity of one unit. |
13,894 | $4 | $11 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,344 | $89 | $272 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
417 | $78 | $219 |
| New patient office visit, complex (60-74 min) | 215 | $163 | $463 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
213 | $121 | $379 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
203 | $115 | $351 |
| Complete ultrasound scan of joint An ultrasound exam that uses sound waves to create detailed images of a joint. This procedure allows for the visualization of the joint's internal structures. |
168 | $43 | $149 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
154 | $46 | $246 |
| Nerve conduction studies, 13 or more A diagnostic test that measures how well nerves send electrical signals. This code applies when 13 or more individual nerve studies are performed. |
115 | $223 | $648 |
| Nerve conduction study, 9-10 studies A diagnostic test that measures how well nerves send electrical signals. It involves performing 9 to 10 separate nerve conduction studies to evaluate nerve function. |
110 | $165 | $483 |
| Limited ultrasound of joint or extremity A focused ultrasound exam of a specific joint or other structure in the arm or leg, excluding blood vessels. |
96 | $34 | $125 |
| Awake and drowsy EEG A test that records electrical activity in the brain while the patient is awake and drowsy. |
95 | $309 | $819 |
| Facial nerve injection with anesthetic and/or steroid An injection of an anesthetic agent and/or steroid into the facial nerve. This procedure delivers medication directly to the nerve. |
89 | $72 | $430 |
| Chemical nerve block for neck muscles Injection of a chemical agent to paralyze specific muscles on the side of the neck, excluding the voice box. |
81 | $143 | $522 |
| Bilateral facial and neck nerve muscle paralysis injection Injection of a chemical agent to paralyze muscles in the face and neck on both sides. |
68 | $110 | $317 |
| Tilt table test for heart function A test that monitors heart function while the patient is moved from a lying to an upright position on a special table. |
58 | $125 | $335 |
| Complete ultrasound of brain blood flow An ultrasound test that evaluates blood flow within the brain's blood vessels. It uses sound waves to create images of the vessels and assess circulation. |
58 | $208 | $587 |
| Psychological test administration, first 30 minutes A technician administers psychological or neuropsychological testing for the first 30 minutes. |
52 | $26 | $79 |
| Vestibular function test with thermal irrigation A test that assesses balance by irrigating both ears with warm and cool fluids to evaluate inner ear function. |
50 | $32 | $91 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
50 | $57 | $192 |
| Balance testing with recording A procedure to evaluate balance function by recording the results during testing. |
48 | $84 | $234 |
| Vestibular function test using rotating chair This test evaluates eye movement and balance function by having the patient sit in a rotating chair. It helps assess how the inner ear and brain coordinate to maintain stability. |
45 | $98 | $423 |
| Injection of anesthetic or steroid into upper neck and back of head nerve An injection of an anesthetic agent and/or steroid into a nerve located in the upper neck and back of the head. |
44 | $38 | $259 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 44 | $64 | $253 |
| Ultrasound of brain blood flow An ultrasound test used to examine blood flow within the brain to check for blood clots. |
42 | $131 | $355 |
| EEG, extended monitoring A test that records electrical activity in the brain while the patient is both awake and asleep. |
42 | $345 | $983 |
| Neuropsychological test evaluation, first hour A professional assessment of cognitive and behavioral functioning using standardized tests. This service covers the initial hour of the evaluation process. |
42 | $91 | $276 |
| Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 38 | $217 | $382 |
| Psychological test administration, each additional 30 minutes A technician administers psychological or neuropsychological testing. This code covers each additional 30-minute increment of administration time. |
36 | $26 | $79 |
| Autonomic nervous system testing with heart rate response to deep breathing This test evaluates the function of the autonomic nervous system by measuring how the heart rate changes in response to deep breathing. |
32 | $63 | $191 |
| Limited needle EMG of arm or leg muscles A test that measures the electrical activity in specific muscles of the arm or leg using a needle electrode. This limited study evaluates muscle function in a targeted area. |
30 | $51 | $144 |
| Nerve conduction studies, 7-8 tests A series of 7 to 8 nerve conduction tests to evaluate how well nerves are sending signals to muscles. |
27 | $126 | $403 |
| Normal saline infusion, 500 ml Administration of sterile normal saline solution through an intravenous line. This procedure involves the infusion of a 500 ml unit of the solution. |
25 | $1 | $2 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
21 | $50 | $155 |
| VEMP testing of inner ear nerve branches This test evaluates the function of the upper and lower branches of the inner ear nerve. It includes the performance of the test along with interpretation and a written report. |
20 | $109 | $285 |
| Autonomic nervous system function test This test evaluates how well the sympathetic nervous system is functioning. It assesses the automatic control of bodily processes such as heart rate and blood pressure. |
20 | $95 | $282 |
| Injection of carpal tunnel | 19 | $78 | $259 |
| Punch biopsy of additional skin growth A small circular tool is used to remove a sample of an extra skin growth for laboratory examination. |
16 | $48 | $131 |
| Punch biopsy of first skin growth A small, circular piece of skin is removed from a skin growth using a circular blade. The sample is then sent to a laboratory for examination. |
15 | $103 | $280 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
0.1% high complexity
91.8% medium
8.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$42,412
Total received (2018-2024)
Avg $6,059/year across 7 years
Top 10% in CA for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
102
Companies
2,110
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$9,042
2023
$7,961
2022
$6,782
2021
$7,325
2020
$4,246
2019
$3,899
2018
$3,159
Payments by company (2024)
TG Therapeutics, Inc.
$1,214
ABBVIE INC.
$724
EMD Serono, Inc.
$503
Nevro Corp.
$435
Lundbeck LLC
$420
Alexion Pharmaceuticals, Inc.
$416
Biogen, Inc.
$403
SK Life Science, Inc.
$402
Eisai Inc.
$387
LivaNova USA, Inc.
$372
ARGENX US, INC.
$371
UCB, Inc.
$314
Merz Pharmaceuticals, LLC
$254
PFIZER INC.
$229
CATALYST PHARMACEUTICALS, INC.
$191
Amgen Inc.
$189
Genentech USA, Inc.
$176
Novartis Pharmaceuticals Corporation
$175
Teva Pharmaceuticals USA, Inc.
$161
Vanda Pharmaceuticals Inc.
$136
Silk Road Medical, Inc.
$135
JAZZ PHARMACEUTICALS INC.
$133
Neurelis, Inc.
$94
Lilly USA, LLC
$92
Genentech, Inc.
$91
Neurocrine Biosciences, Inc.
$84
Boston Scientific Corporation
$80
Abbott Laboratories
$79
Octapharma USA, Inc.
$78
ACADIA Pharmaceuticals Inc
$68
SCILEX PHARMACEUTICALS INC.
$63
GENZYME CORPORATION
$59
Takeda Pharmaceuticals U.S.A., Inc.
$50
Acorda Therapeutics, Inc
$50
HARMONY BIOSCIENCES LLC
$49
Kyowa Kirin, Inc.
$46
Sandoz Inc.
$41
BANNER LIFE SCIENCES, LLC
$37
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$35
Ipsen Biopharmaceuticals, Inc
$32
Averitas Pharma Inc.
$26
Alnylam Pharmaceuticals Inc.
$25
Medtronic, Inc.
$23
ANI Pharmaceuticals, Inc.
$21
Otsuka America Pharmaceutical, Inc.
$20
Amneal Pharmaceuticals LLC
$20
Bioventus LLC
$20
TerSera Therapeutics LLC
$16
Top 3 companies account for 27.0% of 2024 payments
All-time payments by company (2018-2024) ›
Biogen, Inc.
$3,473
EMD Serono, Inc.
$2,688
Novartis Pharmaceuticals Corporation
$1,810
AbbVie Inc.
$1,717
Alexion Pharmaceuticals, Inc.
$1,607
ABBVIE INC.
$1,496
Teva Pharmaceuticals USA, Inc.
$1,296
UCB, Inc.
$1,257
TG Therapeutics, Inc.
$1,214
Supernus Pharmaceuticals, Inc.
$1,170
ACADIA Pharmaceuticals Inc
$1,090
LivaNova USA, Inc.
$1,033
Amgen Inc.
$1,019
Allergan, Inc.
$1,006
ARGENX US, INC.
$960
Sunovion Pharmaceuticals Inc.
$942
Genentech USA, Inc.
$932
Eisai Inc.
$919
Nevro Corp.
$864
Neurocrine Biosciences, Inc.
$787
Merz Pharmaceuticals, LLC
$719
SK Life Science, Inc.
$684
PFIZER INC.
$661
Lilly USA, LLC
$649
Neurelis, Inc.
$626
Lundbeck LLC
$622
GENZYME CORPORATION
$614
Alnylam Pharmaceuticals Inc.
$591
Horizon Therapeutics plc
$466
Abbott Laboratories
$456
Biohaven Pharmaceutical Holding Company Ltd.
$431
Biohaven Pharmaceuticals, Inc.
$430
JAZZ PHARMACEUTICALS INC.
$413
Acorda Therapeutics, Inc
$409
Kyowa Kirin, Inc.
$392
TG THERAPEUTICS, INC.
$389
Merz North America, Inc.
$329
Otsuka America Pharmaceutical, Inc.
$297
Genentech, Inc.
$295
AstraZeneca Pharmaceuticals LP
$286
IMPEL PHARMACEUTICALS INC.
$250
MDD US Operations, LLC
$250
Allergan Inc.
$241
Amneal Pharmaceuticals LLC
$226
Adamas Pharmaceuticals, Inc.
$224
Ipsen Biopharmaceuticals, Inc
$221
CATALYST PHARMACEUTICALS, INC.
$211
Janssen Pharmaceuticals, Inc
$187
BANNER LIFE SCIENCES, LLC
$182
Greenwich Biosciences, Inc.
$180
EISAI INC.
$174
ANI Pharmaceuticals, Inc.
$167
Upsher-Smith Laboratories LLC
$150
Vanda Pharmaceuticals Inc.
$136
Silk Road Medical, Inc.
$135
Bayer HealthCare Pharmaceuticals Inc.
$130
US WorldMeds, LLC
$125
Celgene Corporation
$121
E.R. Squibb & Sons, L.L.C.
$120
ARBOR PHARMACEUTICALS, INC.
$116
Octapharma USA, Inc.
$97
Boston Scientific Corporation
$93
Sandoz Inc.
$90
Saol Therapeutics Inc.
$84
UPSHER-SMITH LABORATORIES LLC
$80
Takeda Pharmaceuticals U.S.A., Inc.
$74
SANOFI-AVENTIS U.S. LLC
$73
MERZ NORTH AMERICA, INC.
$68
Arbor Pharmaceuticals, Inc.
$63
SCILEX PHARMACEUTICALS INC.
$63
CSL Behring
$62
PORTOLA PHARMACEUTICALS, INC.
$58
ASSERTIO THERAPEUTICS, Inc.
$52
HARMONY BIOSCIENCES LLC
$49
Catalyst Pharmaceuticals, Inc.
$49
Neuronetics, Inc.
$47
Medtronic, Inc.
$45
Scilex Pharmaceuticals Inc.
$45
Avanir Pharmaceuticals, Inc.
$43
Mitsubishi Tanabe Pharma America, Inc.
$42
Sumitomo Pharma America, Inc.
$41
Exeltis, USA Inc.
$39
Medtronic Vascular, Inc.
$38
Assertio Therapeutics, Inc.
$38
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$35
MITSUBISHI TANABE PHARMA AMERICA, INC.
$31
GE HEALTHCARE
$29
Banner Life Sciences, LLC
$28
Harmony Biosciences LLC
$27
Mallinckrodt Hospital Products Inc.
$27
Averitas Pharma Inc.
$26
Medtronic USA, Inc.
$22
ADVANCED RESPIRATORY, INC
$20
Bioventus LLC
$20
Strongbridge US INC.
$18
Almatica Pharma LLC
$17
Mallinckrodt Enterprises LLC
$17
TerSera Therapeutics LLC
$16
Egalet US Inc
$15
Impax Laboratories, Inc.
$15
Grifols USA, LLC
$15
Optos, Inc.
$15
Top 3 companies account for 18.8% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ACTIVA · ADUHELM · AFINITOR · AGAMREE · AIMOVIG · AJOVY · AMPYRA · AMVUTTRA · AMYVID · ANDEXXA · APOKYN · APTIOM · ASCENDA · AUBAGIO · AUSTEDO · AVONEX · Aduhelm · Aimovig · Austedo XR · BAFIERTAM · BOTOX · BOTOX - NEUROLOGY · BOTOX THERAPEUTIC · BRILINTA · BRIUMVI · BROVANA · Betaseron · Briviact · CAMBIA · CAPLYTA · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · Cambia · DUOPA · DYSPORT · Deep Brain Stimulation · Dysport · ELYXYB - CELECOXIB · EMGALITY · ENROUTE Transcarotid Neuroprotection System · EPIDIOLEX · Enspryng · Epidiolex · FIRDAPSE · FYCOMPA · Fintepla · Fycompa · GAMMAGARD · GENERAL DBS · GILENYA · GOCOVRI · GRALISE · Gamunex-C · Gralise · HYQVIA · Hizentra · Horizant · INBRIJA · INFINITY · INGREZZA · INTELLIS ADAPTIVESTIM · Infinity DBS Pulse Generators · KESIMPTA · KEVEYIS · KISUNLA · KYNMOBI · L300 GO SYSTEM · LEMTRADA · LYRICA · Leqembi · Lioresal (baclofen) · MAVENCLAD · MAYZENT · MYOBLOC · Mavenclad · NAMZARIC · NEUROSTAR TMS THERAPY · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Nayzilam · Neuromodulation Dspsbls and Accs · Nourianz · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONGENTYS · ONPATTRO · OXTELLAR XR · Ocrevus · Ocrevus Zunovo · Ongentys · PANORAMIC OPHTHALMOSCOPE · PANZYGA · PAXLOVID · PLEGRIDY · PONVORY · PURIFIED CORTROPHIN GEL · Ponvory · Privigen · QALSODY · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · QUTENZA · Quzyttir · RADICAVA · REXULTI · REYVOW · RYTARY · Radicava · Rebif · Reveal LINQ · Rystiggo · SKYCLARYS · SOLIRIS · SPRIX · Senza · Soliris · TECFIDERA · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TROKENDI XR · TYSABRI · The Vest System Model 105 Home Care · Trudhesa · Tysabri · UBRELVY · ULTOMIRIS · UPLIZNA · VALTOCO · VNS - Sentiva · VNS THERAPY SENTIVA MODEL 1000 GENERATOR · VNS Therapy · VNS Therapy SenTiva Model 1000 Generator · VUMERITY · VYEPTI · VYVGART · VYVGART HYTRULO · WAKIX · Wakix · XADAGO · XARELTO · XCOPRI · XEOMIN · Xadago · Xeomin · ZEMBRACE SYMTOUCH · ZEPOSIA · ZTLido · Zilbrysq
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Neurologists in nearby ZIP areas
18
County median income
$67,660
Nearest hospital to ZIP centroid (approximate)
BAKERSFIELD BEHAVIORAL HEALTHCARE HOSPITAL, LLC
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Alexan-Shirabad is a mixed practice specialist, with above-average Medicare volume (top 2% in CA), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Alexan-Shirabad experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Alexan-Shirabad performed 21,800 botox injection, per unit services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Alexan-Shirabad receive payments from pharmaceutical companies?
Yes. Dr. Alexan-Shirabad received a total of $42,412 from 102 companies across 2,110 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Alexan-Shirabad's costs compare to other neurologists in Bakersfield?
Dr. Alexan-Shirabad's average Medicare payment per service is $15. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Alexan-Shirabad) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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