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    OpenPayerNPI Medicare & MedicaidMustafa Albakour
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    Mustafa Albakour — Billing Profile & Reimbursement Data

    NPI 1407127558 · Burlington, MA · Internal Medicine Physician

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    Mustafa Albakour is a internal medicine physician provider located in Burlington, Massachusetts. This profile covers 9 Medicare and 3 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)

    FieldValue
    Entity TypeIndividual
    OrganizationMustafa Albakour
    Address41 Mall Rd
    CityBurlington
    StateMA
    ZIP01805
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 21, 2012

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

    Payer SourceTotal Paid
    Medicare$145.2K
    Medicaid$47.9K

    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 CodeDescriptionClaimsAvg PaidRevenue
    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…910$90$85.8K
    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…150$120$17.6K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.50$300$13.9K
    95806A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.120$70$8K
    95800A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.60$120$7.2K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…30$250$6.5K
    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$3.2K
    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…30$70$1.8K
    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…10$130$1.4K

    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

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921426715,410110$80$15.6K
    95800215040$80$9.4K
    95810519030$210$9.1K
    9921311,15813,70070$60$8.8K
    95811238030$200$7.8K
    992234,2674,43030$140$7.6K
    992041995,87030$120$5.6K
    992221,4353,42030$100$4.5K
    9580654050$40$2.4K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…450$90$40.9K
    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…40$130$5K
    95806A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.20$90$2K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Massachusetts median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,8485,040200$70$209.5K
    95806A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.2840110$180$91.3K
    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…56987090$100$82K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reliant Medical Group, IncMAFamily Medicine Physician$0$101.8M
    Umass Memorial Medical Group IncMAInternal Medicine Physician$0$98.5M
    Umass Memorial Mri & Imaging Center, LLCMAMagnetic Resonance Imaging (MRI) Clinic/Center$3.8M$8.1M
    Mass General Brigham Medical Group Western Massachusetts IncMAFamily Medicine Physician$0$8M
    Lahey Clinic, Inc.MAInternal Medicine Physician$0$5.7M
    Adam LipmanVAOphthalmology Physician$3.7M$0
    Bryan HongMARetina Specialist (Ophthalmology) Physician$2.5M$0
    Brad BakerMARetina Specialist (Ophthalmology) Physician$2.5M$0
    Frank MccabeMARetina Specialist (Ophthalmology) Physician$1.5M$0
    Kendra Klein-masciaMAOphthalmology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lahey Clinic Hospital, Inc.MAGeneral Acute Care Hospital$0$112.9M
    David RamseyMAOphthalmology Physician$1M$0
    Jeffrey MarxMAOphthalmology Physician$933.2K$0
    Stephen LyleMAAnatomic Pathology Physician$852.2K$40.3K
    Lahey Clinic Hospital IncMAAmbulance$433.4K$72.9K
    Naveen RaoMACornea and External Diseases Specialist Physician$392.8K$0
    Pauline ReohrMADermatology Physician$385.6K$0
    Sherry EmeryMAAnatomic Pathology & Clinical Pathology Physician$208.6K$64.9K
    Christopher WrightMARadiation Oncology Physician$267.5K$0
    Anne MorrisMADiagnostic Radiology Physician$254.1K$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. Massachusetts Distribution
    Mustafa Albakour — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Mustafa Albakour — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts