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    OpenPayerNPI Medicare & MedicaidAmer Rafiaa
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    Amer Rafiaa — Billing Profile & Reimbursement Data

    NPI 1427022656 · Brooklyn, NY · Hematology & Oncology Physician

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    Amer Rafiaa is a hematology & oncology physician provider located in Brooklyn, New York. This profile covers 25 Medicare and 25 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
    OrganizationAmer Rafiaa
    Address445 Bay Ridge Pkwy
    CityBrooklyn
    StateNY
    ZIP11209
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedFebruary 14, 2006

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

    Payer SourceTotal Paid
    Medicaid$829.3K
    Medicare$403.5K

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…2,050$70$133.3K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…920$70$66.3K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…1,300$40$45.6K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…810$50$37K
    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…120$160$19.3K
    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…140$120$15.7K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…140$90$13.5K
    99233The 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…100$110$10.6K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$150$7.8K
    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…90$80$7.1K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993082202,360250$60$44.9K
    993091,2962,150220$90$41.7K
    9921411,96630,45090$100$19K
    9930565294060$110$16.9K
    993066921,06060$150$16.6K
    992333,8688,64080$100$15.8K
    9923238111,85080$70$13.8K
    9921314,77431,44080$70$12.1K
    992153,2068,28040$140$10.1K
    992231,0648,65040$150$9.3K

    Showing 1–10 of 25

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…14,510$20$261.2K
    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…1,840$60$102.9K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…6,780$10$67.8K
    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…1,470$40$64.8K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.1,220$50$57.2K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.1,920$30$48K
    J2916Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg3,200$10$41.6K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…1,980$20$33.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…1,290$20$29.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…330$90$29.4K

    Showing 1–10 of 25

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    25 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.1542102,850$180$1.1M
    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…5,58819,110360$70$321K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.182430680$120$299.9K
    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…2,61316,550220$90$186.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…1,2735,420210$70$154.3K
    96366The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.76180350$130$136.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…5282,05090$140$121.2K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.1602603,200$10$67.2K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…53260070$170$63.2K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…2191,420300$20$38.8K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert SolomonNYDiagnostic Radiology Physician$7M$1.4M
    Donald WallersonNYCardiovascular Disease Physician$495.3K$3.8M
    Sunil MehraNYPulmonary Disease Physician$393.1K$1.1M
    Yitzchok KlapperNJOptometrist$18.5K$1.2M
    Payman RabieiNYFoot & Ankle Surgery Podiatrist$415.6K$691.3K
    Rishi BajajNYInterventional Cardiology Physician$615.4K$352K
    Mujibur MajumderNYPulmonary Disease Physician$151.6K$555.7K
    Anto VinceticNYPodiatrist$189.9K$474.9K
    Ernest TsilovNYPodiatrist$478.5K$170.1K
    Monica JosephNYPodiatrist$181.9K$444K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Angel's Touch Home CareNYHome Health Agency$0$54.3M
    Changping JiaNYNuclear Imaging & Therapy Physician$2.2M$58.7K
    Jeffrey FrielingNYOphthalmology Physician$352K$1.6M
    Anthony SalehNYPulmonary Disease Physician$674.9K$626.8K
    Thao NgoNYCardiovascular Disease Physician$651.2K$585.1K
    Vladimir KrichevskyNYUrology Physician$858.7K$230.9K
    Mehrdad HedayatniaNYPain Medicine (Anesthesiology) Physician$237.5K$807.1K
    David SchreiberNYRadiation Oncology Physician$1M$0
    Stella DourosNYOphthalmology Physician$965.9K$43.8K
    Bay Ridge Surgi-center LLCNYAmbulatory Surgical Clinic/Center$739.4K$255.1K

    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. New York Distribution
    Amer Rafiaa — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Amer Rafiaa — 2 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York