Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Unspecified Location for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Unspecified Location only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Unspecified Location (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Reza Alaghehbandan (NPI 1265177646)

Field	Value
Entity Type	Individual
Organization	Reza Alaghehbandan
Address	330 E Columbia St
City	New Westminster
State	XX (Unspecified Location)
ZIP	V3E0G
Taxonomy	Anatomic Pathology Physician
NPI Enumerated	May 1, 2022

Payer Source	Total Paid
Medicare	$41.4K
Medicaid	$0

Key Findings

This provider’s billed activity is effectively single-payer: total Medicare revenue is $41.4K and there is no Medicaid billing on file. The absence of any Medicaid codes (“none below”) means payer mix is dominated by Medicare dollars and any Medicaid exposure is currently nil.

Revenue is highly concentrated in a small set of pathology codes: the precomputed top three Medicare codes (G0416, 88307, 88305) account for 71.6% of the provider’s Medicare revenue, with G0416 bringing in $15.1K (36.5% of Medicare revenue), 88307 $8.9K (21.5%), and 88305 $5.6K (13.5%). This concentration indicates that a few procedure lines drive the majority of collections.

The code mix signals a surgical pathology–focused practice with a specialized emphasis on prostate needle biopsy work: G0416 (prostate needle biopsy surgical pathology) is the single largest revenue driver at $15.1K and 121 claims, and the roster of 8830x codes (88307, 88305, 88309, etc.) reflects routine surgical specimen accessioning, microscopy and consult reporting. Together these codes imply the provider primarily performs histopathology case processing and interpretation rather than broad outpatient clinical services.

Competitive standing is mixed across specific codes: G0416 ranks #186 of 2465 providers (92th percentile) but is described as a “typical, unremarkable volume for this code,” indicating the provider is relatively high-ranked nationally on prostate needle biopsy revenue yet still within the range of ordinary practice patterns. By contrast, 88307 ranks #1683 of 8511 (80th percentile) and 88305 ranks #10561 of 14580 (27th percentile), positioning the provider as a solid but not dominant national participant for 88307 and a modest-volume participant for 88305.

Specialized ancillary services such as immunohistochemistry contribute only small shares of Medicare revenue: 88341 accounts for $1.3K (3.2%), 88344 $1.1K (2.6%), and 88342 $750 (1.8%). These relatively small dollar amounts and lower percent shares suggest limited reliance on IHC/multiplex staining as a revenue driver compared with core surgical pathology codes.

Payer-level operational inference: differences in average paid amount per claim shape revenue composition—G0416 averages $125/claim while 88305 averages $26/claim and 88307 averages $59/claim—so higher-paid, procedure-specific codes like G0416 amplify revenue impact even at modest claim volumes. The claim counts reported (e.g., 121 for G0416, 215 for 88305, 151 for 88307) indicate steady throughput of surgical pathology cases rather than episodic or consult-only activity.

Provider tenure is recent: the NPI was enumerated on 2022-05-01 (~4 years ago). Combined with lifetime Medicare revenue of $41.4K, this suggests either a relatively small clinical footprint since enrollment or a recent transition into Medicare-billed pathology work; ongoing monitoring of year-over-year billing will clarify growth trajectory.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0416	Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	120	$130	$15.1K
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	150	$60	$8.9K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	220	$30	$5.6K
88309	The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	40	$110	$4.5K
88321	A qualified provider, typically a pathologist, provides consultation and a report on slides prepared elsewhere. A unit of service is the surgical case regardless of the number of slides received.	60	$70	$4.1K
88341	The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…	60	$20	$1.3K
88344	The lab analyst applies a single multiplex antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	40	$30	$1.1K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	30	$30	$750
88300	The physician, typically a pathologist, performs a level I examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	10	$1	$40

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. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Reza Alaghehbandan — 0 of 0 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Median Claims	Avg Paid	Average Revenue
88300	2	N/A	$N/A	$N/A
88305	5	N/A	$N/A	$N/A
88307	2	N/A	$N/A	$N/A
88309	1	N/A	$N/A	$N/A
88321	2	N/A	$N/A	$N/A
88341	4	N/A	$N/A	$N/A
88342	5	N/A	$N/A	$N/A
88344	1	N/A	$N/A	$N/A
G0416	1	N/A	$N/A	$N/A

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Walter Henricks	OH	Anatomic Pathology Physician	$1.9M	$880
James Lapinski	OH	Anatomic Pathology & Clinical Pathology Physician	$316.1K	$0
Aida Safar	OH	Anatomic Pathology & Clinical Pathology Physician	$185.5K	$0
Julia Geyer	NY	Hematology (Pathology) Physician	$164.6K	$0
Julian Perry	OH	Ophthalmic Plastic and Reconstructive Surgery Physician	$148.3K	$0
Steven Billings	OH	Clinical Pathology/Laboratory Medicine Physician	$138.3K	$0
Megan Nakashima	OH	Anatomic Pathology & Clinical Pathology Physician	$132.5K	$0
Eric Speakman	OH	Anatomic Pathology & Clinical Pathology Physician	$114.5K	$0
Susan Porter	OH	Anatomic Pathology & Clinical Pathology Physician	$98K	$0
Samer Albahra	OH	Clinical Pathology Physician	$79.1K	$0

Reza Alaghehbandan — Billing Profile & Reimbursement Data

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Reza Alaghehbandan — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References