Medicare Enrolled

Dr. Richard Alexan-Shirabad, M.D.

Neurology · Bakersfield, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
4900 COMMERCE DR, Bakersfield, CA 93309
6613950900
In practice since 2006 (19 years)
NPI: 1104859909 verify on NPPES ↗
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 →
Are you Dr. Alexan-Shirabad? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Alexan-Shirabad

Dr. Richard Alexan-Shirabad is a neurology specialist in Bakersfield, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Alexan-Shirabad performed 39,936 Medicare services across 3,133 unique beneficiaries.

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 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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.

✓ 19 years in practice ▲ Top 2% volume in CA $42,412 industry payments

Medicare Practice Summary

Medicare Utilization ↗
39,936
Medicare services
Top 2% in CA for neurology
3,133
Unique beneficiaries
$15
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~2,102 Medicare services per year of practice

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. A higher procedure volume generally indicates more experience with that procedure.
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
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$41,935 (98.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$477 (1.1%)

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)

Consulting
Speaking
Meals & Travel
Research
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? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →

Most payments (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for neurology in CA.

Looking for a neurology specialist in Bakersfield?
Compare neurologists in the Bakersfield area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Neurologists within 10 mi
18
Per 100K population
2.0
County median income
$67,660
Nearest hospital
BAKERSFIELD BEHAVIORAL HEALTHCARE HOSPITAL, LLC
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public 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 low-engagement industry engagement in the top 10% of CA peers, with 19 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. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
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 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →