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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMohammad Ismail
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    Mohammad Ismail — Billing Profile & Reimbursement Data

    NPI 1093772923 · Memphis, TN · Gastroenterology Physician

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    Mohammad Ismail is a gastroenterology physician provider located in Memphis, Tennessee. This profile covers 19 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
    OrganizationMohammad Ismail
    Address1325 Eastmoreland Ave Ste 310
    CityMemphis
    StateTN
    ZIP38104
    TaxonomyGastroenterology Physician
    NPI EnumeratedApril 26, 2006

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

    Payer SourceTotal Paid
    Medicare$63.2K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…40$290$12.3K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…50$190$8.9K
    43276Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…20$280$6.7K
    43242The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where, under endoscopic ultrasound guidance, he carries out a fine needle aspiration or…40$180$6.7K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$100$4.5K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.70$60$4.3K
    43275Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…10$290$3.5K
    43259An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic…30$120$3K
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.20$110$2.1K
    43251An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. The physician removes one or more lesions using a snare…20$120$1.8K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538519432060$260$27.1K
    992148,48711,370120$80$16.6K
    4538022432040$190$15.3K
    992323,9043,990100$60$11.4K
    4323915534070$110$11.2K
    43249628030$230$8.6K
    4324291040$180$8.4K
    992138,10811,03080$50$8K
    4327671030$300$7.9K
    43259131020$160$6.7K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Methodist Healthcare - Memphis HospitalsTNGeneral Acute Care Hospital$0$105.6M
    Methodist Healthcare - Memphis HospitalsTNChildren's Hospital$0$84.4M
    Ut Lebonheur Pediatric Specialists, Inc.TNPediatrics Physician$0$63.8M
    Ut Medical Group IncTNMulti-Specialty Clinic/Center$0$53.1M
    Ut Regional One Physicians IncTNSurgery Physician$0$24.1M
    Primary Care Group LLCTNFamily Medicine Physician$0$23.5M
    Methodist Healthcare - Olive Branch HospitalMSGeneral Acute Care Hospital$0$18.1M
    Alliance Health Services Inc.TNDurable Medical Equipment & Medical Supplies$0$11.2M
    Stephen HuddlestonTNRetina Specialist (Ophthalmology) Physician$5.7M$0
    Methodist Inpatient Physicians LLCTNInternal Medicine Physician$0$4.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Well Child Inc.TNNurse Practitioner$0$19.8M
    Bhg Reference Lab, LLCTNClinical Medical Laboratory$0$14M
    Wci School Health Services, PLLCTNFamily Nurse Practitioner$0$10.4M
    Memphis Radiological, P.C.TNDiagnostic Radiology Physician$0$9.1M
    Memphis Medical Center Air Ambulance Service, Inc.TNAir Ambulance$0$6.5M
    Southern College Of OptometryTNOptometrist$0$5.4M
    Satellite Healthcare Of Poplar Avenue LLCTNEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$5.2M
    Phillip R. Bowden, M.d.,p.a.TNGastroenterology Physician$0$4.6M
    Memphis Recovery Centers, Inc.TNSubstance Abuse Rehabilitation Facility$0$4.6M
    Bianca SweetenTNPediatrics Physician$0$3.2M

    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. Tennessee Distribution
    Mohammad Ismail — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee