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    OpenPayerNPI Medicare & MedicaidSuhail Alam
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    Suhail Alam — Billing Profile & Reimbursement Data

    NPI 1316922818 · Phoenix, AZ · Retina Specialist (Ophthalmology) Physician

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    Suhail Alam is a retina specialist (ophthalmology) physician provider located in Phoenix, Arizona. This profile covers 28 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSuhail Alam
    Address4800 N 22nd St
    CityPhoenix
    StateAZ
    ZIP85016
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedDecember 7, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$0

    Key Findings

    This provider is a retina specialist whose Medicare billing profile is dominated by intravitreal drug therapy and related retina procedures; the top three revenue-driving codes are J2777 ($495.6K), Q5128 ($468.1K), and Q5124 ($338.1K), and those three codes together account for 51.8% of this provider's total Medicare revenue. The high absolute revenues tied to these product-specific J/Q codes indicate the practice’s primary service line is medical retina with frequent administration of intravitreal biologics and biosimilars.

    Revenue concentration is material: top-3 Medicare codes represent 51.8% of total Medicare revenue, and the provider’s lifetime Medicare revenue totals $2.5M. That concentration signals financial dependence on repeated injectable therapies (and their reimbursement) rather than a broader mix of lower-revenue services.

    Payer mix is effectively single-payer: the record shows $2.5M in lifetime Medicare revenue and no Medicaid billing on file, so the practice operates with Medicare as the only public-payer source captured in this dataset. This absence of Medicaid activity suggests either a Medicare-focused panel or billing relationships that do not include state Medicaid in the available data.

    Competitive standing varies by service: for key biologic/biosimilar injections the provider sits at mid-to-high national percentiles — J2777 ranks #607 of 2039 (70th percentile), Q5128 ranks #61 of 373 (84th percentile), and Q5124 ranks #10 of 122 (92th percentile) — indicating typical to above-typical national volume for these drugs and a particularly strong relative position for Q5124. At the same time some high-revenue codes are more modest nationally (J0178 ranks in the 37th percentile), so the provider is a major participant for certain biosimilars but not uniformly across all branded biologics.

    The practice shows unusually high procedural and visit volumes on selected measures: 67036 (vitrectomy) is an extreme outlier, ranking #11 of 832 providers (99th percentile) with $65.5K revenue, and 99214 office visits are an extreme outlier as well, ranking #9430 of 479517 providers (98th percentile) with $95.1K revenue. These two findings together suggest a mixed practice model that pairs high-frequency medical retina visits and injections with a notable volume of surgical retina procedures.

    Imaging and diagnostic services are also a meaningful component of care: 92134 (retinal imaging/OCT) generated $62.6K and ranks #838 of 26868 providers (97th percentile), which is notably above typical national volume. High imaging volume is consistent with active management of retinal disease and supports the billing profile concentrated on recurring intravitreal treatments.

    Drug-billing patterns show reliance on both specific HCPCS drug codes and occasional unclassified/compounded codes: J3490 (unclassified drugs) produced $79.6K (37th percentile) with a high $1768 avg paid/claim, and J7999 (compounded drug) produced $29.3K (85th percentile). The presence of these codes alongside branded and biosimilar J/Q codes suggests a mix of billed medication types and occasional use of nonstandard or compounded agents in addition to mainstream intravitreal biologics.

    Tenure is long-standing: the NPI was enumerated on 2005-12-07 (~21 years ago), indicating an established practice history in Phoenix, AZ that is likely to have mature referral patterns and patient panels consistent with the sustained Medicare revenue profile observed.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg17,700$30$495.6K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg2,160$220$468.1K
    Q5124Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg1,910$180$338.1K
    J0178Injection, aflibercept, 1 mg440$700$309K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,520$100$145.7K
    J0179Injection, brolucizumab-dbll, 1 mg430$250$105.6K
    99214The 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…1,080$90$95.1K
    J3490Unclassified drugs50$1,770$79.6K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg560$120$66.6K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.100$650$65.5K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01783650780$690$734.8K
    J277717509,000$30$525.8K
    Q51241101,250$170$209.2K
    Q5128320520$220$207.5K
    6702827601,240$90$119K
    J2781510650$120$92.4K
    J0179110370$250$76.9K
    6704162030$1,220$51K
    J73121420270$160$48.9K
    J79992750490$70$46.8K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Barnet Dulaney Perkins Eye Center, PCAZOphthalmology Physician$0$10.9M
    Sujit IttyAZOphthalmology Physician$6.2M$11.3K
    Neal PalejwalaAZOphthalmology Physician$4.4M$2.9K
    Sachin MehtaAZRetina Specialist (Ophthalmology) Physician$4.4M$11.8K
    Ronald HobbsAZOphthalmology Physician$4.1M$0
    Barnet Dulaney Perkins Eye Center, PCAZAmbulatory Surgical Clinic/Center$2.8M$1.1M
    Mahmood El-gasimAZUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician$3.7M$0
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    Mark BarakatAZOphthalmology Physician$3M$0
    Jordan GraffAZRetina Specialist (Ophthalmology) Physician$2.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Phoenix Children's HospitalAZChildren's Hospital$0$555.8M
    Instant Care Of ArizonaAZHome Health Agency$0$230.5M
    Phoenix Children's HospitalAZPediatrics Physician$0$162.4M
    Bethany Ranch Home, IncAZIntellectual Disabilities Intermediate Care Facility$0$74.4M
    Creative Innervisions LLCAZIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$29.7M
    Stellar Home Health, LLCAZIn Home Supportive Care Agency$0$29.4M
    Crossroads, IncAZSubstance Abuse Rehabilitation Facility$0$23.9M
    Thomas Road Senior Housing, Inc.AZAssisted Living Facility$0$19.2M
    Anod Care Services,incAZBehavior Analyst$0$14.2M
    National Council On Alcoholism Greater Phoenix AreaAZMental Health Clinic/Center (Including Community Mental Health Center)$0$13.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    Suhail Alam — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona