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    OpenPayerNPI Medicare & MedicaidIqbal Masood
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    Iqbal Masood — Billing Profile & Reimbursement Data

    NPI 1013176759 · Grand Forks, ND · Nephrology Physician

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    Iqbal Masood is a nephrology physician provider located in Grand Forks, North Dakota. This profile covers 20 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
    OrganizationIqbal Masood
    Address1300 S Columbia Rd
    CityGrand Forks
    StateND
    ZIP58201
    TaxonomyNephrology Physician
    NPI EnumeratedJune 7, 2008

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

    Payer SourceTotal Paid
    Medicare$311.8K
    Medicaid$0

    Key Findings

    IQBAL MASOOD is enumerated as an NPI since 2008-06-07 (~18 years ago) and is listed with a Nephrology Physician taxonomy in GRAND FORKS, ND; the tenure indicates long-standing enrollment in Medicare which aligns with an established specialty practice managing chronic kidney disease and related inpatient care. This long enumeration window supports interpretation of stable coding patterns rather than a short-term billing spike.

    This provider’s payments are effectively single‑payer: total Medicare revenue is $311.8K and there is no Medicaid billing on file, so Medicare entirely dominates the observed public-payer activity for this profile. Analysts should treat the entity as Medicare-focused for payer-mix comparisons.

    Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes account for 64.7% of total Medicare revenue, led by 90960 ($88.1K, 28.2%), 99214 ($72.2K, 23.1%), and 99232 ($41.7K, 13.4%). This concentration indicates a practice model where a few service lines drive the majority of billed revenue.

    The code mix is consistent with a nephrology practice focused on ESRD and dialysis patient management: prominent dialysis-related monthly management codes 90960, 90961, and 90966 appear alongside office E/M (99214, 99213) and hospital E/M (99232, 99233, 99222, 99223) codes. Presence of 90960 and 90961 (monthly ESRD management) and 90935 (hemodialysis) suggests the provider manages in-center dialysis patients and performs ongoing ESRD care rather than being purely outpatient clinic-based.

    Competitive standing varies by code: 99214 is a clear strength, ranking in the 98th percentile nationally and labeled "notably above typical" national volume, and 99232 ranks in the 95th percentile ("typical, unremarkable volume"). By contrast, 90960 sits at the 87th percentile (characterized as "typical, unremarkable volume") and 90966 is at the 16th percentile; these rank differences suggest the provider is a high-volume office E/M and hospital follow-up clinician nationally but not an extreme outlier in ESRD monthly management.

    There is a notable split within ESRD-related claims: 90961 ($40.9K, 13.1%) ranks in the 94th percentile and is described as "notably above typical," while 90966 ($10.4K, 3.3%) ranks in the 16th percentile. This pattern—strong counts for the two‑to‑three face‑to‑face monthly ESRD code (90961) and relatively few home dialysis management months (90966)—suggests the practice more often bills in‑center or clinic-based ESRD care rather than home dialysis administration.

    Hospital-based E/M activity is substantial: the provider reported 673 claims for 99232 ($41.7K) and additional claims for 99233 (132 claims, $12.1K), 99222 (112 claims, $11.2K), and 99223 (56 claims, $7.5K). These volumes indicate regular involvement in inpatient or observation care and continuity of care across inpatient and outpatient settings, consistent with nephrology inpatient consult and follow-up responsibilities.

    At an absolute scale of $311.8K in Medicare revenue with the top three codes making up 64.7% of that total, this profile reads as a modest-sized Medicare earner with concentrated service lines; the provider’s financial exposure is therefore sensitive to utilization trends in a few high-impact codes. For payers and analysts, the combination of concentrated revenue and strong national ranking on certain E/M codes points to predictable utilization patterns but also to limited diversification across other revenue sources.

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…320$270$88.1K
    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…1,000$70$72.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…670$60$41.7K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…180$230$40.9K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…130$90$12.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…110$100$11.2K
    90966The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…50$230$10.4K
    99204The provider sees a new 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 provider…80$100$7.6K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$130$7.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…160$50$7.4K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90960410210$270$57.3K
    9096122080$220$21.5K
    9096671070$220$21K
    993097910070$70$14.7K
    992337229060$90$11.9K
    99214151,47090$60$10.4K
    992321956070$60$10K
    9922311833040$130$8.9K
    9921525848040$100$6.9K
    992133601,49080$50$5.8K

    Showing 1–10 of 20

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Iqbal Masood, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Altru Health SystemNDClinic/Center$0$29.7M
    Altru Health SystemNDGeneral Acute Care Hospital$0$18.7M
    Mercy Hospital Of Devils LakeNDCritical Access Hospital$0$11.1M
    Anil PottiNDHematology & Oncology Physician$4.9M$0
    Marina GilcaNDRetina Specialist (Ophthalmology) Physician$4.3M$0
    Max JohnsonNDRetina Specialist (Ophthalmology) Physician$2.8M$0
    Altru Health SystemNDRural Health Clinic/Center$0$1.5M
    Dwight FitchFLRadiation Oncology Physician$1.5M$0
    William NoyesNDRadiation Oncology Physician$1.2M$0
    Altru Health SystemNDAmbulance$527.6K$490.7K

    Nearby Providers

    Other providers in the same ZIP code as Iqbal Masood, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Development Homes IncNDCommunity/Behavioral Health Agency$0$53.9M
    L.i.s.t.e.n. IncNDCommunity/Behavioral Health Agency$0$9.4M
    Peterson Medical Clinics, LLCNDMulti-Specialty Clinic/Center$0$8.8M
    Edgewood Sartell LLCNDAssisted Living Facility$0$7.1M
    Northeast Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$6.7M
    Spectra HealthNDFederally Qualified Health Center (FQHC)$0$5.5M
    Little Miracles, Inc.NDMulti-Specialty Clinic/Center$0$5.5M
    Valley Oral & Facial Surgery PCNDOral and Maxillofacial Surgery Clinic/Center$0$4.5M
    Rehabauthority, LLCNDMulti-Specialty Clinic/Center$0$3.5M
    Spectra HealthNDFederally Qualified Health Center (FQHC)$0$3.2M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Dakota Distribution
    Iqbal Masood — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota