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    OpenPayerNPI Medicare & MedicaidFouad Otaki
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    Fouad Otaki — Billing Profile & Reimbursement Data

    NPI 1013229996 · Portland, OR · Gastroenterology Physician

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    Fouad Otaki is a gastroenterology physician provider located in Portland, Oregon. This profile covers 12 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
    OrganizationFouad Otaki
    Address3303 Sw Bond Ave Ste 6d
    CityPortland
    StateOR
    ZIP97239
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 8, 2010

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

    Payer SourceTotal Paid
    Medicare$22.3K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.50$90$3.9K
    91010The provider uses a manometer to analyze esophageal muscle pressure and movement in a patient with gastroesophageal reflux disease or GERD. He interprets the findings and prepares a report.70$50$3.4K
    43270An esophagogastroduodenoscopy (EGD) is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope passed through the mouth. During the EGD, the provider passes guidewires…20$170$3.1K
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.20$110$2.2K
    43229The provider inserts a flexible endoscope through the mouth and into the esophagus where heablates one or more lesions; he may also pass a guidewire into the esophagus over which he passes a series…10$160$1.9K
    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…20$110$1.7K
    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…20$110$1.7K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.20$80$1.3K
    99443N/A20$80$1.2K
    91037The provider performs gastroesphageal reflux test to determine the backflow of acid from the stomach into the esophagus with nasal catheter intraluminal impedance electrode placement. He records and…30$40$1K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    43249153020$300$6.9K
    432397324030$120$6.1K
    992042,0692,75030$110$4.4K
    432355410020$130$3.5K
    9103731030$120$3.2K
    4327011020$170$3.1K
    9101011020$110$2.9K
    9103811010$200$2.8K
    9922256790020$90$2.6K
    9944315321020$70$2.1K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Providence Health & Services - OregonORGeneral Acute Care Hospital$0$20.9M
    Providence Health & Services - OregonORClinical Pathology Physician$0$6.1M
    Gastroenterology Consultants, PCORGastroenterology Physician$0$1.3M
    Patrick DavolORUrology Physician$274.2K$0
    Adam CabaloOROrthopaedic Surgery of the Spine Physician$258.1K$0
    Thong BuiORUrology Physician$238K$0
    Cihan CevikCOInterventional Cardiology Physician$218.9K$0
    David KillionWAUrology Physician$174.6K$0
    Piyush DhanukaCAGastroenterology Physician$164.5K$0
    Emilia ArdenORCardiovascular Disease Physician$136.2K$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. Oregon Distribution
    Fouad Otaki — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon