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    OpenPayerNPI Medicare & MedicaidNauman Moazzam
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    Nauman Moazzam — Billing Profile & Reimbursement Data

    NPI 1407812043 · Lakewood, CO · Hematology & Oncology Physician

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    Nauman Moazzam is a hematology & oncology physician provider located in Lakewood, Colorado. This profile covers 97 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
    OrganizationNauman Moazzam
    Address11750 W. 2nd Place Suite 100
    CityLakewood
    StateCO
    ZIP80228
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 22, 2006

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

    Payer SourceTotal Paid
    Medicare$3.6M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in scope: reported total Medicare revenue of $3.6M and no Medicaid billing on file. The absence of Medicaid activity means analysts should treat this profile as primarily Medicare-facing when assessing payer strategy and revenue sensitivity.

    Revenue is highly concentrated in a small set of high-cost oncology drugs: the precomputed top three Medicare codes (J9271, J9299, J1568) account for 70.9% of the provider's Medicare revenue. Those three codes are reported as $1.5M (J9271, 44.5%), $700.3K (J9299, 20.9%), and $185.6K (J1568, 5.5%), indicating that a handful of infusible agents dominate the practice’s earnings.

    The code mix and descriptions indicate a predominantly infusion-based oncology practice: J9271 (pembrolizumab) and J9299 (nivolumab) are the top revenue drivers and multiple chemotherapy administration codes (96413, 96417, 96401, 96365/96367, G0498) appear on the list. The presence of supportive agents and biosimilars (Q5118, Q5119, Q5122, J9305) and EOM monthly payments (M0010) further supports a business model centered on in-office systemic therapy and accompanying care management.

    Competitive standing on key biologic agents is strong for some therapies and more ordinary for others. The provider ranks #56 of 1841 for J9271 (97th percentile), described as notably above typical national volume, while J9299 ranks #84 of 505 (84th percentile) and is characterized as typical; J9305 shows a high rank (#5 of 33, 88th percentile) but against a small national denominator. These rankings suggest national-level prominence for pembrolizumab administration and solid but less exceptional positioning for several other agents.

    Several utilization measures are statistical outliers relative to national peers, highlighting unusually high volumes in both visits and chemotherapy administration. Codes flagged as "extreme outlier" or similarly high-volume include 99214 (99th percentile, extreme outlier) and 96413 (99th percentile, extreme outlier), and 85055 is listed as rank #2 (100th percentile, extreme outlier). Together these suggest significantly higher-than-typical visit complexity and infusion throughput compared with national peers.

    Ancillary diagnostic and lab services are performed at appreciable volume, implying in-house or tightly integrated lab capability to support oncology care. High counts and national ranks appear for CBC (85025), CMP (80053), flow cytometry add-on 88185, routine blood draw 36415, and a notably concentrated volume for reticulated platelet testing (85055, rank #2, 100th percentile). This mix aligns with a hematology/oncology practice that both diagnoses and manages complex blood disorders alongside systemic therapy.

    The provider’s NPI was enumerated on 2006-04-22 (~20 years ago), indicating a well-established presence in the market. That tenure is consistent with the observed high-volume infusion and E&M activity and suggests an established referral base and operational infrastructure needed to sustain high outpatient oncology throughput.

    From a payer-management perspective, dependence on a few high-cost injectable agents creates both negotiating leverage and concentration exposure: payer actions or shifts in utilization for J9271 or J9299 could materially affect revenue given their combined share of 70.9% of Medicare revenue. Analysts should monitor utilization trends for those specific codes and related administration codes (96413, 96417, G0498) when modeling future revenue or contracting scenarios.

    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.

    97 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg35,600$40$1.5M
    J9299Injection, nivolumab, 1 mg29,180$20$700.3K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg5,460$30$185.6K
    J0897Injection, denosumab, 1 mg7,140$20$128.5K
    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…1,210$100$118.9K
    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…1,040$100$108.6K
    Q5118Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg3,420$20$75.2K
    J9305Injection, pemetrexed, not otherwise specified, 10 mg5,610$10$67.3K
    Q5119Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg2,690$20$59.2K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg670$90$58.5K

    Showing 1–10 of 97

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 97 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    97 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927114010,700$40$520.5K
    J929911010,930$20$355.1K
    J15683302,240$30$101.5K
    J0897131402,580$20$68.8K
    J93051105,610$10$66.9K
    Q51181102,520$20$56.3K
    Q51192101,960$20$47.4K
    J2506210370$90$32.3K
    Q5122110320$90$30.7K
    J349046050$290$23.1K

    Showing 1–10 of 97

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert RifkinCOHematology & Oncology Physician$3.3M$0
    Ioana HinshawCOHematology & Oncology Physician$2.7M$0
    John BurkeCOHematology & Oncology Physician$2.6M$0
    Patrick EulittCOMedical Oncology Physician$2.4M$0
    Patrick RichardCORadiation Oncology Physician$1.9M$0
    Christopher BentonCOHematology & Oncology Physician$1.8M$0
    Paul DecarolisCOHematology & Oncology Physician$1.6M$0
    Maurice MarkusCOHematology & Oncology Physician$1.6M$0
    Sujatha NallapareddyCOHematology & Oncology Physician$1.4M$0
    Manojkumar BupathiCOHematology & Oncology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Walgreen CoCOPharmacy$108.9M$19.9K
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$8.9M
    Colorado Pain Practice, PLLCCOPain Medicine (Anesthesiology) Physician$0$7.1M
    Alert Response, LLCCOEmergency Response System Companies$0$5.8M
    Colorado Imaging Associates P CCODiagnostic Radiology Physician$0$5.6M
    Critical Care Pulmonary And Sleep Associates Professional LLPCOCritical Care Medicine (Internal Medicine) Physician$0$5.2M
    Catholic Health Initiatives ColoradoCOAir Ambulance$0$4.4M
    Lisa RozoCOPhysical Therapist$276.2K$1.4M
    Rocky Mountain Endoscopy Centers, LLCCOAmbulatory Surgical Clinic/Center$571.7K$511.4K
    Tera SabatinoCOFamily Nurse Practitioner$805.8K$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. Colorado Distribution
    Nauman Moazzam — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado