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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMonther Al-halawani
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    Monther Al-halawani — Billing Profile & Reimbursement Data

    NPI 1013086305 · Brandon, FL · Endocrinology, Diabetes & Metabolism Physician

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    Monther Al-halawani is a endocrinology, diabetes & metabolism physician provider located in Brandon, Florida. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMonther Al-halawani
    Address502 Corner Dr
    CityBrandon
    StateFL
    ZIP33511
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedNovember 8, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$180.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,160$90$106.4K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.430$80$32.9K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…90$160$14.9K
    95250In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…60$110$6.7K
    95251A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…190$30$5K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…110$40$4K
    10005Under ultrasound guidance, the provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and…40$110$3.7K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral40$60$2.3K
    10006The provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and syringe. Report this code…40$50$1.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…10$100$1.3K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,40832,760140$90$25K
    992157,8938,55040$130$10.7K
    992054274,82030$160$6.6K
    770804061,09070$30$5.3K
    95250125030$110$5.2K
    76536141,06040$60$4.3K
    9525194360100$30$3.6K
    9392211431030$50$2.7K
    100054726020$90$2.3K
    1000633020$50$1.1K

    Showing 1–10 of 11

    Nearby Providers

    Other providers in the same ZIP code as Monther Al-halawani, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family First Homecare, LLCFLNursing Care Agency$0$78.7M
    Preferred Touch Home Care, IncFLHome Health Agency$0$61.9M
    Galencare, Inc.FLGeneral Acute Care Hospital$0$34.7M
    Bio-medical Applications Of Florida, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$14.8M
    Bay Area Behavioral ServicesFLMental Health Counselor$0$11.3M
    Dva Healthcare Renal Care IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9.8M
    Exodus Women's Center, Inc.FLObstetrics & Gynecology Physician$0$9.1M
    Vipul JoshiFLSpecialist$5.6M$0
    Bay Area Surgicenter, LLCFLAmbulatory Surgical Clinic/Center$2.7M$893.7K
    Marguerite KohlheppFLRetina Specialist (Ophthalmology) Physician$2.7M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Monther Al-halawani — 3 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida