Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Guam for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Guam only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Guam (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Najmeh Akhavan (NPI 1386805356)

Field	Value
Entity Type	Individual
Organization	Najmeh Akhavan
Address	133 Route 3
City	Dededo
State	GU
ZIP	96929
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 22, 2008

Payer Source	Total Paid
Medicare	$39.3K
Medicaid	$0

Key Findings

Practice profile and tenure: NAJMEH AKHAVAN is an Internal Medicine Physician in DEDEDO, GU with an NPI enumerated on 2008-06-22 (~18 years ago). Despite long tenure, the provider’s lifetime Medicare receipts are modest in absolute scale at $39.3K, suggesting a relatively low current Medicare billing volume or part-time/limited referral activity compared with typical full-time hospitalists or clinic-based internists.

Payer mix: this provider is effectively single-payer from a claims perspective — lifetime Medicare revenue is $39.3K and there is no Medicaid billing on file. The absence of Medicaid activity indicates payer exposure and panel composition are concentrated in Medicare beneficiaries only, which has implications for contracting and care-management strategy.

Revenue concentration: the top three Medicare codes (99233, 99223, 99232) together account for 56.3% of this provider’s total Medicare revenue, indicating heavy reliance on a small set of inpatient evaluation-and-management services. Individually, 99233 accounts for $9.5K (24.1%) on 109 claims at $87 avg paid/claim, 99223 accounts for $6.4K (16.3%) on 49 claims at $131 avg paid/claim, and 99232 accounts for $6.2K (15.8%) on 105 claims at $59 avg paid/claim.

Service-line implications: the code mix is concentrated in inpatient and observation E/M (99233, 99223, 99232) plus discharge management (99238, 99239) and some nursing facility visits (99306, 99309, 99310). This pattern is consistent with a hospital-based internal medicine or hospitalist-oriented practice that also performs nursing facility and discharge management work, rather than an outpatient primary care-only panel.

Competitive standing on top codes: nationally the provider’s activity on the top three inpatient E/M codes sits near the middle of peers — 99233 ranks #53702 of 128818 (58th percentile), 99223 ranks #58169 of 139583 (58th percentile), and 99232 ranks #76703 of 177383 (57th percentile) — characterizing the provider as a modest, not dominant, national participant for these services. By contrast, 99238 (discharge day management) ranks #4041 of 35692 (88th percentile), indicating relatively higher activity on discharge management versus national peers even though the dataset’s descriptor for the code remains "typical, unremarkable volume."

Statistical descriptors and low-volume codes: the dataset’s plain-English labels classify the provider’s code volumes as "typical, unremarkable volume" across most top codes; however several nursing-facility CPTs are at low national percentiles (e.g., 99309 at 9th percentile, 99310 at 2th percentile) which aligns with modest or infrequent nursing-facility billing despite some presence of those services. Analysts should note that low-percentile nursing facility activity may reflect limited long-term care panel size or episodic consult coverage rather than an active skilled-nursing practice.

Operational implications for payers and partners: given the concentration in inpatient E/M and discharge codes and the absence of Medicaid billing, opportunities for collaboration or care-management initiatives should focus on hospital transitions of care, observation/inpatient throughput, and Medicare-focused programs. Any network or value-based contracting discussions should account for the provider’s modest Medicare revenue base ($39.3K) and concentrated code mix when projecting risk-bearing capacity or expected encounter volume.

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	110	$90	$9.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	50	$130	$6.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	110	$60	$6.2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	80	$60	$4.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	50	$90	$4.5K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	20	$140	$2.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	30	$80	$2.2K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	10	$120	$1.5K
99315	The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.	20	$60	$980
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$40	$560

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Najmeh Akhavan — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	14	20	130	$90	$16.5K
99232	20	30	150	$60	$12.1K
99223	7	20	30	$130	$7K
99239	9	20	50	$90	$4.8K
99309	2	10	50	$60	$3.5K
99231	5	10	70	$40	$3.1K
99306	1	10	20	$140	$2.6K
99238	1	10	30	$60	$1.8K
99310	1	10	10	$110	$1.5K
99315	1	10	20	$60	$980

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Texas Health Physicians Group	TX	Clinical Medical Laboratory	$5.1M	$7K
Jyothi Mallepalli	LA	Rheumatology Physician	$3.2M	$0
Anita Tharian	TX	Medical Oncology Physician	$938.6K	$0
Tony Das	TX	Interventional Cardiology Physician	$845.2K	$0
Mandar Joshi	TX	Diagnostic Radiology Physician	$740.2K	$0
John Barrington	TX	Adult Reconstructive Orthopaedic Surgery Physician	$568.1K	$0
Tulika Jain	TX	Cardiovascular Disease Physician	$556.2K	$0
Shane Stone	TX	Family Medicine Physician	$531.1K	$0
Patrick Keehan	TX	Dermatology Physician	$446.8K	$0
Brian Le	TX	Clinical Cardiac Electrophysiology Physician	$439.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guam Healthcare Development Incorporated	GU	Clinic/Center	$0	$30.8M
C V Alegria Dds Inc	GU	General Practice Dentistry	$0	$11.3M
Albert Huang	GU	Dentist	$0	$5.4M
Usrc Finegayan, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.5M
Renal Centers Of Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.1M
Government Of Guam Department Of Administration	GU	Federally Qualified Health Center (FQHC)	$0	$2.4M
Maria Chela Mariano	GU	Family Medicine Physician	$0	$1.8M
Scott Shay	GU	Vascular & Interventional Radiology Physician	$1.2M	$0
Anthony Bekkerman	GU	Emergency Medicine Physician	$49.5K	$623.9K
Blue Ocean Medical Group LLC	GU	Family Medicine Physician	$0	$665.1K

Najmeh Akhavan — Billing Profile & Reimbursement Data

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Najmeh Akhavan — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References