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    OpenPayerNPI Medicare & MedicaidSaied Safabakhsh
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    Saied Safabakhsh — Billing Profile & Reimbursement Data

    NPI 1437251808 · Sinajana, GU · Nephrology Physician

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    Saied Safabakhsh is a nephrology physician provider located in Sinajana, Guam. This profile covers 8 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
    OrganizationSaied Safabakhsh
    Address736 Route 4
    CitySinajana
    StateGU
    ZIP96910
    TaxonomyNephrology Physician
    NPI EnumeratedSeptember 5, 2006

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

    Payer SourceTotal Paid
    Medicare$68K
    Medicaid$0

    Key Findings

    SAIED SAFABAKHSH is listed as a Nephrology Physician in SINAJANA, GU with an NPI enumeration date of 2006-09-05 (~20 years ago), indicating long-standing enrollment in Medicare that supports the pattern of hospital- and procedure-oriented billing observed in the record. The provider’s lifetime Medicare revenue is $68K and there is no Medicaid billing on file, indicating an effectively single-payer footprint concentrated on Medicare.

    The top revenue-driving services point to a practice focused on dialysis procedures and hospital-based nephrology care: 90935 (hemodialysis) accounts for 259 claims and $14.5K in revenue (21.3% of this provider’s Medicare revenue), 99223 (initial hospital/observation inpatient E/M) accounts for 98 claims and $13.2K (19.5%), and 99291 (critical care) accounts for 76 claims and $12.8K (18.8%). Together these three codes are precomputed to represent 59.5% of the provider’s total Medicare revenue, signaling that procedural dialysis and inpatient/critical care encounters dominate the revenue mix.

    Revenue concentration is high: the top three Medicare codes are responsible for 59.5% of total Medicare revenue, which suggests the practice generates most of its Medicare dollars from a small set of high-use inpatient and dialysis services rather than a broad mix of outpatient evaluation-and-management visits. This level of concentration implies sensitivity to utilization changes or policy shifts that affect dialysis or inpatient/critical care reimbursement.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $68K and there is no Medicaid billing on file. This means the provider’s reimbursement exposure and competitive comparisons should be evaluated primarily against Medicare benchmarks rather than state Medicaid patterns.

    Competitive standing by code is mixed. For dialysis code 90935 the provider ranks #249 of 6114 nationally (96th percentile) and is described as "notably above typical national volume," indicating unusually high dialysis volume relative to peers; by contrast, several inpatient/critical-care codes such as 99223 (80th percentile) and 99291 (70th percentile) are described as typical/unremarkable, positioning the provider as a strong dialysis procedural performer and a more modest participant for hospital E/M and critical care on national measures.

    There is a clear imbalance between dialysis code utilization levels: 90935 has high utilization (259 claims, $14.5K revenue), while the related dialysis code 90937 appears at far lower volume (12 claims, $960 revenue) and ranks #272 of 280 providers nationally (1th percentile). This suggests the provider’s dialysis activity is concentrated in the modality or billing context captured by 90935 rather than distributed across multiple dialysis procedure codes.

    Hospital inpatient E/M codes together form a substantial portion of non-dialysis revenue and reflect regular inpatient work: 99233 shows 119 claims and $11.1K revenue (16.3%), and 99232 shows 178 claims and $11K revenue (16.2%). The presence of high-count, mid-reimbursement E/M codes alongside critical care code 99291 supports an operational model that includes ongoing inpatient management and periodic delivery of higher-intensity critical care services.

    Average paid-per-claim differs by service type in ways that shape revenue drivers: 90935 averages $56 paid/claim while critical care 99291 averages $168 and initial inpatient 99223 averages $135. These disparities indicate the provider’s dialysis revenue is driven primarily by frequency of procedures, whereas inpatient and critical care codes contribute materially through higher per-claim payments despite lower claim counts.

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…260$60$14.5K
    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…100$140$13.2K
    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…80$170$12.8K
    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…120$90$11.1K
    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…180$60$11K
    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…30$80$2.5K
    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$60$1.9K
    90937Hemodialysis is a procedure that involves drawing blood via an intraarterial or intravenous catheter, then sieving it through a semipermeable membrane to remove the impurities and finally transfusing…10$80$960

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992147790140$90$25.7K
    992331220130$90$16.5K
    9929151060$170$13.1K
    992321430150$60$12.1K
    90935210140$60$10.7K
    9921373100100$60$10.6K
    9922332030$130$7K
    9093721030$80$2.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rsa - Guam, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.4M
    Pacific Med & NephrologyGUMulti-Specialty Clinic/Center$0$2.3M
    Guam Fire DepartmentGULand Ambulance$277.5K$1.3M
    Advanced Eyecare, LLCGUOphthalmology Physician$0$813.8K
    Peter LombardGUOphthalmology Physician$575.7K$0
    Robert NervesGUNephrology Physician$238.7K$0
    Kunsun LeeGUDentist$0$168.2K
    Ideal Vision Center LLCGUClinic/Center$0$81.5K
    Evangeline ClaassensGUFamily Nurse Practitioner$39.4K$0
    Carla HaddockGUFamily Nurse Practitioner$34K$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. Guam Distribution
    Saied Safabakhsh — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam