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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHooman Saberinia
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    Hooman Saberinia — Billing Profile & Reimbursement Data

    NPI 1326401787 · Arlington, VA · Internal Medicine Physician

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    Hooman Saberinia is a internal medicine physician provider located in Arlington, Virginia. This profile covers 1 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
    OrganizationHooman Saberinia
    Address1715 N George Mason Dr Ste 408
    CityArlington
    StateVA
    ZIP22205
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 3, 2016

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

    Payer SourceTotal Paid
    Medicare$9.6M
    Medicaid$0

    Key Findings

    HOOMAN SABERINIA, an Internal Medicine Physician based in ARLINGTON, VA, has an NPI enumerated on 2016-04-03 (~10 years ago), indicating roughly a decade of enrollment in Medicare billing records. This tenure provides a multi-year reference point for trend analysis and peer comparisons.

    Lifetime Medicare revenue on file is reported as $9.6M while Medicaid revenue is listed as none; this provider effectively operates as a single-payer (Medicare) biller in the available data. Analysts should treat this entity as Medicare-focused when assessing payer mix, contract exposure, and population reach.

    Revenue concentration is extremely high: the dataset notes that the top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue. The single listed code, K1034, is reported with 814K claims, a $12 avg paid/claim, and $9.8M revenue (precomputed as 100.0% of Medicare revenue), indicating virtually all reported Medicare dollars flow through this narrow service set.

    The top revenue-driving code K1034 corresponds to provision of a nonprescription, self-administered and self-collected COVID-19 test (FDA approved/authorized/cleared). This code mix suggests the provider’s operations, at least in Medicare billing, are oriented toward high-volume distribution or provisioning of COVID-19 tests rather than traditional longitudinal internal medicine office visits or complex E/M service lines.

    Competitive standing on the K1034 service is national-scale and extreme: the provider ranks #56 of 30143 providers nationally and is described as 100th percentile; extreme outlier, far above typical national volume for this code. In plain terms, this entity is a dominant national participant for K1034 and sits well above typical peer volumes for the same CPT/HCPCS code.

    The raw claim volume for K1034 (814K claims) combined with the high share of Medicare revenue tied to that code marks this provider as a high-throughput supplier for that product line. For payers and analysts, such volume concentration elevates the importance of operational checks (billing patterns, claim adjudication logic, and supply logistics) and targeted peer benchmarking for that single service.

    Given the mismatch in payer presence (Medicare $9.6M versus Medicaid none) and the single-code revenue profile, strategic business implications include categorizing this provider as a specialized vendor-like source of COVID-19 tests rather than a generalist internal medicine practice in payer networks. Contracting, credentialing, and utilization-management reviews should be tailored accordingly.

    For competitive and market analysis, the provider’s extreme national ranking on K1034 implies it may materially influence Medicare-level utilization metrics for this code; payers should consider isolating K1034 volumes when comparing regional utilization or negotiating rates. Further analytic steps recommended for downstream work include time-series claim trend checks, location and NPI linkage reviews, and comparison to similarly ranked national outliers for the same code.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count813,960$10$9.8M

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K10347820400$10$7.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Lisa HautCTFamily Nurse Practitioner$0$1.6M
    Manan MehtaVAHematology & Oncology Physician$1.5M$0
    David StollRIHematology & Oncology Physician$22.4K$1.4M
    Joseph AlessandroCTHospice and Palliative Medicine (Family Medicine) Physician$38.1K$1.3M
    Vladimir FridmanNYCardiovascular Disease Physician$1M$281.7K
    Akindele MajekodunmiMAInternal Medicine Physician$404.3K$730.9K
    Paul ButrosVADiagnostic Radiology Physician$844.4K$0
    Naseem EisaCAEndocrinology, Diabetes & Metabolism Physician$840.9K$0
    Raju SinglaMAInternal Medicine Physician$632.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Virginia Hospital Center Arlington Health SystemVAGeneral Acute Care Hospital$0$30.9M
    Phillip KempfVARheumatology Physician$1.6M$0
    David RomnessVAOrthopaedic Surgery Physician$421K$0
    Michelle RiveraVADermatology Physician$416.6K$0
    Michelle NguyenVASpecialist$332.7K$0
    William PetersenVAOrthopaedic Surgery Physician$282.5K$0
    Shazia AhmedVAOphthalmology Physician$278.6K$1.2K
    Colvin WellbornVAOrthopaedic Surgery Physician$251.1K$0
    Claude RaphaelVADiagnostic Radiology Physician$227.6K$0
    Nadim NasrVARadiation Oncology Physician$219.7K$0

    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. Virginia Distribution
    Hooman Saberinia — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia