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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNehad Soloman
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    Nehad Soloman — Billing Profile & Reimbursement Data

    NPI 1356302962 · Phoenix, AZ · Rheumatology Physician

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    Nehad Soloman is a rheumatology physician provider located in Phoenix, Arizona. This profile covers 65 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
    OrganizationNehad Soloman
    Address9520 W Palm Ln Ste 220
    CityPhoenix
    StateAZ
    ZIP85037
    TaxonomyRheumatology Physician
    NPI EnumeratedMarch 31, 2006

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

    Payer SourceTotal Paid
    Medicare$5.1M
    Medicaid$0

    Key Findings

    This provider’s revenue base is effectively single‑payer: total Medicare revenue is $5.1M and there is no Medicaid billing on file. That concentration makes Medicare utilization and reimbursement policy the primary commercial driver for this practice. The NPI was enumerated 2006-03-31 (~20 years ago), indicating an established presence in the market.

    Revenue is highly concentrated in a few infused specialty drugs: the precomputed top 3 Medicare codes (J3262, J0129, J3111) account for 45.2% of this provider’s total Medicare revenue. Individually those codes show large dollar contributions — J3262 $846.8K (16.5%), J0129 $743.8K (14.5%), and J3111 $720.7K (14.1%) — which together drive nearly half of Medicare dollars reported.

    The code mix and high shares for biologic J‑codes signal an infusion‑centric rheumatology service line: high‑revenue items include J3262 (tocilizumab), J0129 (abatacept), J3111 (romosozumab), J0897 (denosumab), and J1602 (golimumab). In addition, chemotherapy administration codes such as 96413 (1.3K claims, $98 avg paid/claim, $130.4K revenue (2.5%) — ranks #18 of 7514 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code)) and 96401 (1.4K claims, $54 avg paid/claim, $74.5K revenue (1.5%) — ranks #23 of 3868 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code)) point to an on‑site infusion/administration capability beyond routine office visits.

    Several individual codes show statistically extreme volume relative to national peers, indicating this practice is a high‑volume national outlier on select items: J3262 ranks #9 of 618 providers nationally (99th percentile; extreme outlier), J0897 ranks #51 of 10057 providers nationally (100th percentile; extreme outlier), and 99214 ranks #924 of 479517 providers nationally (100th percentile; extreme outlier). These high ranks across both drug and E/M codes suggest volumes far above typical national peers for key service lines.

    Not all high‑revenue lines are outliers; some biologic and lab codes appear at more typical levels for peers. For example, J0129 (21.9K claims, $34 avg paid/claim, $743.8K revenue (14.5%)) ranks #111 of 1221 providers nationally (91th percentile; typical, unremarkable volume for this code), J0490 ranks #6 of 39 providers nationally (87th percentile; typical, unremarkable volume), and J0717 ranks #265 of 848 providers nationally (69th percentile; typical, unremarkable volume), indicating a mix of unusually high activity on certain drugs and conventional volumes on others.

    Operationally, the claim‑level pattern includes very high unit counts with low per‑unit payments for some products (for example J3262 shows 169.4K claims, $5 avg paid/claim, $846.8K revenue (16.5%)). This combination of high claim counts and low per‑claim dollars is consistent with per‑mg or per‑unit reporting of biologic products and implies an operational workflow focused on frequent dispensing/administration of small‑unit billed agents.

    The provider’s service mix creates sensitivity to formulary and reimbursement shifts because nearly half of Medicare dollars are tied to three codes (45.2% concentrated in J3262, J0129, J3111). Any changes in coverage, unit pricing, or utilization patterns for these specific biologics would have an outsized impact on the practice’s Medicare revenue.

    Taken together, the long tenure (NPI enumerated 2006-03-31 (~20 years ago)), the infusion‑heavy code mix, and multiple national outlier rankings indicate an established rheumatology practice operating a substantial infusion/administration capability for high‑cost biologics and related procedures. Analysts evaluating competitive standing should treat this provider as a major, high‑volume participant on several biologic infusion codes while recognizing that some ancillary services remain at typical peer levels.

    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.

    65 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3262Injection, tocilizumab, 1 mg169,360$10$846.8K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)21,880$30$743.8K
    J3111Injection, romosozumab-aqqg, 1 mg90,090$10$720.7K
    J0897Injection, denosumab, 1 mg37,380$20$710.2K
    J1602Injection, golimumab, 1 mg, for intravenous use62,090$10$620.9K
    J0490Injection, belimumab, 10 mg8,350$40$325.6K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)68,200$1$272.8K
    J9312Injection, rituximab, 10 mg3,780$60$237.9K
    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…2,190$90$199.6K
    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…1,330$100$130.4K

    Showing 1–10 of 65

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 65 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    65 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J012953014,700$30$494.5K
    J326222074,500$1$367.2K
    J04901108,350$40$327K
    J160233024,040$10$316.2K
    J071762036,100$1$246.6K
    J93127203,250$60$212.6K
    J311114019,530$10$178.8K
    J089722602,940$20$115.6K
    J174519402,980$30$103.9K
    86235920130$20$59.5K

    Showing 1–10 of 65

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arizona Arthritis & Rheumatology Associates P CAZRheumatology Physician$0$11.2M
    Alexander HuAZInternal Medicine Physician$3.8M$0
    Areena SwarupAZRheumatology Physician$3.6M$0
    Saima ChohanAZRheumatology Physician$3.5M$0
    Nikila KumarAZRheumatology Physician$3M$0
    John TesserAZRheumatology Physician$3M$0
    Daniel KreutzAZRheumatology Physician$2.8M$0
    Mona AminAZRheumatology Physician$2.7M$0
    Joonhee LimAZRheumatology Physician$2.3M$0
    Andrew SharobeemAZRheumatology Physician$2.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Banner Estrella Medical CenterAZGeneral Acute Care Hospital$0$108M
    Therapy Tree, PLLCAZHearing and Speech Clinic/Center$0$54.6M
    Desert Valley PediatricsAZPediatrics Physician$0$21.2M
    Pedro DengaAZContractor$0$20.7M
    Arizona Surgical Specialists Center, LLCAZAmbulatory Surgical Clinic/Center$1.4M$8.1M
    Southwest Kidney Davita Dialysis Partners LLCAZEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.3M
    Healthy Life CorporationAZFamily Medicine Physician$0$6.8M
    Clear Vision Ophthalmology PCAZOphthalmology Physician$0$6.3M
    Az Pediatric CareAZPrimary Care Clinic/Center$0$6.3M
    Southwest Network, Inc.AZCommunity/Behavioral Health Agency$0$6.1M

    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
    Nehad Soloman — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona