To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Payment for Services Provided by Peyman Keyashian, M.D.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Auditor-Controller, or designee, to pay $14,321 to Peyman Keyashian, M.D., for the provision of anesthesiology services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period May 1, 2026 through May 31, 2026, as recommended by the Health Services Director.
FISCAL IMPACT:
Approval of this payment will result in a one-time expenditure of up to $14,321 and will be funded 100% by Hospital Enterprise Fund I revenues.
BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers rely on contractors to provide necessary specialty health services to its patients. Contractor’s anesthesiology services will include clinic coverage, consultation, training, medical procedures, and on-call coverage. This Contractor has been providing anesthesiology services at CCRMC and Contra Costa Health Centers since January 2015.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; and Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. CCRMC’s Quality Management, Utilization Management and Contract Monitor staff meet on a regular basis to ensure monitoring and performance measures in the contract are upheld. Per Administrative Bulletin, 600.3 CCRMC Physician services are exempt from Solicitation requirements.
On June 10, 2025, the Board of Supervisors approved Contract #26-788-16 with Peyman Keyashian, M.D., in an amount not to exceed $950,000 for the provision of anesthesiology services at CCRMC and Contra Costa Health Centers, for the period June 1, 2025 through May 31, 2026.
Due to an increase in anesthesiology services needed by CCRMC, additional services were requested by the County without sufficient time to amend the Contract. Contractor provided these services in good faith, which exceeded the original payment limit by $14,321.
Therefore, the County has determined that with Peyman Keyashian, M.D., is entitled to payment for the reasonable value of their services under the equitable relief theory of quantum meruit. That theory provides that where a person has been asked to provide services without a valid contract, and the provider does so to the benefit of the recipient, the provider is entitled to recover the reasonable value of those services. As such, the Department recommends that the Board authorize the Auditor-Controller to issue a one-time payment not to exceed $14,321 to Peyman Keyashian, M.D.
CONSEQUENCE OF NEGATIVE ACTION:
If this payment is not approved, the Contractor will not be paid for services the Contractor provided in good faith.