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

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

Heba Afeefy (NPI 1295017044)

Field	Value
Entity Type	Individual
Organization	Heba Afeefy
Address	1200 6th Ave N
City	Saint Cloud
State	MN
ZIP	56303
Taxonomy	Neurology Physician
NPI Enumerated	September 16, 2011

Payer Source	Total Paid
Medicare	$42.3K
Medicaid	$0

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
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	140	$120	$15.9K
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…	100	$100	$9.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	40	$140	$6.1K
99204	The 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…	40	$120	$4.8K
95717	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. The EEG recording…	30	$80	$1.9K
95718	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. The EEG recording…	20	$100	$1.5K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	20	$40	$1K
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…	20	$60	$990
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	20	$40	$730

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.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Heba Afeefy — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,612	10,100	70	$80	$8.1K
99215	273	4,060	30	$120	$5.9K
99205	199	1,350	20	$150	$4.1K
99213	8,111	9,120	50	$50	$4K
95718	23	20	30	$100	$4K
99204	878	3,340	20	$110	$3.6K
95816	18	40	20	$80	$2.7K
95819	8	10	20	$40	$1.8K
95717	2	10	20	$80	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centracare Clinic	MN	Multi-Specialty Clinic/Center	$0	$20.8M
Centracare Clinic	MN	Multi-Specialty Clinic/Center	$0	$19.3M
Centracare Clinic	MN	Multi-Specialty Clinic/Center	$0	$6.9M
Centracare Health System - Long Prairie	MN	Rural Health Clinic/Center	$0	$6.9M
Centracare Clinic	MN	Primary Care Clinic/Center	$0	$6.1M
Joseph Wang	NY	Radiation Oncology Physician	$607.9K	$0
David Kruse	CA	Sports Medicine (Family Medicine) Physician	$442.6K	$0
Leah Thronaum	MN	Neurology Physician	$369.7K	$0
Rachel Schuneman	MN	Dermatology Physician	$256.4K	$0
Abigail Taylor	MN	Internal Medicine Physician	$249.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Cloud Hospital	MN	General Acute Care Hospital	$0	$53.4M
Central Minnesota Mental Health Center	MN	Mental Health Counselor	$0	$36.2M
Eye Kraft Optical, Inc	MN	Eyewear Supplier	$0	$17.7M
Northway Academy, Inc.	MN	Developmental Disabilities Clinic/Center	$0	$14.4M
Koala Dental Care, LLC	MN	Pediatric Dentistry	$0	$11.3M
Centracare Health Systems	MN	Clinical Medical Laboratory	$1.2M	$9.4M
Centracare Health System	MN	Clinical Medical Laboratory	$345.1K	$9.1M
St. Cloud Area School District 742	MN	Local Education Agency (LEA)	$0	$9.3M
Kozy Transport Services, Inc	MN	Non-emergency Medical Transport (VAN)	$0	$6.3M
St Cloud Outpatient Surgery Ltd	MN	Ambulatory Surgical Clinic/Center	$2.1M	$4M

Heba Afeefy — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References