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 West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Adnan Alghadban (NPI 1043323199)

Field	Value
Entity Type	Individual
Organization	Adnan Alghadban
Address	527 Medical Park Drive, Ste. 204
City	Bridgeport
State	WV
ZIP	26330
Taxonomy	Neurology Physician
NPI Enumerated	August 15, 2006

Payer Source	Total Paid
Medicare	$533K
Medicaid	$0

Key Findings

ADNAN ALGHADBAN is a Neurology Physician in BRIDGEPORT, WV with lifetime Medicare revenue of $533K and no Medicaid billing on file (Medicaid: none). The provider’s top three Medicare codes by revenue are 99213 ($80.3K, 15.6%), 95816 ($71.3K, 13.9%), and 95811 ($63.9K, 12.4%), which together account for 41.9% of this provider’s total Medicare revenue, indicating concentrated revenue sources.

The code mix points to an outpatient neurology practice with a heavy diagnostic focus: 99213 reflects office E/M visits while 95816, 95811, 95819, and 95810 represent EEG and polysomnography service lines. High revenue from these EEG/sleep-study codes suggests the provider operates substantial in‑office diagnostic testing capacity or a sleep/EEG service line that is central to its business model.

Revenue concentration is material: the three top Medicare codes alone account for 41.9% of Medicare revenue, so fluctuations in demand or reimbursement for routine E/M visits (99213) and EEG/sleep testing (95816, 95811) would meaningfully affect total Medicare receipts. This concentration elevates operational sensitivity to volume changes in a small set of services.

Payer mix is effectively single-payer: the practice reports $533K in lifetime Medicare revenue and none for Medicaid (no Medicaid billing on file). This provider is therefore Medicare-dependent in the available claims record, which has implications for network negotiations and population served.

Competitive standing by code is mixed but includes several high-volume signals: 99213 ranks #3435 of 457151 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), marking unusually large E/M claim volume versus peers. Other strong positions include 95816 (rank #67 of 3834; 98th percentile — typical, unremarkable volume) and 95811 (rank #205 of 3427; 94th percentile), indicating the practice is a notable regional/national participant in EEG and sleep-study services.

There are clear procedure-focused outliers beyond EEGs: vascular duplex 93880 (313 claims, $40.4K; rank #690 of 21316; 97th percentile; notably above typical national volume) and musculoskeletal/other ultrasound codes 76881 and 76882 (76881: 454 claims, $16.8K; rank #56 of 1606; 97th percentile; 76882: 258 claims, $7.5K; rank #67 of 5542; 99th percentile; extreme outlier, far above typical national volume) point to meaningful use of imaging/diagnostic ultrasound in the practice. These patterns imply on-site or closely affiliated imaging capabilities beyond core neurology testing.

Ancillary laboratory and specimen services appear as a supporting revenue stream: multiple high-claim, lower-dollar lab codes—82306 (524 claims, $14.7K), 82607 (525 claims, $7.4K), 84443 (454 claims, $7.3K), and 36415 (531 claims, $4.2K)—are present in volume. These lines suggest routine lab testing and phlebotomy are bundled with visits and diagnostics rather than being primary revenue drivers.

The provider has long NPI tenure (NPI enumerated 2006-08-15 (~20 years ago)), indicating established practice continuity in the market. Despite that tenure, the lifetime Medicare revenue of $533K represents a relatively modest absolute Medicare billing footprint concentrated in a handful of high-volume diagnostic and E/M codes, which frames both operational strengths and exposure to payer or volume shifts in those services.

Medicare: Complete Services Breakdown

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

38 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…	1,280	$60	$80.3K
95816	Electroencephalogram 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…	350	$210	$71.3K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	150	$440	$63.9K
95819	Electroencephalogram 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…	180	$300	$54.7K
93880	Duplex 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…	310	$130	$40.4K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	90	$420	$39.4K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	120	$150	$18.2K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	250	$70	$17K
76881	In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…	450	$40	$16.8K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	520	$30	$14.7K

Showing 1–10 of 38

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Adnan Alghadban — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

38 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95819	1	10	90	$230	$19.3K
95816	1	10	20	$140	$15K
99232	613	1,340	90	$60	$11.9K
99214	1,072	2,740	100	$70	$11.8K
99233	636	660	60	$90	$11.4K
95811	1	30	40	$190	$8.2K
99223	195	780	30	$130	$7.9K
95886	6	30	80	$60	$7.8K
99213	14	2,860	80	$50	$7.5K
95810	2	30	30	$180	$6.5K

Showing 1–10 of 38

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preston Memorial Hospital Corporation	WV	Critical Access Hospital	$0	$20.2M
Monongalia County General Hospital Company	WV	General Acute Care Hospital	$0	$16.3M
Stonewall Jackson Memorial Hospital Company	WV	Rural Acute Care Hospital	$0	$13M
Associated Specialists, Inc.	WV	Infectious Disease Physician	$0	$11.3M
Monongalia County General Hospital Company	WV	Specialist	$0	$6.8M
Eric Johnson	KY	Diagnostic Radiology Physician	$78.6K	$3.1M
Preston Memorial Hospital Corporation	WV	Emergency Medicine Physician	$0	$2.6M
Concord Hospital, Inc.	NH	Emergency Medicine Physician	$0	$2.5M
City Hospital, Inc.	WV	Internal Medicine Physician	$0	$1.9M
Mon Health Marion Neighborhood Hospital, Inc.	WV	General Acute Care Hospital	$0	$1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Hospital Center, Inc	WV	General Acute Care Hospital	$0	$63.3M
United Hospital Center, Inc.	WV	Internal Medicine Physician	$0	$13.7M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$9.3M
Bridgeport Behavioral Clinic	WV	Psychiatry Physician	$0	$5.7M
Doctors Specialty Care	WV	Addiction Medicine (Family Medicine) Physician	$0	$4.1M
Delta Lifestyle Solutions	WV	Family Medicine Physician	$0	$4.1M
Lincare Inc	WV	Durable Medical Equipment & Medical Supplies	$0	$4M
Cornerstone Pediatric Therapy Center, LLC	WV	Pediatric Occupational Therapist	$0	$3.7M
Mountain State Medical Specialties, PLLC	WV	Dermatology Physician	$0	$3.6M
Seyed Momen	WV	Pediatric Dentistry	$0	$3.2M

Adnan Alghadban — 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