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    v1.0.28
    OpenPayerNPI Medicare & MedicaidUmair Afzal
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    Umair Afzal — Billing Profile & Reimbursement Data

    NPI 1164786448 · Park Ridge, IL · Neurology Physician

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    Umair Afzal is a neurology physician provider located in Park Ridge, Illinois. This profile covers 9 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationUmair Afzal
    Address1875 Dempster St Ste 625
    CityPark Ridge
    StateIL
    ZIP60068
    TaxonomyNeurology Physician
    NPI EnumeratedJuly 1, 2012

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

    Payer SourceTotal Paid
    Medicare$116.9K
    Medicaid$21.1K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…630$60$36.5K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…280$120$34.6K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…340$90$29.4K
    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…90$90$7.9K
    95720A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…20$150$3K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…70$40$2.7K
    95718A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. The EEG recording…20$90$1.6K
    95822Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG when…20$40$840
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…10$40$480

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992331,0595,990100$100$18.7K
    95720526070$160$13.4K
    992324677,96090$60$12.4K
    992232006,19050$140$10.4K
    992228495,73030$100$5.3K
    95718223040$110$4.6K
    958162714040$70$3.3K
    992312,0402,14040$40$2.8K
    9582242020$50$770

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…250$50$12.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…290$30$7.5K
    99255The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends at…10$90$1.1K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…1,7683,830210$40$29.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…2,0914,800210$30$29.3K
    99255The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends at…24230040$80$14.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Vincent Infirmary Medical CenterARGeneral Acute Care Hospital$0$8.3M
    St. Vincent Medical GroupARFamily Medicine Physician$0$6.4M
    James AbrahamARRheumatology Physician$2.5M$0
    Tamer AlsebaiARRheumatology Physician$2.2M$0
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Cummins LueARRheumatology Physician$717.3K$0
    Allen ReddingAREndocrinology, Diabetes & Metabolism Physician$708.8K$0
    Brad BaltzARHematology & Oncology Physician$633.6K$0
    Alina VoineaARRheumatology Physician$562.4K$0
    Zulekha HamidAREndocrinology, Diabetes & Metabolism Physician$514.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John HamiltonILAnatomic Pathology & Clinical Pathology Physician$6.4K$11.7M
    Medlab Technologies LLCILClinical Medical Laboratory$7.3M$87.6K
    Michael PinsILSpecialist$67.2K$5.6M
    Rahul KhapekarILFamily Medicine Physician$5.2M$410
    Advocate Health And Hospitals CorporationILGeneral Acute Care Hospital$0$3.9M
    William MenegasILGeneral Practice Dentistry$0$3.4M
    Cranial Technologies, Inc.ILProsthetic/Orthotic Supplier$0$3.1M
    Rajendra GogiaILPain Medicine (Physical Medicine & Rehabilitation) Physician$893.5K$1.6M
    Oliver KimILAnatomic Pathology & Clinical Pathology Physician$98.6K$2M
    Andrea BlumsteinILAnatomic Pathology & Clinical Pathology Physician$66.1K$1.9M

    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. Illinois Distribution
    Umair Afzal — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Umair Afzal — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois