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 Northern Mariana Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Northern Mariana Islands 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. Northern Mariana Islands (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.

Ahmad Al-alou (NPI 1063459428)

Field	Value
Entity Type	Individual
Organization	Ahmad Al-alou
Address	Box 501908, Chalan Kanoa
City	Saipan
State	MP
ZIP	96950
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 2, 2006

Payer Source	Total Paid
Medicare	$36.1K
Medicaid	$0

Key Findings

AHMAD AL-ALOU is listed as an Internal Medicine Physician in SAIPAN, MP and was enumerated on 2006-06-02 (≈20 years ago), indicating long-standing enrollment in the Medicare program. The taxonomy and tenure are consistent with a small, established outpatient practice focused on general internal medicine care.

Lifetime Medicare revenue for this provider is $36.1K while there is no Medicaid billing on file; this provider is effectively single-payer in the available claims data, with Medicare representing the entirety of reported public-payer activity.

Revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, and a single code, 99214, accounts for $35.3K (97.6%) of that Medicare revenue. This indicates almost all billed Medicare activity is coming from a single service type.

The code mix points to an office-based, evaluation-and-management–centered practice model. 99214 (established patient E/M, moderate decision-making, ~30 minutes) dominates with 653 claims at $54 avg paid/claim; smaller volumes of 99204 (new patient E/M, 16 claims, $45 avg paid/claim) and 93000 (ECG, 19 claims, $7 avg paid/claim) suggest routine continuity care with occasional new patient visits and diagnostic ECGs.

Competitive standing for the primary service is comparatively strong on a national relative-volume basis: 99214 ranks #30211 of 479517 providers nationally (94th percentile; notably above typical national volume for this code), signaling that for this specific CPT this provider bills at a higher-than-typical volume versus peers. That said, the absolute Medicare revenue ($36.1K) remains modest, so high percentile ranking reflects concentration in a single code rather than large total Medicare receipts.

Secondary codes are minor contributors and show unremarkable volumes: 99204 generated $720 (2.0% of Medicare revenue) and ranks #180022 of 227068 providers nationally (18th percentile; typical, unremarkable volume), while 93000 generated $133 (0.4%) and ranks #51105 of 71016 providers nationally (26th percentile; typical, unremarkable volume). These figures reinforce that most clinical throughput and billing focus on established outpatient visits.

From a payer or network perspective, this profile looks like a low‑to‑moderate scale, outpatient-focused internal medicine practice with concentrated Medicare revenue and no recorded Medicaid activity; contracting, access, or referral-planning analyses should account for the reliance on office E/M visits (99214) and the absence of Medicaid claims when evaluating market role or network fit.

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	650	$50	$35.3K
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…	20	$50	$720
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…	20	$10	$130

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Northern Mariana Islands Distribution

Ahmad Al-alou — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Northern Mariana Islands

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1	10	100	$60	$12.8K
99204	1	10	20	$40	$720
93000	2	10	30	$10	$230

Nearby Providers

Other providers in the same ZIP code as Ahmad Al-alou, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeanolivia Grant	MP	Family Medicine Physician	$228.7K	$0
Northern Mariana Islands Government	MP	Land Ambulance	$180.9K	$0
Keri Allen	MP	Ophthalmology Physician	$96.8K	$0
Vicente Aldan	MP	Family Medicine Physician	$87.4K	$0
Norma Ada	MP	Internal Medicine Physician	$32.8K	$0
Mark Robertson	MP	Optometrist	$25.8K	$0
David Hardt	MP	Optometrist	$24.1K	$0
Donald Hardt	MP	Optometrist	$23.9K	$0
Pamela Carhill	MP	Physical Therapist	$22K	$0
Jiayi Kong	MP	Internal Medicine Physician	$21.9K	$0

Ahmad Al-alou — Billing Profile & Reimbursement Data

Sign up for Ahmad Al-alou — Billing Profile & Reimbursement Data policy alerts

Ahmad Al-alou — Billing Profile & Reimbursement Data

Sign up for Ahmad Al-alou — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References