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    OpenPayerNPI Medicare & MedicaidTarek Hassan
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    Tarek Hassan — Billing Profile & Reimbursement Data

    NPI 1154367902 · Royal Oak, MI · Retina Specialist (Ophthalmology) Physician

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    Tarek Hassan is a retina specialist (ophthalmology) physician provider located in Royal Oak, Michigan. This profile covers 13 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
    OrganizationTarek Hassan
    Address3555 W 13 Mile Rd
    CityRoyal Oak
    StateMI
    ZIP48073
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 21, 2006

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

    Payer SourceTotal Paid
    Medicare$2.1M
    Medicaid$0

    Key Findings

    This provider is operating as a retina specialist whose Medicare billing is dominated by intravitreal drug administration and office evaluation services; the top three revenue drivers are J0178 ($1.3M, 61.6% of Medicare revenue), J2778 ($404.7K, 18.9%), and 99214 ($137.9K, 6.5%), which together account for 87.0% of total Medicare revenue. The mix—high-value anti-VEGF drug codes plus a large volume of established-patient E&M—is consistent with a clinic that treats chronic retinal disease with repeated intravitreal injections and follow-up management visits.

    Revenue concentration is very high: the precomputed top-3 share of 87.0% signals that a large portion of this provider’s $2.1M in Medicare receipts depends on a small set of treatments, notably aflibercept (J0178) and ranibizumab (J2778). That concentration implies financial sensitivity to changes in drug utilization, reimbursement, or provider-level practice patterns for these agents.

    Competitive standing on drug administration is moderate rather than dominant: J0178 ranks #580 of 3204 nationally (82th percentile; described as typical, unremarkable volume) and J2778 ranks #189 of 1208 (84th percentile; typical, unremarkable volume), indicating solid but not market-leading usage of aflibercept and ranibizumab compared with national peers. In short, the provider is a regular, reliable user of anti-VEGF therapies but not a national outlier for those particular codes.

    By contrast, office evaluation volume is an outlier: 99214 shows 1.5K claims, $95 avg paid/claim, $137.9K revenue and ranks #3980 of 479517 (99th percentile; extreme outlier, far above typical national volume). This suggests unusually high throughput or sustained, high-intensity follow-up visits for established patients, which materially contributes to the practice’s Medicare revenue profile beyond injectable therapies.

    Diagnostic imaging use further supports a retina-focused service line: 92134 appears with 1.5K claims, $30 avg paid/claim, $45.2K revenue and ranks #1515 of 26868 (94th percentile; notably above typical national volume). Elevated OCT utilization aligns with frequent monitoring protocols typical for neovascular retinal disease and complements the high injection volume observed in the drug codes.

    The provider bills multiple anti-VEGF agents: J2777 (faricimab) appears with 3.1K claims and $90.5K revenue but is relatively low in national standing (#1808 of 2039, 11th percentile; typical, unremarkable volume) and has a much lower avg paid/claim than aflibercept or ranibizumab. This pattern indicates diversification of injectable agents in the practice, with faricimab contributing measurable claim volume but modest revenue share (4.2% of Medicare revenue) relative to aflibercept and ranibizumab.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $2.1M and there is no Medicaid billing on file, so the provider’s revenue exposure is concentrated in Medicare policy, pricing, and patient demand from the Medicare population. This concentration reduces Medicaid-related contracting complexity but increases sensitivity to Medicare reimbursement changes and utilization management efforts for high-cost drug codes.

    The provider has an established billing history, with an NPI enumerated on 2006-06-21 (~20 years ago), indicating long tenure in Medicare which may reflect stable referral relationships and a sustained patient panel that supports repeated injection cycles and follow-up care. Long tenure combined with the concentrated revenue mix suggests operational stability but also a potential vulnerability to shifts in anti-VEGF utilization patterns or E&M coding pressure.

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,900$690$1.3M
    J2778Injection, ranibizumab, 0.1 mg2,240$180$404.7K
    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…1,450$100$137.9K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,070$110$118.1K
    J2777Injection, faricimab‑svoa, 0.1 mg3,120$30$90.5K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.1,510$30$45.2K
    92201The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…450$20$8.1K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…50$110$5.4K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…30$170$4.8K
    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…30$130$3.1K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017815110680$690$630.2K
    J277750607,200$30$321K
    J27781150730$180$240.5K
    6702833160440$90$57.6K
    920141,0511,080100$80$14.8K
    992143715,47080$80$11.4K
    922353710040$100$7.8K
    921343582060$30$7.1K
    992055881,68020$150$4.3K
    992043,3536,28030$110$4.2K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William Beaumont HospitalMIHospitalist Physician$0$167.9M
    Oakwood Healthcare, Inc.MIGeneral Acute Care Hospital$0$165.3M
    William Beaumont HospitalMIGeneral Acute Care Hospital$0$162.4M
    William Beaumont HospitalMIGeneral Acute Care Hospital$0$84.8M
    Oakwood Ambulatory LLCMIInternal Medicine Physician$0$66.9M
    William Beaumont HospitalMIGeneral Acute Care Hospital$0$61.5M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Wellstreet Urgent Care Of MichiganMIUrgent Care Clinic/Center$0$37.5M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Associated Retinal Consultants, PCMIOphthalmology Physician$0$21.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Judson Center, Inc.MICommunity/Behavioral Health Agency$0$21.2M
    Allergy & Asthma Associates Of Mi PCMIAllergy & Immunology Physician$0$15.9M
    Community Homes, Inc.MIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$7.5M
    Sandeep RandhawaMIRetina Specialist (Ophthalmology) Physician$7M$0
    American Anesthesiology Of Michigan PCMIAnesthesiology Physician$0$5.7M
    Joshua RobinsonMIOphthalmology Physician$3.7M$0
    Jeremy WolfeMIRetina Specialist (Ophthalmology) Physician$3.7M$0
    Tamer MahmoudMIRetina Specialist (Ophthalmology) Physician$2.8M$0
    George WilliamsMIRetina Specialist (Ophthalmology) Physician$2.7M$0
    Kimberly DrenserMIRetina Specialist (Ophthalmology) Physician$2.7M$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. Michigan Distribution
    Tarek Hassan — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan