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    v1.0.28
    OpenPayerNPI Medicare & MedicaidIyad Hamarneh
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    Iyad Hamarneh — Billing Profile & Reimbursement Data

    NPI 1427268259 · Prescott, AZ · Medical Oncology Physician

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    Iyad Hamarneh is a medical oncology physician provider located in Prescott, Arizona. This profile covers 64 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
    OrganizationIyad Hamarneh
    Address5430 Landmark Ln
    CityPrescott
    StateAZ
    ZIP86301
    TaxonomyMedical Oncology Physician
    NPI EnumeratedMay 23, 2007

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

    Payer SourceTotal Paid
    Medicare$3.5M
    Medicaid$0

    Key Findings

    This provider’s code mix and top revenue drivers identify it firmly as an oncology-focused practice with a heavy emphasis on high-cost biologic and immunotherapy infusions. The top revenue codes—J9271 (pembrolizumab), J9144 (daratumumab), and J9299 (nivolumab)—are all oncology injectable agents, and chemotherapy administration codes such as 96413 and add-on infusion codes like 96417 and G0498 appear on the top list, consistent with an infusion-centered practice profile that also orders advanced imaging (78815, 78816, A9552) to support cancer care pathways.

    Revenue concentration is highly focused: the precomputed top 3 Medicare codes account for 62.7% of this provider’s total Medicare revenue. In particular, J9271 alone represents $1.3M (36.8% of Medicare revenue) and is the single largest revenue driver, followed by J9144 at $526.7K (15.3%) and J9299 at $364.3K (10.6%).

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $3.5M and there is no Medicaid billing on file. This means the provider’s revenue exposure and competitive positioning are concentrated in the Medicare market rather than spread across Medicaid, which should be considered when assessing contract leverage, reimbursement sensitivity, and population mix.

    For competitive standing on specific drugs, the provider shows a leading national position for pembrolizumab: J9271 ranks #105 of 1841 providers nationally (94th percentile) and is described as "notably above typical national volume for this code," indicating they are a high-volume user of this agent relative to peers. By contrast, J9144 (rank #107 of 615, 82th percentile) and J9299 (rank #241 of 505, 52th percentile) are in more typical ranges, so the provider’s outsize presence is concentrated on particular agents rather than uniformly across all immunotherapies.

    The provider’s enrollment history shows sustained tenure: NPI enumerated 2007-05-23 (~19 years ago), indicating a long-standing Medicare billing presence. This longevity, combined with concentrated high-dollar oncology billing, suggests established referral and infusion operations rather than a newly emerging practice.

    Several service lines and encounter-level codes are statistical outliers and indicate high operational throughput in certain areas. Evaluation & management codes 99214 and 99215 both rank in the 99th percentile and are labeled as "extreme outlier, far above typical national volume for this code," and venous access device irrigation 96523 ranks #2 of 1643 providers (100th percentile; "extreme outlier"). Additionally, infusion-related codes such as 96413 and 96375 are noted as 98th percentile or similar and labeled "notably above typical national volume," reinforcing unusually high volumes for infusion encounters and device maintenance.

    Operational pattern nuance: several codes show very high claim counts but low average payment per claim, indicating throughput of low-reimbursement supportive agents alongside high-revenue biologics. Examples include J0185 with 18.5K claims at $1 avg paid/claim ($18.5K revenue) and J0881 with 10.6K claims at $2 avg paid/claim ($21.3K revenue). These entries suggest the practice administers many low-price supportive medications in parallel with its high-cost oncology infusions.

    Imaging and supportive-care services contribute meaningful Medicare revenue and appear integrated into the care pathway. The PET/CT code 78815 generates $297.6K (8.6% of Medicare revenue) and additional imaging and radiotracer codes (78816, A9552) together add further revenue, while supportive drugs such as J0897 (denosumab) account for $234.4K (6.8%), indicating the practice combines systemic therapy with imaging and bone-health management as part of its service mix.

    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.

    64 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg31,800$40$1.3M
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj13,860$40$526.7K
    J9299Injection, nivolumab, 1 mg15,180$20$364.3K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…270$1,100$297.6K
    J0897Injection, denosumab, 1 mg13,020$20$234.4K
    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…1,560$90$140.1K
    Q5118Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg4,800$20$105.6K
    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…840$100$82.3K
    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…530$130$68.6K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg610$90$57.5K

    Showing 1–10 of 64

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 64 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    64 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927128010,000$40$487.4K
    J91446408,370$40$349.9K
    J92996307,480$20$290K
    J0897362602,940$20$115.6K
    788151416060$710$75.8K
    Q51183201,290$20$44.4K
    Q5122110410$90$36.5K
    J14379201,600$20$26.5K
    9641311230190$100$24.8K
    J088120507,000$1$23.1K

    Showing 1–10 of 64

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arizona Oncology Associates PCAZSpecialist$0$13.9M
    Peter MathernAZMedical Oncology Physician$3M$0
    Alan LangerakAZHematology & Oncology Physician$2.7M$0
    Charles TaylorOKHematology & Oncology Physician$2.3M$0
    Allan Espinosa MorazanAZMedical Oncology Physician$2.2M$0
    Laurie ChenAZHematology & Oncology Physician$1.6M$0
    Donn DavisAZRadiation Oncology Physician$1.2M$0
    Akhilesh SharmaAZInfectious Disease Physician$1.2M$0
    Sharon OndreycoAZHematology & Oncology Physician$1.1M$0
    Rezwan ChowdhuryAZRadiation Oncology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yavapai Community Hospital AssociationAZGeneral Acute Care Hospital$0$66.2M
    Prescott Healthcare Solutions LLCAZFamily Medicine Physician$0$13.3M
    Summit Behavioral Health Of Az, LLCAZSubstance Abuse Rehabilitation Facility$0$13.3M
    Medical Services Of Prescott, Inc.AZEmergency Medicine Physician$0$12.3M
    Prescott Whipple StageAZTaxi$0$9.2M
    Prescott Outpatient Surgical Center LLCAZAmbulatory Surgical Clinic/Center$1.7M$25.7K
    Arizona Institute Of Eye Surgery LLCAZAmbulatory Surgical Clinic/Center$1.4M$24.7K
    Ayad AghaAZDiagnostic Radiology Physician$1M$0
    Ajith PurushAZInternal Medicine Physician$807.3K$0
    Ray JohnsonAZDermatology Physician$708.7K$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. Arizona Distribution
    Iyad Hamarneh — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona