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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRizwan Jafri
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    Rizwan Jafri — Billing Profile & Reimbursement Data

    NPI 1386930667 · Gilbert, AZ · Gastroenterology Physician

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    Rizwan Jafri is a gastroenterology physician provider located in Gilbert, Arizona. 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
    OrganizationRizwan Jafri
    Address2680 S Val Vista Dr Ste 116
    CityGilbert
    StateAZ
    ZIP85295
    TaxonomyGastroenterology Physician
    NPI EnumeratedJune 24, 2011

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

    Payer SourceTotal Paid
    Medicare$45.9K
    Medicaid$0

    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
    99223The 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…90$130$12.2K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…20$310$5.9K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…20$200$4.7K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…30$110$3.8K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.60$50$3.2K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$100$2.8K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…30$100$2.8K
    43242The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where, under endoscopic ultrasound guidance, he carries out a fine needle aspiration or…10$170$2.3K
    43255An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding.10$150$1.7K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.20$90$1.5K

    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
    4538525433050$290$28.4K
    4538024735060$210$21.4K
    4323918334070$130$14.6K
    43274132020$280$12K
    992238002,77050$130$11K
    992322,8823,16080$60$10.4K
    992138,3239,60080$60$9.6K
    43242111020$220$4.9K
    992221,0452,16030$100$4.2K
    992033,5164,10040$70$4K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sjhmc Physician ServicesAZMulti-Specialty Clinic/Center$0$46.6M
    Northern Arizona Healthcare CorporationAZFamily Medicine Physician$0$11.4M
    Northern Arizona Healthcare CorporationAZMulti-Specialty Clinic/Center$0$6M
    Douglas DebenhamINRadiation Oncology Physician$1.8M$0
    Jasmit MinhasWAInternal Medicine Physician$965.4K$0
    Sarah ConlonAZMedical Oncology Physician$908.6K$0
    Jason KleinAZInterventional Cardiology Physician$895.7K$0
    Ana GraceAZRadiation Oncology Physician$842.8K$0
    Gerges MakarAZHospitalist Physician$701.1K$89.3K
    Erik OrtegaAZNeurology Physician$776K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri-city Express Care, PLLCAZFamily Medicine Physician$0$9.2M
    Town Of Gilbert, ArizonaAZAmbulance$1M$4.2M
    Premier Endoscopy Center, LLCAZAmbulatory Surgical Clinic/Center$813.7K$118K
    Arizona Advanced Endoscopy LLCAZAmbulatory Surgical Clinic/Center$358.7K$563.5K
    Larry BrimhallAZPhysical Therapist$878.2K$0
    Brett SkidmoreAZDiagnostic Radiology Physician$676.3K$0
    Ali RkeinAZDermatology Physician$617.9K$0
    Matthew WoodsAZDermatology Physician$468.2K$4.7K
    Pratik PatelAZUrology Physician$378.2K$0
    Trenton BowenAZGlaucoma Specialist (Ophthalmology) Physician$328.1K$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. Arizona Distribution
    Rizwan Jafri — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona