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    OpenPayerNPI Medicare & MedicaidMuhammad Haroon
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    Muhammad Haroon — Billing Profile & Reimbursement Data

    NPI 1326048927 · Fremont, NE · Hematology & Oncology Physician

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    Muhammad Haroon is a hematology & oncology physician provider located in Fremont, Nebraska. This profile covers 45 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
    OrganizationMuhammad Haroon
    Address450 E 23rd St
    CityFremont
    StateNE
    ZIP68025
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJuly 26, 2005

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

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$0

    Key Findings

    This provider’s Medicare business is heavily focused on high-cost immunotherapy agents: J9271 (pembrolizumab) and J9299 (nivolumab) together account for the majority of Medicare revenue, with the top 3 Medicare codes by revenue representing 81.9% of total Medicare revenue. The presence of large claim counts for these two injectable oncology drugs (12.4K and 21.5K claims respectively) indicates the practice is primarily delivering outpatient oncology infusion services rather than a general primary care panel.

    Medicare revenue totals $1.4M while there is no Medicaid billing on file, making this provider effectively single-payer (Medicare)-dependent in the available datasets. The absence of Medicaid activity suggests limited engagement with Medicaid populations or billing under other group NPIs for non-Medicare payers, which has implications for payer contracting and risk stratification.

    Revenue concentration is extreme: J9271 alone accounts for $533.2K (38.9% of Medicare revenue) and J9299 accounts for $515.5K (37.6%), together making up a very large share of the provider’s Medicare receipts and indicating material dependence on a small set of high-cost drug codes. That concentration signals business risk if utilization patterns, formularies, or site-of-care reimbursement change for these agents.

    Competitive standing for the two highest-revenue drug codes is mixed. For J9271 the provider ranks #910 of 1841 nationally (50th percentile), described as typical/unremarkable volume, while for J9299 the provider ranks #146 of 505 (71th percentile), a higher comparative position among a smaller peer set. These ranks suggest the provider is not a national outlier or dominant player in pembrolizumab use but is comparatively more active in nivolumab relative to peers.

    Clinical/operational intensity for office-based care appears above average on evaluation-and-management services: 99214 has 816 claims and $73.4K revenue (5.4% of Medicare revenue) and ranks in the 96th percentile nationally as notably above typical volume. This supports the view that the practice combines frequent complex outpatient visits with high-volume infusion services, implying significant non-drug professional services tied to oncology management.

    Utilization of supportive and ancillary procedures consistent with oncology infusion is evident: chemotherapy administration codes such as 96413 (345 claims), 96365 (136 claims), 96375 (330 claims), and transfusion or phlebotomy-related codes like 99195 (47 claims) appear in the top codes list. These patterns reinforce that the operation includes on-site infusion and procedure workflow rather than solely prescribing drugs.

    Lab and diagnostics appear as recurring revenue contributors consistent with oncology care coordination: flow cytometry-related codes 88185 and 88184 and routine test panels 85025 and 80053 feature on the list, indicating that in-house or closely affiliated lab services are part of the care pathway. Their presence at modest revenue shares (each under 1.1% of Medicare revenue) suggests diagnostics support outpatient oncology treatment but are not the primary revenue drivers.

    The provider has been enumerated as an NPI since 2005-07-26 (~21 years), indicating long tenure in the Medicare program. That longevity combined with a drug-centric Medicare revenue profile suggests an established oncology practice with sustained referral patterns focused on immunotherapy administration.

    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.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg12,400$40$533.2K
    J9299Injection, nivolumab, 1 mg21,480$20$515.5K
    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…820$90$73.4K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)27,030$1$54K
    J1439Injection, ferric carboxymaltose, 1 mg42,000$1$42K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…350$100$33.1K
    99213The 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…440$50$23.8K
    99215The 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…150$130$19.3K
    88185The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with…820$20$14.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,470$10$11.8K

    Showing 1–10 of 45

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    45 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271183014,400$40$671.6K
    J929931019,300$20$444.5K
    J088141017,260$1$54.5K
    J143963025,880$1$26.4K
    96413208060$90$18.2K
    992141233,210110$70$14.9K
    J3490143060$160$11.3K
    88185310480$20$9.1K
    992326871,39080$60$8.6K
    992132133,22090$50$7.9K

    Showing 1–10 of 45

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stefano TarantoloNEHematology & Oncology Physician$3.2M$0
    Samuel MehrNENuclear Medicine Physician$2.5M$0
    Ralph HaukeNEHematology & Oncology Physician$2.5M$0
    Gamini SooriyaarachchiFLMedical Oncology Physician$2.2M$0
    Ryan RamaekersNEHematology & Oncology Physician$2.1M$0
    Joel MichalskiNEInternal Medicine Physician$2M$0
    Yungpo SuNEHematology & Oncology Physician$1.9M$0
    Margaret BlockNEHematology & Oncology Physician$1.7M$0
    Robert LangdonNEHematology & Oncology Physician$1.4M$0
    Timothy DoriusNEInternal Medicine Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Methodist Fremont HealthNERural Acute Care Hospital$0$7.9M
    Good Neighbor Community Health CenterNEFederally Qualified Health Center (FQHC)$0$4.2M
    Pediatric Partners L.L.C.NEFamily Nurse Practitioner$0$2.8M
    Methodist Fremont HealthNEInternal Medicine Physician$0$2.7M
    Fcd Smiles, PCNEPediatric Dentistry$0$1.7M
    Albert Behavioral Health LLCNEMental Health Clinic/Center (Including Community Mental Health Center)$0$1.1M
    Fremont Children's Dentistry, LLCNEPediatric Dentistry$0$1M
    Midwest Anesthesia P.C.NEInterventional Pain Medicine Physician$0$959.9K
    Hand In Hand Therapy LLCNEMental Health Counselor$0$874.7K
    Me Urgent Care Nebraska, IncNEUrgent Care Clinic/Center$0$769.7K

    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. Nebraska Distribution
    Muhammad Haroon — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska