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 West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

M Haffar (NPI 1275528515)

Field	Value
Entity Type	Individual
Organization	M Haffar
Address	1211 Hospital Dr
City	Hurricane
State	WV
ZIP	25526
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	September 13, 2005

Payer Source	Total Paid
Medicare	$358.4K
Medicaid	$0

Key Findings

This provider’s revenue profile is effectively single‑payer: total Medicare revenue is $358.4K and there is no Medicaid billing on file, so Medicare exclusively drives the documented public‑payer activity for this clinician. The absence of Medicaid billing suggests the provider’s public‑payer footprint and contracting leverage will be evaluated almost entirely on Medicare utilization and rates.

Revenue is concentrated in a small set of services: the precomputed top three Medicare codes (99214, 99232, 78452) together account for 47.4% of this provider’s total Medicare revenue. Individually those codes generated $59K (16.7%), $57.1K (16.1%), and $51.7K (14.6%) respectively, indicating that outpatient/inpatient evaluation and management plus cardiac nuclear imaging are the primary revenue drivers.

The procedure and E/M mix points to a cardiology practice that combines clinic visits, inpatient consults, and diagnostic cardiac imaging. High volumes in 99214 (office established visits), 99232 (subsequent inpatient care), 93306 (two‑dimensional transthoracic echocardiography), and 78452 (cardiac SPECT) indicate routine management of chronic cardiovascular patients alongside on‑site advanced cardiac imaging; the presence of A9500 (radiopharmaceutical) at $27.7K further supports regular nuclear cardiology activity.

On competitive standing, the provider shows above‑typical national volume for several core services: 99214 ranks in the 95th percentile described as notably above typical national volume, 99232 is at the 97th percentile (notably above typical national volume), 93306 is in the 94th percentile (notably above typical national volume), and 93010 is in the 98th percentile (notably above typical national volume). These high percentile placements suggest this clinician is a major national‑volume performer for cognitive E/M work and basic ECG interpretation relative to peers.

Despite strong volumes in E/M and noninvasive imaging, the provider’s invasive catheterization and advanced interventional imaging appear modest. Codes tied to coronary angiography/imaging supervision (93458) and full coronary angiography (93459) represent smaller revenue contributions ($9.3K and $3.1K) and are characterized as typical or modest volume nationally (93458 at the 58th percentile, 93459 at the 12th percentile), indicating the practice may perform occasional caths but is not a high‑volume invasive center.

The practice offers device monitoring and pacemaker/ICD services but not at leading volumes: 93296 (remote device technical download) and 93288 (device evaluation and adjustment) together contribute only small amounts ($1.7K and $1.4K) and sit in mid/upper‑mid ranks (47th and 88th percentiles labeled typical or unremarkable). This pattern is consistent with a cardiology service line that supports device follow‑up as part of comprehensive care rather than as a dominant revenue stream.

The NPI tenure (enumerated 2005‑09‑13, ~21 years ago) indicates an established clinical presence in HURRICANE, WV, which likely underpins steady referral relationships and the mixed inpatient/outpatient workload seen in the claims. Combined with the concentrated revenue in a few E/M and imaging codes, the long tenure supports the interpretation of a stable, clinically focused cardiology practice with an emphasis on diagnostic imaging and ongoing management rather than high volumes of invasive procedures.

Medicare: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	710	$80	$59K
99232	The 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…	970	$60	$57.1K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	220	$240	$51.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	680	$80	$51.5K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	330	$90	$27.7K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	160	$120	$19.8K
99222	The 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…	210	$90	$19.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	2,110	$10	$12.6K
99213	The 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…	220	$60	$12.2K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	40	$220	$9.3K

Showing 1–10 of 37

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

M Haffar — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

37 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9500	8	20	320	$80	$25.9K
93306	8	110	190	$60	$15.8K
99232	31	1,340	90	$60	$11.9K
99214	72	2,740	100	$70	$11.8K
99233	540	660	60	$90	$11.4K
78452	9	90	70	$130	$11.2K
93458	27	50	40	$190	$9.6K
99223	758	780	30	$130	$7.9K
99213	568	2,860	80	$50	$7.5K
93015	6	10	130	$40	$6.4K

Showing 1–10 of 37

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charleston Area Medical Center Inc	WV	General Acute Care Hospital	$0	$200.1M
Charleston Area Medical Center, Inc.	WV	General Acute Care Hospital	$0	$50.9M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Rainelle Medical Center Inc	WV	Federally Qualified Health Center (FQHC)	$0	$14.3M
Mark Le	FL	Diagnostic Radiology Physician	$10.7M	$0
Cardiovascular Consultants PLLC	WV	Cardiovascular Disease Physician	$0	$2.4M
Rajiv Khanna	WV	Medical Oncology Physician	$2M	$0
Charleston Area Medical Center, Inc.	WV	Hospitalist Physician	$0	$1.4M
Mayez El-harake	WV	Medical Oncology Physician	$1.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Drs Martin & Kirk PLLC	WV	Pediatric Dentistry	$0	$14.2M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$8.6M
Active Medical LLC	WV	Durable Medical Equipment & Medical Supplies	$0	$5.2M
Milestones Physical Therapy, Inc.	WV	Physical Therapist	$0	$3.1M
Wv Wellness And Recovery LLC	WV	Medical Specialty Clinic/Center	$0	$2.4M
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$1M
Valley Health Systems, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$894.9K
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$838.1K
James Toothman	WV	Internal Medicine Physician	$528.3K	$19.8K
Jonathan Zuniga	WV	Nephrology Physician	$283.6K	$0

M Haffar — 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

Nearby Providers

Frequently Asked Questions

References