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    OpenPayerNPI Medicare & MedicaidMohamed El Geneidy
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    Mohamed El Geneidy — Billing Profile & Reimbursement Data

    NPI 1447474978 · Columbia, SC · Hematology & Oncology Physician

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    Mohamed El Geneidy is a hematology & oncology physician provider located in Columbia, South Carolina. This profile covers 73 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
    OrganizationMohamed El Geneidy
    Address166 Stoneridge Drive
    CityColumbia
    StateSC
    ZIP29210
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 13, 2007

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

    Payer SourceTotal Paid
    Medicare$2.1M
    Medicaid$0

    Key Findings

    MOHAMED EL GENEIDY is a Hematology & Oncology Physician with a long Medicare billing history, enumerated since 2007-04-13 (~19 years ago). That tenure indicates established practice patterns and sustained participation in Medicare over nearly two decades, supporting experience with oncology infusion workflows and chronic cancer care management in the Columbia, SC market.

    This provider’s lifetime Medicare revenue totals $2.1M and there is no Medicaid billing on file, making their practice effectively single-payer (Medicare) in the available data. The absence of Medicaid activity suggests limited engagement with Medicaid populations or services not captured in Medicaid claims, which has implications for payer mix, contract negotiation focus, and downstream revenue risk concentration.

    Revenue concentration is high: the precomputed top 3 Medicare codes account for 62.0% of this provider’s total Medicare revenue. The largest single-code driver is J9271 (pembrolizumab) at $851.4K (42.5% of Medicare revenue), followed by J0897 (denosumab) at $235.4K (11.7%) and 99214 office visits at $154.8K (7.7%); this mix indicates that high-cost oncology drug administration and associated evaluation-and-management visits dominate revenue.

    The code mix and top revenue lines point to an infusion-focused oncology practice model: J9271 (pembrolizumab) and J0897 (denosumab) are injectable oncology/adjunct agents and together with chemotherapy administration CPTs (96413, 96365) and multiple supportive drug J-codes, the practice appears to deliver in-office biologic and chemotherapy infusions rather than primarily surgical or radiation oncology services.

    Competitive standing by code is mixed: for J9271 the provider ranks #406 of 1841 nationally (77th percentile), which is a solid but not leading position—consistent with being a typical, unremarkable volume provider for pembrolizumab at the national level. For J0897 the provider ranks #701 of 10057 (93rd percentile), indicating comparatively higher national relative volume for denosumab, while 99214 ranks #2425 of 479517 (99th percentile) and is labeled an extreme outlier, meaning this provider bills an unusually large volume of mid-level established-patient E/M visits relative to national peers.

    Several supporting codes show notably high relative volumes that reinforce an infusion clinic profile: J1627 (granisetron extended-release) and J0185 (aprepitant) have large claim counts and rank in upper percentiles, and codes such as 96361 (additional IV fluids) rank #28 of 2548 providers (99th percentile), described as notably above typical national volume—together these indicate sustained supportive-care and infusion throughput.

    Procedure-level lab and diagnostic services are also prominent in the revenue mix: multiple laboratory panels (80048, 80076, 85025) each contribute roughly $20K and rank in very high national percentiles (mostly 98th), suggesting in-office or closely affiliated lab utilization, while imaging-related codes (78815 PET/CT and A9552 FDG) contribute additional specialized diagnostic revenue.

    Although many individual drug codes have typical, unremarkable national volumes, the provider shows concentrated dependence on a small number of high-revenue biologics and a high volume of established-patient E/M visits. This concentration implies revenue risk if utilization or reimbursement for those top agents or E/M coding patterns change, and it also highlights the provider’s potential leverage in payer negotiations focused on oncology drug reimbursement and infusion services.

    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.

    73 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg19,800$40$851.4K
    J0897Injection, denosumab, 1 mg13,080$20$235.4K
    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…1,700$90$154.8K
    J1449Injection, eflapegrastim-xnst, 0.1 mg4,360$30$113.3K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg950$90$88.2K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg2,430$40$87.5K
    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.…100$710$73.4K
    J1627Injection, granisetron, extended-release, 0.1 mg12,400$10$62K
    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…470$100$44.8K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg360$80$30.2K

    Showing 1–10 of 73

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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 73 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    73 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271153019,700$40$832K
    J156913203,860$40$161.4K
    J14495104,090$30$98.8K
    J0897282502,400$20$91.2K
    J3490285070$510$57.7K
    J2506910740$80$55.9K
    Q5122210540$90$55.6K
    J162731010,400$1$46.3K
    J1439233042,750$1$42.3K
    J088171019,760$1$42.3K

    Showing 1–10 of 73

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riverside Radiology And Interventional Associates IncOHDiagnostic Radiology Physician$0$30.3M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Musc Community PhysiciansSCInternal Medicine Physician$0$16.7M
    Kershaw Hospital LLCSCGeneral Acute Care Hospital$0$8M
    Musc Community PhysiciansSCFamily Medicine Physician$0$5.6M
    Charles ButlerSCInternal Medicine Physician$3.8M$0
    Lindsay GambleSCFamily Nurse Practitioner$3.7M$0
    Aaron FlandersFLHematology & Oncology Physician$3.5M$0
    Jill SullivanSCInternal Medicine Physician$3.4M$0
    Robert CollinsSCInternal Medicine Physician$2.7M$0

    Nearby Providers

    Other providers in the same ZIP code as Mohamed El Geneidy, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Carolina Youth Advocate ProgramSCCommunity/Behavioral Health Agency$0$64M
    Lifehme, Inc.SCOxygen Equipment & Supplies (DME)$0$45.6M
    Pal-med, LLCSCDurable Medical Equipment & Medical Supplies$0$26.2M
    Bright Start, LLCSCSpeech-Language Pathologist$0$20.8M
    Kids First Dental, LLCSCDentist$0$20.6M
    Hospice Care Of South Carolina, Lowcountry, LLCSCCommunity Based Hospice Care Agency$0$19.9M
    Crescent Hospice, Inc.SCCommunity Based Hospice Care Agency$0$17.3M
    Coram Healthcare/carolina Home TherapeuticsSCHome Infusion Therapy Pharmacy$0$13.9M
    Caring Healthcare, Inc.SCNursing Care Agency$0$13.3M
    Richland/lexington Disabilities And Special Needs BoardSCCase Management Agency$0$11.3M

    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. South Carolina Distribution
    Mohamed El Geneidy — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina