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    OpenPayerNPI Medicare & MedicaidBrian Daikh
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    Brian Daikh — Billing Profile & Reimbursement Data

    NPI 1184617953 · Portland, ME · Specialist

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    Brian Daikh is a specialist provider located in Portland, Maine. This profile covers 41 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
    OrganizationBrian Daikh
    Address51 Sewall St
    CityPortland
    StateME
    ZIP04102
    TaxonomySpecialist
    NPI EnumeratedAugust 26, 2005

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Key Findings

    This provider’s Medicare billing is dominated by infused biologic agents and infusion administration codes, consistent with a specialty practice focused on outpatient infusion therapy; the top three Medicare drugs are J9312 ($345.6K, 27.7%), J0129 ($312.8K, 25.1%), and J1602 ($269.8K, 21.6%), and infusion/biologic administration appears to be the core service line. The code-level mix (multiple large J‑codes for monoclonal antibodies and disease‑modifying biologics) indicates operational emphasis on in‑office drug administration rather than primary care or procedure‑heavy specialties.

    Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 74.5% of this provider’s total Medicare revenue, making a handful of drug administrations the critical drivers of the $1.2M in reported Medicare receipts. That concentration means changes to reimbursement or utilization of any one of these agents could materially affect overall revenue.

    This provider is effectively single‑payer in the available data: $1.2M in total Medicare revenue is on file while there is no Medicaid billing on file, so Medicaid contributes $none to this profile and state Medicaid exposure is absent in the reported dataset. For analysts, that means payer mix risk is concentrated in Medicare and would require separate validation for commercial or Medicaid activity outside the dataset.

    National competitive standing on the leading biologic drugs is moderate to solid but not dominant: J9312 ranks #58 of 317 providers nationally (82th percentile; typical, unremarkable volume for this code), J0129 ranks #533 of 1221 (56th percentile; typical, unremarkable volume for this code), and J1602 ranks #232 of 1041 (78th percentile; typical, unremarkable volume for this code). In short, the provider shows above‑median activity on some infusion agents but is not an extreme national outlier by the supplied rank/percentile descriptors.

    Clinical visit and infusion procedure revenue is small relative to drug revenue: the primary E/M code 99214 generated $45.2K (3.6% of Medicare revenue) and 99213 generated $18K (1.4%), while chemotherapy administration 96413 generated $27.9K (2.2%) and initial infusion 96365 generated $12.7K (1.0%). These figures demonstrate that patient face‑to‑face visits and infusion administration fees are secondary revenue streams compared with the drug product payments themselves.

    Ancillary diagnostics and basic clinic services are present but limited in scale: 36415 (phlebotomy) produced $5.3K and 36415 ranks #6162 of 86467 (93th percentile; typical, unremarkable volume for this code), 80053 (CMP) produced $4.4K, and imaging such as 77080 produced $1.1K. This pattern suggests some onsite lab and minor imaging support for infusion services but not a broad diagnostic or imaging center footprint.

    The provider’s enrollment history shows long tenure: NPI enumerated 2005-08-26 (~21 years ago), indicating a stable, long‑standing Medicare billing presence that supports continuity in recorded patterns and makes trend analysis feasible over a multi‑year window if historical data are requested. This longevity reduces the chance that current billing patterns are from a very new or transient practice.

    Although many codes are described as "typical, unremarkable volume for this code" in the supplied comparisons, the practice’s financial exposure is concentrated in a small set of high‑cost biologic drugs (e.g., J9312 avg paid/claim $64, J0129 avg paid/claim $34, J1602 avg paid/claim $11). From a payer or contracting perspective, that concentration creates sensitivity to formulary, supply, or reimbursement changes for those specific agents despite the absence of extreme rank outlier flags in the national comparison.

    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.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9312Injection, rituximab, 10 mg5,400$60$345.6K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)9,200$30$312.8K
    J1602Injection, golimumab, 1 mg, for intravenous use24,530$10$269.8K
    J1745Injection, infliximab, excludes biosimilar, 10 mg5,320$30$138.3K
    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…510$90$45.2K
    J0897Injection, denosumab, 1 mg2,100$20$37.8K
    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…290$100$27.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…290$60$18K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.260$50$12.7K
    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…50$110$5.3K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J93121105,400$60$343.1K
    J01291106,880$30$207.2K
    J160211014,850$10$163.5K
    J17452105,320$30$121.4K
    J089712202,730$20$86.4K
    96413830170$100$20.6K
    99214292,50070$70$7.2K
    9069413814050$80$5.7K
    9636533090$50$5.6K
    9921548978030$100$4.8K

    Showing 1–10 of 41

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mainegeneral Medical CenterMEGeneral Acute Care Hospital$0$168.1M
    Rachit KumarVAHematology & Oncology Physician$802.4K$0
    Bo PangMEFacial Plastic Surgery Physician$434.3K$0
    Stephan BabirakMEEndocrinology, Diabetes & Metabolism Physician$400K$0
    Kenneth OrourkeMESpecialist$381.7K$0
    Rheumatology Associates P.A.MESpecialist$0$381.2K
    Mainegeneral Medical CenterMEFamily Medicine Physician$0$375.3K
    Aamir RaiTXAnesthesiology Physician$334.5K$0
    Brian KeroackMESpecialist$326.6K$0
    David RancourtMAInternal Medicine Physician$315.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MainehealthMEGeneral Acute Care Hospital$0$142.6M
    Shalom House, Inc.MEMental Illness Community Based Residential Treatment Facility$0$81.9M
    Mercy HospitalMEGeneral Acute Care Hospital$0$35.5M
    Maxim Healthcare Services, Inc.MEHome Health Agency$0$28.1M
    Quality Care Access, LLCMEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$17.2M
    Portland Community Health CenterMEFederally Qualified Health Center (FQHC)$0$12.9M
    Al-shawk Home Healthcare, LLCMEPersonal Care Attendant$0$7M
    Maine Eye Center, PAMEOphthalmology Physician$0$6.1M
    Hand Of Mercy Health Care, LLCMEMental Health Clinic/Center (Including Community Mental Health Center)$0$6.1M
    MainehealthMEGeneral Acute Care Hospital$0$5.5M

    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. Maine Distribution
    Brian Daikh — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine