Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nebraska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nebraska only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nebraska (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Haysam Akkad (NPI 1013997741)

Field	Value
Entity Type	Individual
Organization	Haysam Akkad
Address	4239 Farnam St
City	Omaha
State	NE
ZIP	68131
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	January 19, 2006

Payer Source	Total Paid
Medicare	$817.6K
Medicaid	$0

Key Findings

HAYSAM AKKAD is effectively a single-payer Medicare provider with Total Medicare revenue of $817.6K and no Medicaid billing on file; this profile indicates the provider’s Medicare book of business represents the entirety of recorded public-payer activity. Analysts should treat Medicaid-based comparisons as inapplicable for this clinician because there are no state Medicaid claims to evaluate.

Revenue concentration is high: the precomputed top three Medicare codes by revenue account for 63.5% of this provider's total Medicare revenue. That concentration shows the practice is heavily dependent on a small set of diagnostic and E/M services rather than a broad, evenly distributed code mix.

The code mix points to a procedural cardiology practice with substantial imaging and nuclear cardiology activity. High-revenue codes include 99213 (office E/M), 78452 (SPECT cardiac studies), and A9500 (Tc-99m sestamibi), indicating a workflow that combines outpatient evaluation (99213) with advanced nuclear cardiac imaging (78452 and A9500) rather than primarily procedural interventions.

On competitive standing for key codes, the provider is an extreme outlier in national volume for 99213 (ranks #72 of 457151, 100th percentile), 78452 (ranks #123 of 14946, 99th percentile), and A9500 (ranks #38 of 4099, 99th percentile). These ranks indicate this clinician bills these services at volumes far above typical national peers and is a major national-level participant for those services.

Other frequently billed items strengthen the imaging/diagnostic profile: J2785 (regadenoson) is notably above typical national volume (1.4K claims, $59.1K revenue; 98th percentile), and 93306 (2D echocardiography) appears at typical volumes (525 claims, $53.6K revenue; 87th percentile). Together these codes suggest a high-throughput noninvasive cardiac testing operation that pairs stress agents and radiotracers with imaging services.

While the provider performs some invasive procedures and device-management services, those appear as a smaller share of revenue. For example, 92928 (stent placement) accounts for $5.3K and ranks in the middle/lower range of national peers (4th percentile), and several pacemaker/ICD programming and remote-monitoring codes (e.g., 93280, 93296, 93294) show modest activity at typical percentiles. This implies limited cath-lab or device-implant procedural volume relative to the diagnostic/testing lines.

Tenure in the Medicare program is long: the NPI was enumerated on 2006-01-19, about 20 years ago. That longevity supports the interpretation that current billing patterns reflect an established practice rather than a short-term or newly started operation.

Given the concentration in a few high-volume codes and the extreme-outlier ranks on several diagnostics, payers and provider analysts should consider the provider a major local/national source for outpatient cardiac imaging and stress-testing services. Contracting, utilization review, and network planning should account for the provider’s outsized contribution in 99213, 78452, and A9500 when assessing capacity for noninvasive cardiac diagnostics in Omaha/NE.

Medicare: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	3,920	$60	$243K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	470	$310	$144.9K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	880	$150	$130.8K
J2785	Injection, regadenoson, 0.1 mg	1,410	$40	$59.1K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	530	$100	$53.5K
99214	The 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…	560	$90	$48.9K
99204	The 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…	390	$120	$45.8K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	460	$50	$20.9K
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	360	$60	$20.1K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	1,260	$10	$12.6K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Haysam Akkad — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9500	1	20	170	$120	$26.8K
93306	32	110	340	$70	$25.6K
78452	2	80	90	$140	$16.6K
99214	275	3,210	110	$70	$14.9K
92928	35	40	30	$380	$12.9K
J2785	1	30	200	$40	$11.8K
93296	27	30	470	$10	$10.5K
93294	38	40	290	$20	$9.3K
99213	1	3,220	90	$50	$7.9K
99204	7	1,320	30	$100	$5.3K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unmc Physicians	NE	Multi-Specialty Clinic/Center	$0	$41.1M
Thomas Buroker	IA	Medical Oncology Physician	$9.4M	$0
Kyle Alliman	IA	Ophthalmology Physician	$8.7M	$0
Alex Kartvelishvili	IA	Ophthalmology Physician	$8.1M	$0
Paul Boeke	IA	Ophthalmology Physician	$7.1M	$0
Austin Strohbehn	IA	Retina Specialist (Ophthalmology) Physician	$5.8M	$0
Jeremy Deutsch	KS	Hematology & Oncology Physician	$5.7M	$0
Robert Behrens	IA	Medical Oncology Physician	$5.2M	$0
Matthew Mcknight	IA	Foot & Ankle Surgery Podiatrist	$4.7M	$23.5K
James Singer	IA	Retina Specialist (Ophthalmology) Physician	$4.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Father Flanagan's Boys' Home	NE	Pediatrics Physician	$0	$23.1M
Father Flanagan's Boys' Home	NE	Children's Hospital	$0	$16.2M
Emergency Physician Associates Of Nebraska PC	NE	Emergency Medicine Physician	$0	$4.9M
Dialysis Clinic Inc.	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Alegent Health Bergan Mercy Health System	NE	Psychiatry Physician	$0	$3.4M
Matthew Appenzeller	NE	Ophthalmology Physician	$2.5M	$0
Mark Emig	NE	Ophthalmology Physician	$2.2M	$0
Midwest Eye Surgery Center, LLC	NE	Ambulatory Surgical Clinic/Center	$1.8M	$0
David Ingvoldstad	NE	Ophthalmology Physician	$1.8M	$0
Pamela Helem	NE	Mental Health Counselor	$0	$680.9K

Haysam Akkad — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References