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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMohammed Yazbek
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    Mohammed Yazbek — Billing Profile & Reimbursement Data

    NPI 1346579620 · Allen Park, MI · Internal Medicine Physician

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    Mohammed Yazbek is a internal medicine physician provider located in Allen Park, Michigan. This profile covers 16 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
    OrganizationMohammed Yazbek
    Address15101 Southfield Rd
    CityAllen Park
    StateMI
    ZIP48101
    TaxonomyInternal Medicine Physician
    NPI EnumeratedDecember 15, 2009

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer: reported Total Medicare revenue is $1.6M while there is no Medicaid billing on file, so Medicare comprises the entirety of recorded public-payer revenue and the practice’s reimbursement profile is highly concentrated by payer. That lack of Medicaid activity means state-level Medicaid dynamics are not present in this profile and exposes the practice to shifts in Medicare policy or enrollment.

    Revenue is extremely concentrated in a small set of Medicare codes: the precomputed top-3 codes account for 98.6% of this provider's total Medicare revenue, led by 99490 ($818.7K, 51.1%) and 99439 ($737.2K, 46.0%), with 99214 contributing $22.9K (1.4%). These three codes dominate the revenue mix and leave all other billed codes as marginal contributors to overall Medicare receipts.

    The code mix indicates a service-line focused on chronic care management: 99490 and 99439 describe provider‑directed clinical staff services to coordinate care for patients with two or more chronic conditions, billed by time per calendar month. The dominance of these CCM codes suggests the practice operates a high-volume care-coordination program staffed to deliver recurring monthly clinical staff time rather than generating most revenue from traditional face-to-face office visits.

    Operational scale for the CCM program is large: the provider reported 16.4K claims for 99490 with an average paid/claim of $50 and 19.4K claims for 99439 with an average paid/claim of $38, indicating sustained, high-frequency monthly billing activity. Those claim counts and the per-claim averages show the bulk of clinical activity is captured through recurring care-management encounters rather than one-off procedures.

    Competitive standing for the CCM lines is extreme relative to national peers: 99490 ranks #4 of 16216 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code) and 99439 ranks #3 of 8395 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). By contrast, the primary E/M line 99214 ranks #121530 of 479517 providers nationally (75th percentile; typical, unremarkable volume), so the practice is a national outlier for CCM but a modest, typical participant for standard office visits.

    Traditional office visits are a secondary revenue stream: 99214 accounts for $22.9K (252 claims, $91 avg paid/claim) and 99213 accounts for $7.8K (128 claims, $61 avg paid/claim), together representing a small share of Medicare revenue compared with the CCM lines. These volumes and their percentile ranks indicate routine ambulatory care is present but not the primary business driver for revenue.

    A variety of ancillary codes appear but contribute negligible revenue or show zero paid amounts in the file: several injectable drug codes (e.g., J0696, J1885, J1100) have recorded claim counts but $0 revenue, and small lab/imaging items (for example 87811 at $902 and 71046 at $598) are immaterial to overall receipts. Combined with the absence of Medicaid revenue, this pattern leaves the provider financially concentrated in Medicare CCM reimbursement streams and operationally dependent on maintaining that program's volume and billing continuity.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…16,370$50$818.6K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…19,400$40$737.2K
    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…250$90$22.9K
    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…130$60$7.8K
    99203The provider sees a new 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 provider…80$80$6.2K
    99204The 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…30$120$3.7K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…250$10$2.5K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…20$40$900
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…20$30$600
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.20$20$300

    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

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,57215,47080$80$11.4K
    994901450100$50$10.4K
    99439118060$40$8.4K
    992133,95814,81060$60$6.6K
    992042,7186,28030$110$4.2K
    992036094,56030$70$3K
    878117016020$40$1.7K
    710461,0301,38070$10$1.5K
    963721141,71040$10$830
    8780419725030$20$640

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alzohaili Medical Consultants Md PCMIEndocrinology, Diabetes & Metabolism Physician$0$13.3M
    Ashok JainMIInternal Medicine Physician$108.8K$1M
    Boris RosenfeldNYFamily Medicine Physician$690K$0
    Mohammad AlhajiMINephrology Physician$522.6K$0
    Ahmad AhmadMIInternal Medicine Physician$453.6K$1000
    Ali NasrallahMIFamily Medicine Physician$39.1K$389.5K
    Naiff AliMIFamily Medicine Physician$404.7K$0
    Mark RosenbergMIFamily Medicine Physician$400.6K$0
    Nicolas MarshehMIInternal Medicine Physician$384.5K$0
    Jonathan LovyMIInternal Medicine Physician$378.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joint Venture Hospital LaboratoriesMIClinical Medical Laboratory$0$56.7M
    Lincoln Park Urgent Care P.C.MIEmergency Medicine Physician$0$5.3M
    Biotox Laboratory, LLCMIClinical Medical Laboratory$170.9K$4.4M
    Future Diagnostic CenterMIClinical Medical Laboratory$154.7K$2.1M
    Chaman SohalMICardiovascular Disease Physician$756.5K$0
    Sudheer UmmadiMINephrology Physician$599.7K$0
    Maath AlaniMIInternal Medicine Physician$389.3K$0
    Subrahmanya YellayiMICardiovascular Disease Physician$386K$0
    Pinnamaneni PrasadMINephrology Physician$308.9K$0
    Syed JafriMICardiovascular Disease Physician$301.6K$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. Michigan Distribution
    Mohammed Yazbek — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan