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

Why is the Medicaid comparison limited to Iowa 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. Iowa (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.

Ashar Luqman (NPI 1275742090)

Field	Value
Entity Type	Individual
Organization	Ashar Luqman
Address	600 4th Street
City	Sioux City
State	IA
ZIP	51101
Taxonomy	Nephrology Physician
NPI Enumerated	May 21, 2007

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Key Findings

This provider is effectively a single‑payer Medicare practitioner: lifetime Medicare revenue is reported at $1.4M while there is no Medicaid billing on file. The absence of Medicaid activity indicates ASHAR LUQMAN’s practice serves a Medicare-dominant patient mix or operates in settings where Medicaid billing is not captured under this NPI.

Revenue is concentrated in a small set of office and inpatient E/M and dialysis management codes: a precomputed metric shows the top 3 Medicare codes by revenue account for 54.0% of total Medicare revenue. That concentration implies the practice’s financial performance depends heavily on a handful of high-volume clinical services rather than a broad spread of ancillary procedures.

High-volume hospital care is a major service line. Codes 99232, 99223 and 99222 together account for substantial shares of revenue (99232: $307.2K, 22.1%; 99223: $90.2K, 6.5%; 99222: $72.3K, 5.2%) and their descriptions indicate frequent management of initial and subsequent inpatient/observation encounters. This mix suggests the provider spends significant time in hospital-based nephrology inpatient care and acute evaluation/management.

Chronic kidney disease and ESRD management are central to the practice. Code 90960 (611 claims, $159.5K, 11.5%) and related dialysis codes (90961, 90966, 90970) appear in the top revenue list, indicating regular monthly ESRD visits and dialysis-related management services. The presence of these codes alongside frequent inpatient E/M visits points to a practice organized around both outpatient dialysis management and inpatient nephrology consults.

The provider is a national outlier in volume for several top codes, indicating a dominant role relative to peers on those services. Specifically, 99232 ranks #92 of 177383 (100th percentile; extreme outlier), 99214 ranks #214 of 479517 (100th percentile; extreme outlier), 90960 ranks #81 of 6549 (99th percentile; extreme outlier), and 99223 and 99222 similarly rank in the 100th percentile as extreme outliers. These rank/percentile labels imply this clinician delivers far higher volumes of certain inpatient and ambulatory E/M and ESRD services than typical national providers.

Laboratory ordering is consistently present but not the primary revenue driver: multiple lab codes (83970, 82306, 80053, 82306, 82570, 82043, etc.) appear in the top 25 with modest individual revenues (e.g., 83970: $108.6K, 7.8%; 82306: $60.8K, 4.4%). These lab services are typical for nephrology care (PTH, vitamin D, CMP, creatinine, urine albumin) and support the clinical management of kidney disease rather than acting as standalone revenue centers.

Operational footprint shows longevity: the NPI was enumerated on 2007-05-21 (~19 years ago), indicating an established practice presence. Combined with high ranks on key nephrology and E/M codes, this tenure supports the interpretation of an experienced clinician with a sustained referral and hospital-based workload.

While several codes are listed as 'typical, unremarkable volume' at high percentiles for lab tests and routine outpatient services, the mix of extreme outlier E/M and ESRD codes alongside high-volume lab ordering is consistent with a specialized nephrology practice that handles high case volumes and frequent monitoring. For payers, this profile signals predictable clinical pathways (inpatient consults, ESRD monthly management, regular labs) that dominate utilization for this provider.

From a competitive contracting perspective, the provider’s national standing on multiple high-value E/M and ESRD codes (extreme outlier and top percentiles) suggests leverage when negotiating Medicare-focused value or bundled arrangements tied to inpatient nephrology and dialysis care. However, the absence of Medicaid billing means negotiation leverage or network impact for state Medicaid plans cannot be assessed from this data set.

Medicare: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	5,210	$60	$307.2K
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…	3,120	$90	$283.9K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	610	$260	$159.5K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	2,720	$40	$108.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	710	$130	$90.2K
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…	740	$100	$72.3K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	2,100	$30	$60.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	680	$90	$59.4K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	2,820	$10	$28.2K
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…	410	$60	$24.3K

Showing 1–10 of 36

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Ashar Luqman — 19 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

36 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	1	40	150	$260	$47K
90966	24	30	80	$210	$19.6K
90961	17	30	60	$210	$15.4K
99214	1	4,690	100	$70	$14.4K
99233	8	910	60	$90	$10.5K
99232	1	1,740	80	$60	$9.3K
83970	1	50	40	$40	$8.3K
99213	326	4,740	100	$50	$8K
99223	1	1,010	40	$120	$7.3K
99204	193	1,870	30	$100	$5K

Showing 1–10 of 36

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Winnebago Tribe Of Nebraska	NE	Clinic/Center	$0	$10.2M
Thomas Buroker	IA	Medical Oncology Physician	$9.4M	$0
Kyle Alliman	IA	Ophthalmology Physician	$8.7M	$0
Alex Kartvelishvili	IA	Ophthalmology Physician	$8.1M	$0
Paul Boeke	IA	Ophthalmology Physician	$7.1M	$0
Austin Strohbehn	IA	Retina Specialist (Ophthalmology) Physician	$5.8M	$0
Jeremy Deutsch	KS	Hematology & Oncology Physician	$5.7M	$0
Robert Behrens	IA	Medical Oncology Physician	$5.2M	$0
Matthew Mcknight	IA	Foot & Ankle Surgery Podiatrist	$4.7M	$23.5K
James Singer	IA	Retina Specialist (Ophthalmology) Physician	$4.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jackson Recovery Centers, Inc.	IA	Substance Abuse Rehabilitation Facility	$0	$28.5M
Siouxland Mental Health Services, Inc.	IA	Community/Behavioral Health Agency	$0	$25.7M
City Of Sioux City Accounting Division	IA	Ambulance	$520.5K	$19.2M
Marian Health Center-smhc	IA	General Acute Care Hospital	$0	$15.5M
Family Health Care Of Siouxland Plc	IA	Family Medicine Physician	$0	$11.1M
Family Wellness Associates, Inc.	IA	Community/Behavioral Health Agency	$0	$4M
Woodbury Emergency Group, PC	IA	Emergency Medicine Physician	$0	$3M
Donald Wender	IA	Hematology & Oncology Physician	$2.6M	$0
Building Bridges Counseling & Associates Inc	IA	Community/Behavioral Health Agency	$0	$2.5M
Mercy Medical Services	IA	Internal Medicine Physician	$0	$2M

Ashar Luqman — 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