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    OpenPayerNPI Medicare & MedicaidShadi Haddadin
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    Shadi Haddadin — Billing Profile & Reimbursement Data

    NPI 1073611919 · Jefferson City, MO · Hematology & Oncology Physician

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    Shadi Haddadin is a hematology & oncology physician provider located in Jefferson City, Missouri. This profile covers 69 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
    OrganizationShadi Haddadin
    Address1241 W Stadium Blvd
    CityJefferson City
    StateMO
    ZIP65109
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedSeptember 21, 2006

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

    Payer SourceTotal Paid
    Medicare$2.2M
    Medicaid$0

    Key Findings

    SHADI HADDADIN is a Hematology & Oncology Physician with NPI enumerated on 2006-09-21 (~20 years ago). Lifetime Medicare revenue on file is $2.2M and there is no Medicaid billing on file, indicating this provider’s billing footprint is effectively single‑payer (Medicare) in the datasets available.

    Revenue is highly concentrated in a small number of high-cost drug administrations: the precomputed top three Medicare codes account for 74.9% of this provider’s total Medicare revenue. Those top three codes are J9271 ($1.1M, 50.8%), J1556 ($301.5K, 13.9%), and J0897 ($221.4K, 10.2%), showing that a few biologic/infusion products drive the bulk of income.

    The code mix is consistent with an infusion-based oncology practice: J9271 (pembrolizumab) is a high-revenue checkpoint inhibitor used in cancer immunotherapy, J1556 (immune globulin) indicates frequent IV immunoglobulin administrations, and J0897 (denosumab) supports bone-health management common in oncology/hematology care. Together with chemotherapy administration codes and multiple infusion add-ons in the top 25, the pattern points to on-site drug administration and infusion services as central to operations.

    Despite accounting for half the Medicare revenue, J9271 is ranked #213 of 1841 providers nationally (88th percentile) and is labeled in the raw data as a "typical, unremarkable volume for this code," implying the provider’s pembrolizumab billing is significant in revenue but not anomalously high relative to national oncology peers.

    J1556 and J0897 show different competitive signals: J1556 is ranked #27 of 46 providers nationally (42th percentile; typical, unremarkable volume for this code), reflecting a small national peer group and middling position, while J0897 is ranked #793 of 10057 providers nationally (92th percentile; typical, unremarkable volume for this code), which indicates relatively high national activity on denosumab compared with most peers.

    Evaluation-and-management (E/M) volumes are notable outliers: 99214 generated $102.7K (4.7% of Medicare revenue) and 99213 generated $58.4K (2.7%), and both codes are described as "extreme outlier, far above typical national volume for this code." This suggests an unusually high throughput of established outpatient visits relative to national norms, consistent with intensive longitudinal outpatient management of oncology patients.

    Procedure and infusion support codes further emphasize infusion workload: 96413 (chemotherapy administration) produced $57.1K (2.6%) and is ranked #371 of 7514 providers nationally (95th percentile; notably above typical national volume for this code), and multiple infusion-related codes (96375, 96367, 96360, 96365, 96417) also appear in the top 25 with labels ranging from "notably above typical" to "typical, unremarkable." This combination points to meaningful procedural throughput beyond drug costs, reinforcing an infusion-clinic operational profile.

    Taken together, the provider appears to be an established, Medicare-focused oncology practice with $2.2M in lifetime Medicare revenue concentrated heavily in a few high-cost biologic/infusion codes (top 3 = 74.9%). The absence of Medicaid billing on file makes payer diversification limited in the available records, so shifts in Medicare policy or drug utilization could materially affect this provider’s revenue mix.

    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.

    69 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg25,600$40$1.1M
    J1556Injection, immune globulin (bivigam), 500 mg5,290$60$301.5K
    J0897Injection, denosumab, 1 mg12,300$20$221.4K
    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…1,140$90$102.7K
    J1437Injection, ferric derisomaltose, 10 mg5,800$20$92.8K
    Q5119Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg3,900$20$89.7K
    99213The 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…990$60$58.4K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…630$90$57.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…2,350$10$18.8K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…1,160$10$12.8K

    Showing 1–10 of 69

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 69 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    69 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92716409,100$40$502K
    J15561103,980$60$225.1K
    J0897172102,400$20$82.4K
    Q51191101,570$20$43.6K
    J14371102,500$20$43.5K
    Q51064105,270$10$28.3K
    9641310160140$100$19.1K
    J349038040$150$14K
    J01858109,490$1$14K
    99214798,960100$80$13.9K

    Showing 1–10 of 69

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Hospices Of America, LLCMOCommunity Based Hospice Care Agency$0$5.5M
    Community Hospices Of America, LLCMOCommunity Based Hospice Care Agency$0$4M
    Stephen SidesMORheumatology Physician$2.9M$0
    Tamara HopkinsMOHematology & Oncology Physician$887.1K$0
    Thomas SchneiderMOPulmonary Disease Physician$411.2K$0
    Michael SnyderMOOrthopaedic Surgery Physician$320.1K$0
    Jonathan CraigheadMOOrthopaedic Surgery Physician$259.6K$0
    Philip RumbaoaMOPhlebology Physician$257.7K$0
    Stephanie HoseMODermatology Physician$222.7K$0
    Indumathi BaskarMOInternal Medicine Physician$218.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of MissouriMORehabilitation Counselor$0$160.2M
    Help At Home, LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$97M
    Ssm Regional Health ServicesMOGeneral Acute Care Hospital$0$20.8M
    Rehab Specialty Medical, Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$19.7M
    Day Solutions, IncMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$14M
    Skillset LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$11.6M
    Independent Living Resource Center, Inc.MOHome Health Agency$0$8.3M
    Tiffany BurnsMOStudent in an Organized Health Care Education/Training Program$0$7.7M
    County Of ColeMOLand Ambulance$809.3K$5.2M
    Jcmg Surgery Center, Inc.MOAmbulatory Surgical Clinic/Center$1.2M$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.

    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. Missouri Distribution
    Shadi Haddadin — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri