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    OpenPayerNPI Medicare & MedicaidAmar Majjhoo
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    Amar Majjhoo — Billing Profile & Reimbursement Data

    NPI 1255411039 · Saint Clair Shores, MI · Rheumatology Physician

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    Amar Majjhoo is a rheumatology physician provider located in Saint Clair Shores, Michigan. This profile covers 14 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
    OrganizationAmar Majjhoo
    Address29200 Harper Ave
    CitySaint Clair Shores
    StateMI
    ZIP48081
    TaxonomyRheumatology Physician
    NPI EnumeratedOctober 16, 2006

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Key Findings

    AMAR MAJJHOO is a Rheumatology Physician with Total Medicare revenue of $1.6M and no Medicaid billing on file, making the practice effectively single‑payer Medicare in scale. The NPI was enumerated on 2006-10-16 (~20 years ago), indicating an established practice tenure with nearly two decades of enrollment activity.

    Revenue is highly concentrated in a small set of biologic infusion/drug codes: the precomputed top 3 codes by revenue account for 76.4% of this provider's total Medicare revenue. Those top contributors are J3262 ($477.2K, 28.8%), J0129 ($441.2K, 26.6%), and J1602 ($348.7K, 21.0%), which together dominate the Medicare top-line for this provider.

    The procedure mix points to an infusion‑centric, specialty drug business model: large volumes of J3262 (tocilizumab), J0129 (abatacept), and J1602 (golimumab) indicate routine administration of physician‑supervised biologic therapies in‑office or in an infusion suite. The presence of J0717 (certolizumab pegol) and J0897 (denosumab) further supports a practice delivering multiple infused or injected specialty agents rather than relying primarily on office evaluation visits.

    Competitive standing on core biologics is modest-to-strong but not dominant: J3262 ranks #56 of 618 providers nationally (91th percentile; typical, unremarkable volume), J1602 ranks #142 of 1041 (86th percentile; typical, unremarkable volume), and J0129 ranks #307 of 1221 (75th percentile; typical, unremarkable volume). These ranks imply the provider is a higher-volume user of certain biologics relative to many peers, yet the activity falls within the data set’s labeled “typical” range rather than qualifying as a national outlier or clear market leader.

    There is a notable statistical outlier in chemotherapy/infusion administration: 96413 generated $65.1K (3.9% of Medicare revenue) from 614 claims and ranks #396 of 7514 providers nationally (95th percentile; notably above typical national volume). This suggests unusually high utilization of that specific chemotherapy/infusion administration code compared with national peers, which may reflect sustained infusion throughput or broader infusion services beyond routine rheumatology biologics.

    Evaluation-and-management activity is a small share of billed Medicare revenue relative to drug administration: 99214 produced $43.7K (2.6%) from 470 claims (rank #54096 of 479517, 89th percentile; typical) while 99213 produced $4.2K (0.3%) from 59 claims. The relatively low revenue share from E/M codes indicates the practice’s financial model is driven more by drug/infusion billing than by standard outpatient visit volume.

    The code mix includes secondary infusion and procedural codes that imply operational capability for varied infusion encounters and procedures: 96401 (203 claims, $12K, 0.7%), 96415 (90 claims, $2.1K, 0.1%), and 20610 (62 claims, $3.8K, 0.2%) are present on the file. These entries point to the practice performing both subcutaneous/intramuscular administrations and extended infusion sessions plus occasional joint procedures, which aligns with a clinic equipped for onsite drug delivery and minor musculoskeletal interventions.

    The absence of any Medicaid billing on file means payer diversification is limited; the provider’s revenue exposure is concentrated in Medicare reimbursement patterns and specialty drug utilization. For payers and risk analysts, this profile signals sensitivity to Medicare pricing, coverage decisions for infused biologics, and changes in utilization of high-revenue J‑codes that together would materially affect the practice’s revenue base.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3262Injection, tocilizumab, 1 mg95,440$10$477.2K
    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)12,980$30$441.2K
    J1602Injection, golimumab, 1 mg, for intravenous use31,700$10$348.7K
    J0717Injection, certolizumab pegol, 1 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)51,000$1$204K
    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…610$110$65.1K
    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…470$90$43.7K
    J0897Injection, denosumab, 1 mg2,400$20$43.2K
    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…110$120$13.1K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.200$60$12K
    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…60$70$4.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01292207,700$30$285.5K
    J326221026,240$1$191.1K
    J071721049,600$1$155.2K
    J160212014,430$10$153.5K
    J0897871702,460$20$69.1K
    964132170120$100$16.1K
    9921487715,47080$80$11.4K
    992137,63114,81060$60$6.6K
    9640188090$50$5.8K
    992042976,28030$110$4.2K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andrew SulichMIRheumatology Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Home Life Styles IncMIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$10.9M
    Alliance Physician Services Of Michigan, P.C.MIUrology Physician$0$8.9M
    City Of St. Clair ShoresMILand Ambulance$448.5K$1M
    Rima Tinawi-aljundiMIAnatomic Pathology Physician$766.3K$0
    Eastside Associates, LLCMIEndoscopy Clinic/Center$677.6K$2.9K
    Juan FronteraMIUrology Physician$432.4K$0
    Shiva MaralaniMIUrology Physician$367.9K$0
    Michael CluneMIOphthalmology Physician$364.7K$0
    Scott WilkinsonMIUrology Physician$349.2K$0
    Richard CrossMINephrology Physician$296.6K$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
    Amar Majjhoo — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan