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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHani Lababidi
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    Hani Lababidi — Billing Profile & Reimbursement Data

    NPI 1417286097 · Riyadh, XX · Pulmonary Disease Physician

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    Hani Lababidi is a pulmonary disease physician provider located in Riyadh, Unspecified Location. This profile covers 1 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. Note: "XX" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationHani Lababidi
    AddressKing Fahad Medical City
    CityRiyadh
    StateXX (Unspecified Location)
    ZIP11525
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedDecember 10, 2009

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

    Payer SourceTotal Paid
    Medicare$9.5K
    Medicaid$0

    Key Findings

    This provider has a very small Medicare revenue footprint: total Medicare revenue is $9.5K and there is no Medicaid billing on file, so operationally the practice is effectively single‑payer with primary exposure to Medicare reimbursement. The absence of any Medicaid claims suggests limited engagement with state‑based programs or a patient panel concentrated in Medicare‑eligible populations.

    Revenue is highly concentrated in critical care coding: the precomputed top‑3 Medicare codes account for 100.0% of this provider's total Medicare revenue, and the single listed code 99291 is reported with $9.6K in revenue, 59 claims, and an average paid per claim of $162. This concentration implies nearly all billed Medicare dollars derive from time‑intensive critical care encounters rather than a diversified set of outpatient pulmonary codes.

    The service mix implied by 99291 aligns with acute, high‑intensity care: 99291 describes critical care services (first 30–74 minutes) typically provided in ICU/CCU or during life‑threatening events. Given the provider taxonomy of Pulmonary Disease Physician, the billing profile is consistent with episodic critical care work for severely ill respiratory patients rather than routine pulmonary follow‑up or chronic disease management.

    Competitive standing for the top code is modest: the provider ranks #27262 of 71290 nationally for 99291 (61th percentile) and the dataset characterizes this as "typical, unremarkable volume for this code." This ranking indicates the provider is a middle‑tier participant nationally for critical care billing rather than a dominant or high‑volume center.

    Tenure in the Medicare enrollment file is long: the NPI was enumerated on 2009-12-10 (~17 years ago), indicating the provider has been an established Medicare participant for well over a decade. Despite long enrollment, lifetime Medicare receipts remain small, which may reflect limited Medicare patient volume or episodic critical care engagements rather than sustained high throughput.

    The claim count and unit economics point to episodic service delivery: 59 claims at an average paid amount of $162 per claim produced the reported critical care revenue, suggesting relatively few, time‑intensive encounters rather than frequent short visits. For analysts, this pattern signals a practice model oriented around occasional high‑acuity interventions instead of high‑volume ambulatory pulmonary services.

    From a payer‑strategy perspective, the absence of Medicaid billing on file means contract negotiations, prior‑authorization patterns, and utilization management for this provider should be considered almost entirely through a Medicare lens. Any payer mix or access analyses must account for the fact that Medicaid is not contributing to visible revenue, limiting comparability to multi‑payer peers.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…60$160$9.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99291310180$180$31.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ramesh DonepudiFLCritical Care Medicine (Internal Medicine) Physician$135.5K$2.1K
    Sugata SensarmaKYPulmonary Disease Physician$124.4K$0
    Faheem AbbasiINPulmonary Disease Physician$92.8K$0
    Lalith UragodaCOPulmonary Disease Physician$90.8K$0
    Vrushank PatelINCritical Care Medicine (Internal Medicine) Physician$84.8K$0
    Amar PanchalNCCritical Care Medicine (Internal Medicine) Physician$63K$0
    Kevin TriceKYSleep Medicine (Internal Medicine) Physician$55.1K$0
    Sultan NiaziINCritical Care Medicine (Internal Medicine) Physician$35.1K$0
    Jeffrey MillerKYDiagnostic Radiology Physician$10K$0
    John LimingIACritical Care Medicine (Internal Medicine) Physician$1.1K$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. Unspecified Location Distribution
    Hani Lababidi — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Unspecified Location