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 Unspecified Location for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Syed Mahmood (NPI 1104029479)

Field	Value
Entity Type	Individual
Organization	Syed Mahmood
Address	King Abdul Aziz Medical City, Icu Department
City	Jeddah
State	XX (Unspecified Location)
ZIP	21423
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	June 6, 2007

Payer Source	Total Paid
Medicare	$35K
Medicaid	$0

Key Findings

Practice mix and service line: The provider is listed as a Pulmonary Disease Physician but the Medicare billing is concentrated entirely in critical care services, with 99291 (critical care) as the revenue-driving code. The 99291 descriptor (treatment of vital organ failure or prevention of life‑threatening conditions, typical ICU-level care for 30–74 minutes) indicates this clinician’s Medicare activity is oriented toward episodic, high-acuity inpatient or ICU-level encounters rather than routine outpatient pulmonary follow-up visits.

Revenue concentration: The provider’s Medicare revenue is highly concentrated — top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue, and 99291 alone is reported as $35K revenue (100.0% of this provider's total Medicare revenue). The dataset shows 215 claims for 99291 with an average paid amount of $163 avg paid/claim, confirming that the entire Medicare footprint is driven by a single critical-care code.

Payer mix and scale: This entity is effectively single‑payer in the available data — Total Medicare revenue: $35K and the provider has no Medicaid billing on file. The absence of Medicaid activity means analysts should treat Medicare as the only observed public-payer revenue source when assessing this provider’s public payer exposure.

Competitive standing for Medicare critical care: For 99291 this provider ranks #4261 of 71290 providers nationally (94th percentile) and the dataset characterizes that standing as "typical, unremarkable volume for this code." In practical terms, the provider is not a dominant national player for critical care billing but sits within the broad middle of national performers for this procedure code.

Tenure versus billing volume: The provider’s NPI was enumerated on 2007-06-06 (~19 years ago), indicating long-standing enrollment while reporting a relatively small lifetime Medicare revenue pool ($35K). This combination suggests either limited Medicare billing activity over a long career or a recent shift in practice pattern concentrated in a narrow set of critical-care services.

Claims-level implications: The file shows 215 claims for 99291, which supports the conclusion that the provider’s Medicare encounters are episodic critical-care events rather than high-volume outpatient visits. Given the $163 avg paid/claim and total $35K revenue tied to this single code, reimbursement per encounter is modest and overall Medicare throughput is limited.

Implications of no Medicaid billing: The absence of Medicaid claims on file may reflect nonparticipation in Medicaid programs, practice settings that do not bill Medicaid, or billing routed through another entity; analysts should not assume Medicaid revenue will materialize without further verification. This gap has implications for network access and patient mix considerations — the provider’s publicly observed reimbursement stream is constrained to Medicare in this dataset.

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	220	$160	$35K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Syed Mahmood — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	1	10	180	$180	$31.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sri Krishna Mukkamala	GA	Hospitalist Physician	$3.4M	$0
David Chin Yee	GA	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Gregory Lee	GA	Ophthalmology Physician	$2.9M	$6.3K
Hyung Cho	GA	Ophthalmology Physician	$2.5M	$0
Jonathan Wiesen	VA	Internal Medicine Physician	$2.4M	$0
Mark Rivellese	GA	Ophthalmology Physician	$2.1M	$0
Paul Kaufman	GA	Ophthalmology Physician	$1.7M	$0
Daniel Oh	GA	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Michael Glassinger	LA	Emergency Medicine Physician	$1.5M	$0
Jessica Mccluskey	GA	Ophthalmology Physician	$1.3M	$0

Syed Mahmood — Billing Profile & Reimbursement Data

Sign up for Syed Mahmood — Billing Profile & Reimbursement Data policy alerts

Syed Mahmood — Billing Profile & Reimbursement Data

Sign up for Syed Mahmood — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References