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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNana Asamoah-mensah
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    Nana Asamoah-mensah — Billing Profile & Reimbursement Data

    NPI 1023103587 · Washington, DC · Neurology Physician

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    Nana Asamoah-mensah is a neurology physician provider located in Washington, District of Columbia. 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
    OrganizationNana Asamoah-mensah
    Address1140 Varnum St Ne
    CityWashington
    StateDC
    ZIP20017
    TaxonomyNeurology Physician
    NPI EnumeratedOctober 3, 2006

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

    Payer SourceTotal Paid
    Medicare$389.5K
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue is $389.5K with no Medicaid billing on file, making their commercial exposure effectively single‑payer (Medicare) in the available data; absence of any Medicaid claims suggests little to no participation in state Medicaid fee‑for‑service or lack of billing to that program. The lack of Medicaid revenue concentrates payer risk on Medicare reimbursement trends and policy changes.

    Revenue concentration is very high: the precomputed top‑3 Medicare codes account for 76.8% of total Medicare revenue, and those top codes are 99232 ($167K, 42.8%), 99214 ($105.9K, 27.2%), and 95816 ($26.8K, 6.9%). This indicates that a small set of E/M and diagnostic EEG services drive the bulk of income rather than a broad mix of procedures.

    Clinical/service‑line implications from the code mix point to a neurology practice that combines high-volume inpatient follow-up E/M work and established outpatient visits with on‑site diagnostic testing. The top codes 99232 (subsequent inpatient/observation E/M) and 99214 (established outpatient E/M) plus 95816 (EEG, awake and drowsy) signal an operational model centered on hospital‑based follow‑up care and clinic‑based electrodiagnostics rather than a procedure‑heavy surgical specialty.

    Competitive standing for the lead E/M code is extreme: 99232 is described as an extreme outlier and ranks #884 of 177383 providers nationally (100th percentile), indicating this provider bills substantially more for that inpatient follow‑up code than nearly all peers. 99214 also ranks well above peers (#11458 of 479517, 98th percentile) and is labeled notably above typical national volume, so the provider is a major national outlier on two high‑revenue E/M codes rather than being a modest local contributor.

    Other diagnostic codes (for example 95816 at #789 of 3834, 79th percentile; 93925 at #1653 of 10098, 83rd percentile; and 93880 at #5365 of 21316, 74th percentile) are characterized as typical or unremarkable volume when compared to national peers. These mid‑to‑high percentile placements imply the provider performs a routine but meaningful volume of EEG, vascular duplex, and nerve conduction services that complement the heavy E/M workload rather than replace it.

    Tenure on file is long‑standing: the NPI was enumerated on 2006-10-03 (~20 years ago), consistent with an established practice presence. That longevity, combined with concentrated Medicare billing, suggests an experienced clinician whose practice patterns have been stable enough to generate a consistent Medicare revenue stream over time.

    Operational and revenue risk note: because $389.5K in lifetime Medicare revenue is concentrated (76.8% from the top three codes) and there is no Medicaid activity, any shifts in Medicare inpatient/outpatient E/M valuation or utilization for 99232 and 99214 could materially affect overall revenue. Analysts should consider monitoring utilization trends and payer policy changes specific to those E/M codes given the provider’s reliance on them.

    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
    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…2,420$70$167K
    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$110$105.9K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…80$350$26.8K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…80$230$18.2K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…90$180$15.2K
    95913In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…60$260$15K
    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…100$110$11.2K
    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$120$10K
    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…70$150$9.5K
    95819Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…20$400$6.4K

    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
    95819101070$230$16.6K
    99214151,40090$100$15.3K
    9591341070$220$14.9K
    9392563040$160$12.4K
    9921525566050$130$12.3K
    93880156040$130$11.1K
    9581651060$150$10.3K
    9588671070$80$10.3K
    99232364070$70$10K
    9920411967030$130$6.4K

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Nana Asamoah-mensah, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nana Yaw Asamoah-mensah, M.d.,p.c.DCNeurology Physician$0$1.1M

    Nearby Providers

    Other providers in the same ZIP code as Nana Asamoah-mensah, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    My Own Place, Inc.DCIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$48.7M
    Anchor Mental Health AssociationDCMental Health Clinic/Center (Including Community Mental Health Center)$0$22M
    Hsc Home Care, LLCDCHome Health Agency$0$14.7M
    Providence Health Services IncDCFamily Medicine Physician$0$13.4M
    Providence HospitalDCGeneral Acute Care Hospital$0$12.2M
    American Health Care Services IncDCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$5.3M
    Hospital For Sick ChildrenDCSpecial Hospital$0$4.7M
    United Cerebral Palsy Of Washington & No. Virginia, Inc.DCDevelopmentally Disabled Services Day Training Agency$0$4.4M
    Gerald Family CareDCFamily Medicine Physician$0$3.2M
    Cheryl LeeDCDentist$0$2.5M

    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. District of Columbia Distribution
    Nana Asamoah-mensah — 3 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia