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    OpenPayerNPI Medicare & MedicaidJamal Misleh
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    Jamal Misleh — Billing Profile & Reimbursement Data

    NPI 1174665822 · Newark, DE · Hematology & Oncology Physician

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    Jamal Misleh is a hematology & oncology physician provider located in Newark, Delaware. This profile covers 65 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
    OrganizationJamal Misleh
    Address4701 Ogletown Stanton Rd
    CityNewark
    StateDE
    ZIP19713
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedFebruary 12, 2007

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

    Payer SourceTotal Paid
    Medicare$6.8M
    Medicaid$0

    Key Findings

    This profile is effectively single‑payer: Total Medicare revenue is $6.8M and there is no Medicaid billing on file. The provider’s entire reported revenue base for public payers is concentrated in Medicare, so payer-mix strategies and competitive comparisons should be evaluated primarily against Medicare peers.

    Revenue is highly concentrated in a small set of biologic/immunotherapy drugs: J9271 generates $2.8M (42.5%), J9144 generates $1.3M (19.6%), and J9312 generates $406.4K (6.1%); the top 3 Medicare codes by revenue account for 68.1% of this provider's total Medicare revenue. This concentration indicates most Medicare dollars are driven by a few high-cost oncology agents rather than a broad mix of low-cost E/M visits.

    The code mix and descriptions indicate an infusion‑centric hematology/oncology practice that administers high-cost monoclonal antibodies and checkpoint inhibitors on an outpatient basis. High-revenue drug codes such as J9271 (pembrolizumab) and J9144 (daratumumab), together with chemotherapy administration codes like 96413 and add-on/continuation codes (96415, 96417), point to sustained infusion throughput and multi-agent sessions rather than a visit-heavy primary care model.

    Operational patterns are consistent with an office-based infusion suite and care continuity into the community: G0498 appears with $28.9K revenue and ranks #7 of 896 providers nationally (99th percentile; extreme outlier), and multiple add-on infusion codes (96415, 96417, 96375) are flagged as extreme outliers or notably above typical national volume. These items suggest frequent, extended infusion encounters and possible coordination of pump-based or home-continuation infusions.

    The provider is a national outlier on several high-cost medications and administration codes, indicating dominant volume in specific therapy lines: J9271 ranks #8 of 1841 providers nationally (100th percentile; extreme outlier) and J9144 ranks #7 of 615 providers nationally (99th percentile; extreme outlier). By contrast, some agents such as J9312 (rank #38 of 317, 88th percentile) and J9299 (rank #264 of 505, 48th percentile) show more typical participation, so dominance is concentrated in a subset of products.

    Supportive care and adjunctive therapies are also a meaningful part of the mix: J1568 accounts for $383.4K (5.7%), J9299 accounts for $343.2K (5.1%), J0897 accounts for $290.5K (4.3%), and Q5122 accounts for $154.4K (2.3%). The presence of immune globulin, growth-factor agents, and bone-modifying therapy alongside checkpoint inhibitors and monoclonals signals a comprehensive oncology care approach that includes toxicity management and survivorship support.

    Several administration and procedural codes are extreme outliers nationally, reinforcing the picture of high infusion throughput and complex sessions: 96413 ranks #17 of 7514 providers nationally (100th percentile; extreme outlier), 96415 ranks in the 99th percentile, 96375 ranks in the 99th percentile, and J1454 ranks #2 of 422 providers nationally (100th percentile; extreme outlier). These statistical flags suggest this provider treats an unusually large Medicare infusion volume compared with national peers and may operate at scale for particular therapy regimens.

    The provider has long tenure in Medicare billing with an NPI enumerated 2007-02-12 (~19 years ago), which may contribute to an established referral network and patient base that supports sustained, high-volume administration of specialty oncology drugs. Given the absence of Medicaid activity and the concentration in Medicare-paid biologics, competitive and utilization benchmarking should focus on national Medicare peers for infusion services and high-cost oncology agents.

    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.

    65 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg66,000$40$2.8M
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj34,380$40$1.3M
    J9312Injection, rituximab, 10 mg6,350$60$406.4K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg11,980$30$383.4K
    J9299Injection, nivolumab, 1 mg14,300$20$343.2K
    J0897Injection, denosumab, 1 mg16,140$20$290.5K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg1,610$100$154.4K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…1,470$100$153.3K
    J1449Injection, eflapegrastim-xnst, 0.1 mg5,410$30$135.3K
    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…1,040$100$100K

    Showing 1–10 of 65

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 65 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    65 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927111017,600$40$992.4K
    J91441109,360$40$420.8K
    J929921014,300$20$329.6K
    J93121105,250$60$314K
    J15681102,660$30$146.7K
    J08976603,360$20$132.9K
    J14491103,960$20$97.4K
    Q5122110400$100$61.8K
    J088111025,410$1$57.7K
    J2506110590$90$51.1K

    Showing 1–10 of 65

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Oncology Hematology Consultants PADEHematology & Oncology Physician$0$7.7M
    Dhaval ShahDEHematology & Oncology Physician$2.5M$0
    Gregory MastersDEMedical Oncology Physician$2.3M$0
    Evan LapinskyDEHematology & Oncology Physician$1.7M$0
    Lydia ClementsDEMedical Oncology Physician$1.3M$0
    Sujung ParkDEHematology & Oncology Physician$1.2M$0
    Amy Mcghee JezDEHematology & Oncology Physician$1.1M$0
    Andrew HimelsteinDEHematology & Oncology Physician$1.1M$0
    Roberto Ferro ValdesSDHematology & Oncology Physician$1.1M$0
    Martha Hosford SkapofDEHematology & Oncology Physician$748.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Retinal Consultants LLCDEOphthalmology Physician$0$25.2M
    Columbus Medical Services, LLCDECase Management Agency$0$18.7M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    Caritas Home Health Services, IncDEHome Health Agency$0$11.2M
    Delaware Center For Maternal Fetal Medicine Of Christiana CareDEMaternal & Fetal Medicine Physician$0$9.8M
    Christiana Care Health Services IncDENeonatal-Perinatal Medicine Physician$0$8.9M
    Christiana Care Quality PartnersDEUrgent Care Clinic/Center$0$7M
    Mid-atlantic Behavioral Health, LLCDEIntellectual & Developmental Disabilities Psychologist$0$6.5M
    First State Orthopaedics, PADEOrthopaedic Surgery Physician$0$6M
    Autism DelawareDEIntellectual & Developmental Disabilities Psychologist$0$5.8M

    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. Delaware Distribution
    Jamal Misleh — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware