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    OpenPayerNPI Medicare & MedicaidSaima Chohan
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    Saima Chohan — Billing Profile & Reimbursement Data

    NPI 1073675526 · Phoenix, AZ · Rheumatology Physician

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    Saima Chohan is a rheumatology physician provider located in Phoenix, Arizona. This profile covers 58 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
    OrganizationSaima Chohan
    Address4550 E Bell Rd
    CityPhoenix
    StateAZ
    ZIP85032
    TaxonomyRheumatology Physician
    NPI EnumeratedDecember 14, 2006

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

    Payer SourceTotal Paid
    Medicare$3.5M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer: total Medicare revenue is $3.5M while there is no Medicaid billing on file, so the practice’s Medicare business drives its entire public‑payer footprint and financial scale. Analysts should treat Medicare trends here as representative of the provider’s public‑payer activity rather than a mixed‑payer profile.

    Revenue is highly concentrated in a small set of biologics: the precomputed top 3 Medicare codes by revenue account for 51.2% of this provider's total Medicare revenue, with J0897, J1602, and J0129 the principal drivers. That concentration implies the practice’s financial performance is sensitive to utilization and reimbursement for a handful of high‑revenue injectable therapies.

    The code mix is consistent with a rheumatology practice that operates in‑office infusion and injection services: dominant biologic drug codes (J0897, J1602, J0129, J3111, J3262) combined with high volumes of infusion administration codes (96413, 96401, 96415) point to routine provision of parenteral biologic and chemotherapy‑style infusions rather than only clinic visits or self‑administered medications. This suggests an operational model that includes an infusion suite, staff for IV/subcutaneous administration, and drug procurement infrastructure.

    For certain biologic agents this provider is a national outlier: J0897 ranks #55 of 10057 providers nationally (99th percentile; extreme outlier) and J1602 ranks #36 of 1041 providers nationally (97th percentile; notably above typical national volume). Those rank/percentile positions indicate this clinician is an unusually large national volume reporter for those specific drug codes compared with peers.

    Infusion and chemotherapy administration activity is also atypically high versus peers: 96413 ranks #110 of 7514 providers nationally (99th percentile; extreme outlier) and 96401 ranks #59 of 3868 providers nationally (99th percentile; extreme outlier), while 96415 ranks at the 95th percentile (notably above typical). These administration code standings corroborate the practice’s operational emphasis on delivering frequent, supervised infusions.

    Office evaluation and management volumes are above typical national levels as well: 99214 is ranked #8616 of 479517 providers nationally (98th percentile; extreme outlier) and 99215 is ranked #2135 of 145531 providers nationally (99th percentile; extreme outlier). Elevated E/M volumes alongside high infusion throughput suggest the practice manages substantial ongoing care and follow‑up visits for complex, therapy‑dependent patients.

    Ancillary diagnostics and procedures are present but represent modest shares of revenue: routine labs (82306, 80053, 85025, 86140), DEXA bone density (77085), imaging (73120), joint procedures (20611), and intra‑articular products (J7328) appear in the top 25 but at much smaller revenue percentages. This pattern is consistent with an integrated outpatient rheumatology practice that supplements drug and infusion services with basic diagnostics and office procedures.

    The provider shows long tenure in Medicare: NPI enumerated (registered) 2006-12-14 (~20 years ago), indicating an established practice presence. Coupled with the concentrated biologic revenue and repeated extreme‑percentile ranks on both drug and infusion codes, the data point to a mature, infusion‑oriented rheumatology operation with a pronounced Medicare focus.

    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.

    58 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg36,780$20$662K
    J1602Injection, golimumab, 1 mg, for intravenous use56,650$10$623.2K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)15,550$30$528.7K
    J3111Injection, romosozumab-aqqg, 1 mg52,290$10$418.3K
    J3262Injection, tocilizumab, 1 mg79,500$10$397.5K
    J9312Injection, rituximab, 10 mg2,580$60$162.5K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)40,400$1$161.6K
    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…1,120$90$99.4K
    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…920$100$90.1K
    J1745Injection, infliximab, excludes biosimilar, 10 mg2,600$30$67.6K

    Showing 1–10 of 58

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 58 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    58 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0129143014,700$30$494.5K
    J326292074,500$1$367.2K
    J160243024,040$10$316.2K
    J071792036,100$1$246.6K
    J931211203,250$60$212.6K
    J311144019,530$10$178.8K
    J089742602,940$20$115.6K
    Q51044103,720$30$108.7K
    J174523402,980$30$103.9K
    86235720130$20$59.5K

    Showing 1–10 of 58

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arizona Arthritis & Rheumatology Associates P CAZRheumatology Physician$0$11.2M
    Nehad SolomanAZRheumatology Physician$5.1M$0
    Alexander HuAZInternal Medicine Physician$3.8M$0
    Areena SwarupAZRheumatology Physician$3.6M$0
    Nikila KumarAZRheumatology Physician$3M$0
    John TesserAZRheumatology Physician$3M$0
    Daniel KreutzAZRheumatology Physician$2.8M$0
    Mona AminAZRheumatology Physician$2.7M$0
    Joonhee LimAZRheumatology Physician$2.3M$0
    Andrew SharobeemAZRheumatology Physician$2.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Hope Of Arizona, IncAZCommunity/Behavioral Health Agency$0$50.2M
    Privia Medical Group Arizona, LLCAZFamily Medicine Physician$0$45.6M
    Clinica La Familia, PCAZInternal Medicine Physician$0$39.4M
    Urgent Home Care IncAZNursing Facility/Intermediate Care Facility$0$32.6M
    View Point Sunshine Village LLCAZAlzheimer Center (Dementia Center)$0$29.4M
    Radadvantage A Professional CorporationAZDiagnostic Radiology Physician$0$28.3M
    Vhs Acquisition Subsidiary Number 1 IncAZGeneral Acute Care Hospital$0$24.3M
    Neighborhood Outreach Access To HealthAZFederally Qualified Health Center (FQHC)$0$16.2M
    Honorhealth Medical Group, LLCAZFamily Medicine Physician$0$10.1M
    Extended Care Portfolio Multistate Pool Tenant, LLCAZAssisted Living Facility$0$7.7M

    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. Arizona Distribution
    Saima Chohan — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona