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    OpenPayerNPI Medicare & MedicaidSamia Ghaffar
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    Samia Ghaffar — Billing Profile & Reimbursement Data

    NPI 1093004988 · Fresno, CA · Orthopaedic Surgery of the Spine Physician

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    Samia Ghaffar is a orthopaedic surgery of the spine physician provider located in Fresno, California. This profile covers 10 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
    OrganizationSamia Ghaffar
    Address45 E River Park Pl W Ste 104
    CityFresno
    StateCA
    ZIP93720
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedMarch 31, 2011

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

    Payer SourceTotal Paid
    Medicare$111.9K
    Medicaid$0

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…430$90$40K
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…20$1,390$23.6K
    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…110$130$13.7K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$530$10.7K
    63056The provider uses a transpedicular approach to repair a bulging lumbar disc without manipulating the spinal cord. The approach is through the side of the pedicle of one lumbar vertebra, known as a…20$590$10.1K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…30$200$6.2K
    20937The provider uses an autograft, a type of donor bone, to fill in bony defects as she performs a spinal surgery procedure. She extracts the autograft from the patient’s own body during the surgical…20$130$2.9K
    20931A provider uses a structural allograft, a type of donor bone, to fill in bony defects as she performs a spinal surgery procedure.20$90$1.8K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).10$110$1.5K
    20650Skeletal traction applies a pulling force on bones to treat skeletal disorders and fractures. It aligns and immobilizes bones, while relieving pressure on the muscles and nerves. This allows normal…20$70$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6448375979060$240$28.5K
    226334710020$1,060$23.3K
    992146,34437,970120$90$23.2K
    63056112020$400$15.2K
    6304714132020$550$13.7K
    992042,66419,36040$120$7.2K
    2285316932030$150$6.7K
    20937173030$90$4.4K
    20931133020$90$2K
    2065011020$70$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    United Health Centers Of The San Joaquin ValleyCAFederally Qualified Health Center (FQHC)$0$109.7M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    United Health Centers Of The San Joaquin ValleyCAFederally Qualified Health Center (FQHC)$0$48.1M
    United Health Centers Of The San Joaquin ValleyCAFederally Qualified Health Center (FQHC)$0$47.2M
    United Health Centers Of The San Joaquin ValleyCAFederally Qualified Health Center (FQHC)$0$42.2M
    United Health Centers Of The San Joaquin ValleyCAFederally Qualified Health Center (FQHC)$0$39.7M
    Humberto VillalvazoORFamily Medicine Physician$4.3M$0
    Dalpinder SandhuCACardiovascular Disease Physician$2.7M$0
    Michael KruegerCACardiovascular Disease Physician$2.7M$0
    Aron Gould-simonCANuclear Radiology Physician$2.3M$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Samia Ghaffar — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California