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

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

Rashed Ghandour (NPI 1316440654)

Field	Value
Entity Type	Individual
Organization	Rashed Ghandour
Address	9500 Euclid Ave
City	Cleveland
State	OH
ZIP	44195
Taxonomy	Urology Physician
NPI Enumerated	March 13, 2018

Payer Source	Total Paid
Medicare	$105.4K
Medicaid	$0

Key Findings

This provider generated $105.4K in lifetime Medicare revenue and has no Medicaid billing on file, making their active payer footprint effectively Medicare-only in the available data. The absence of any Medicaid codes means there is no Medicaid payer mix to analyze and the practice’s publicly reported billing activity should be interpreted in a single-payer Medicare context.

Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 60.2% of this provider's total Medicare revenue, driven by 99214 ($33K, 31.3%), 99204 ($15.3K, 14.6%), and 52000 ($15K, 14.3%). This concentration indicates a small number of office E/M and cystoscopy codes dominate the practice’s Medicare earnings.

The code mix points to an outpatient urology practice that blends office-based evaluation/management with diagnostic and therapeutic cystoscopic procedures. High-volume E/M codes 99214 (355 claims, $93 avg paid/claim) and 99204 (142 claims, $108 avg paid/claim) together with cystoscopy 52000 (89 claims, $169 avg paid/claim) suggest routine clinic visits plus procedural cystoscopy services are core service lines.

Competitive standing is modest overall: most of this provider’s frequently billed codes are described as 'typical, unremarkable volume for this code' and sit in mid-to-upper national percentiles (for example, 99214 ranks #81539 of 479517, 83th percentile; 99213 ranks #82875 of 457151, 82th percentile). The notable exception is 99204, which ranks #12212 of 227068 (95th percentile) and is labeled 'notably above typical national volume for this code,' indicating stronger-than-typical new-patient office visit volume relative to peers.

Procedure-level detail shows a mix of diagnostic and interventional endoscopy: codes such as 52000 (cystourethroscopy, $15K), 52356 (ureteroscopy with lithotripsy and stent placement, $5.9K), and 52310 (removal of a foreign body/stone via cystoscope, $3.4K) are present but at modest revenue levels and mid-to-low national percentiles. This pattern is consistent with an office-based urology practice that performs occasional therapeutic endoscopic stone work and stent management in addition to routine clinic care.

There are some lower-revenue, ancillary service claims on file (for example, 81003 urine dipstick testing: 99 claims, $198 revenue; 51798 bladder residual ultrasound: 40 claims, $280 revenue) that support office-based diagnostic capacity but do not materially contribute to topline Medicare revenue. These items reinforce an ambulatory practice model rather than a high-volume hospital-based procedural operation.

Tenure in the NPI registry is approximately 8 years (NPI enumerated 2018-03-13), indicating the provider has an established but not long-tenured presence in Medicare billing; the revenue scale ($105.4K) and the code mix suggest a modest-sized ambulatory urology practice rather than a large regional provider network.

Medicare: Complete Services Breakdown

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

16 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…	360	$90	$33K
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…	140	$110	$15.3K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	90	$170	$15K
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…	230	$60	$14.6K
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…	60	$130	$7.5K
52356	The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	20	$330	$5.9K
52310	The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…	10	$240	$3.4K
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…	20	$170	$2.9K
52332	The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	20	$100	$2K
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…	20	$140	$2K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Rashed Ghandour — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1	20,010	100	$70	$11.7K
52000	1	340	70	$120	$10.5K
52356	1	140	20	$450	$10.3K
99223	5	5,590	40	$130	$7.6K
55700	1	170	20	$220	$6.7K
99213	2	20,000	70	$50	$6.6K
52310	1	100	20	$250	$6.2K
99215	1	4,950	30	$110	$5.9K
99204	1	8,330	30	$100	$4.4K
99205	1	2,130	20	$140	$4.2K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Hospitals Medical Group Inc	OH	Multi-Specialty Clinic/Center	$0	$107.5M
University Primary Care Practices Inc	OH	Internal Medicine Physician	$0	$78.7M
Partners Physician Group	OH	Surgery Physician	$0	$28.5M
Lake Hospital System Inc	OH	Family Medicine Physician	$0	$6.9M
Jennifer Muller	FL	Medical Oncology Physician	$1.9M	$0
Haitham Azem	OH	Internal Medicine Physician	$541.7K	$0
John Peck	OH	Urology Physician	$355.7K	$0
Annie Yuen	FL	Diagnostic Radiology Physician	$339.1K	$0
Tushar Shah	OH	Internal Medicine Physician	$331.1K	$0
Robert Zanotti	OH	Orthopaedic Surgery Physician	$241.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Cleveland Clinic Foundation	OH	General Acute Care Hospital	$0	$864.1M
Clinic Medical Services Company LLC	OH	Diagnostic Radiology Physician	$0	$10.8M
The Cleveland Clinic Foundation	OH	Clinical Medical Laboratory	$144K	$9M
Walter Henricks	OH	Anatomic Pathology Physician	$1.9M	$880
Yasha Modi	OH	Ophthalmology Physician	$1.4M	$279.8K
Shalini Moningi	OH	Radiation Oncology Physician	$723.2K	$0
Lawrence Tsao	OH	Hematology (Pathology) Physician	$659.9K	$0
Balasubramanya Rangaswamy	OH	Diagnostic Radiology Physician	$549.5K	$45.6K
Ananth Sastry	OH	Retina Specialist (Ophthalmology) Physician	$557.7K	$0
Alex Yuan	OH	Ophthalmology Physician	$471.3K	$0

Rashed Ghandour — 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