Rafiq El Hammali — Billing Profile & Reimbursement Data
NPI 1396965547 · Douglasville, GA · Nephrology Physician
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Rafiq El Hammali is a nephrology physician provider located in Douglasville, Georgia. This profile covers 9 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Rafiq El Hammali |
| Address | 6095 Professional Pkwy |
| City | Douglasville |
| State | GA |
| ZIP | 30134 |
| Taxonomy | Nephrology Physician |
| NPI Enumerated | April 30, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $203.3K |
| 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.
9 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… | 640 | $100 | $60.3K |
| 90961 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the… | 210 | $230 | $46.7K |
| 99214 | The 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… | 280 | $100 | $26.8K |
| 90966 | The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,… | 70 | $220 | $15.1K |
| 90960 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 50 | $280 | $13.9K |
| 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… | 100 | $140 | $13.4K |
| 99213 | The 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… | 210 | $60 | $12.5K |
| 90962 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 60 | $160 | $8.9K |
| 99204 | The 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… | 50 | $110 | $5.6K |
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Nearby Providers
Other providers in the same ZIP code as Rafiq El Hammali, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Prime Immediate Care LLC | GA | Urgent Care Clinic/Center | $0 | $943.3K |
| West Georgia Psychological Services | GA | Clinical Psychologist | $0 | $879.2K |
| Douglas County Board Of Commissioner | GA | Land Ambulance | $669.4K | $0 |
| Speech And Dysphagia, LLC | GA | Speech-Language Pathologist | $0 | $496.3K |
| Kristy Christopher | GA | Professional Counselor | $0 | $428.9K |
| B And D Medical Transportation | GA | Land Ambulance | $364.2K | $0 |
| West Metro Endoscopy Center, LLC | GA | Endoscopy Clinic/Center | $332.5K | $0 |
| Manish Noticewala | GA | Sports Medicine (Orthopaedic Surgery) Physician | $34.5K | $202.6K |
| Brittany Mosley | GA | Professional Counselor | $0 | $213K |
| Robert Bodzioch | GA | Mental Health Counselor | $0 | $189K |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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