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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNoha Mohamed
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    Noha Mohamed — Billing Profile & Reimbursement Data

    NPI 1447583406 · Conway, AR · Rheumatology Physician

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    Noha Mohamed is a rheumatology physician provider located in Conway, Arkansas. This profile covers 28 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
    OrganizationNoha Mohamed
    Address655 Dave Ward Dr Ste 103
    CityConway
    StateAR
    ZIP72034
    TaxonomyRheumatology Physician
    NPI EnumeratedSeptember 9, 2009

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

    Payer SourceTotal Paid
    Medicare$3.8M
    Medicaid$0

    Key Findings

    This is an infusion-heavy rheumatology practice: the top revenue drivers are high-cost biologic and injectable therapies rather than routine outpatient E&M. The largest single code is J2507 ($2M revenue, 53.9% of Medicare revenue), followed by J0129 ($834.1K, 22.1%) and J0717 ($425.6K, 11.3%), and the precomputed top-3 codes account for 87.3% of this provider's total Medicare revenue, signaling that drug administration and infusion services are the core business line.

    Revenue concentration is extreme: the precomputed top-3 share of 87.3% shows the practice’s Medicare receipts are highly dependent on a small set of biologic drug codes. That concentration suggests revenue vulnerability to changes in drug pricing, utilization management, or payer coverage for these specific agents, but also indicates a clear operational focus on drug delivery and related nursing/infusion capacity.

    Payer mix is effectively single-payer Medicare: total Medicare revenue is $3.8M while there is no Medicaid billing on file. The absence of Medicaid activity means payer strategy, contracting, and revenue risk are concentrated in the Medicare population and reimbursement environment.

    Competitive standing on key drugs is mixed. For J0129 the provider ranks #74 of 1221 nationally (94th percentile) and is described as “notably above typical national volume,” indicating a nationally high-volume position for abatacept administration, while J2507 (rank #3 of 5, 50th percentile) is a major revenue driver by dollar amount but is characterized as a typical volume position within a very small peer set; J0717 sits at the 85th percentile (typical, unremarkable volume) suggesting above-average but not exceptional use of certolizumab.

    Service-mix signals infrastructure and staffing implications: frequent use of J0129 (25.3K claims), J0717 (106.4K claims), and other infusion/administration codes such as 96413 and 96401, both flagged as “notably above typical national volume,” implies on-site infusion capacity, regular nursing administration, and drug procurement/handling capabilities rather than a purely office-based, procedure-light practice. This pattern supports expectations of inventory management, buy-and-bill workflows, and potential revenue tied to drug margins and administration fees.

    Several administration and chemotherapy/infusion codes are statistical outliers versus peers and warrant attention for utilization profile: 99214 is an “extreme outlier” (rank #8966 of 479517, 98th percentile) despite being a small share of revenue (1.1K claims, $95.8K, 2.5%), and administration codes such as 96413 and 96401 are both described as “notably above typical national volume,” reflecting an unusually high intensity of billed administration encounters relative to many peers. These labels suggest differing patterns of visit complexity and infusion throughput that analysts should review for clinical and operational drivers.

    Although the practice’s E&M volume generates only a modest share of total dollars, encounter-level complexity appears elevated: 99214 generates $95.8K (2.5% of Medicare revenue) and is an “extreme outlier” nationally, which is consistent with a patient panel that requires moderate medical decision making or prolonged visit time in addition to infusion services. This combination—high-intensity E&M visits plus concentrated biologic administration—points to a practice managing medically complex chronic rheumatologic patients.

    Tenure and market footprint are established: the provider’s NPI was enumerated 2009-09-09 (~17 years ago), indicating long-term presence in the market. Given the $3.8M Medicare lifetime revenue and a lack of Medicaid claims, the practice appears to be a focused, Medicare-dependent rheumatology infusion service with a nationally notable position on specific biologic agents (particularly J0129) and concentrated revenue exposure to a small set of drug codes.

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2507Injection, pegloticase, 1 mg800$2,550$2M
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)25,280$30$834.1K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)106,400$1$425.6K
    J1602Injection, golimumab, 1 mg, for intravenous use15,700$10$172.7K
    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…1,100$90$95.8K
    J0897Injection, denosumab, 1 mg4,140$20$78.7K
    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…610$90$53.8K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.630$50$31.1K
    99204The provider sees a new 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 provider…90$110$10.5K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…90$90$8.3K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J2507110800$2,540$2M
    J01293208,960$30$532.4K
    J071731066,400$1$278.1K
    J160271015,300$10$185.4K
    J0897581602,580$20$89.7K
    964132380380$90$36.6K
    992141404,300130$70$18.8K
    992133,0044,180100$50$9.6K
    96401460120$50$8.6K
    20611124060$70$6.7K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arkansas Childrens HospitalARChildren's Hospital$0$154.7M
    University Of Arkansas For Medical SciencesARGeneral Practice Physician$0$55M
    University Of Arkansas For Medical SciencesARPediatrics Physician$0$27.6M
    Angel One Arkansas Children's HospitalARAmbulance$0$20.1M
    Arkansas Childrens HospitalARPediatrics Physician$0$6.9M
    Arkansas Childrens HospitalARDental Clinic/Center$0$1.3M
    Donna GrahamARAllergy & Immunology Physician$16.2K$1.1M
    Matthew LindbergARAnatomic Pathology Physician$507.9K$0
    Terry FletcherARPain Medicine (Anesthesiology) Physician$419.5K$0
    Melissa MagillGAPediatrics Physician$0$377.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kid Success, Inc.ARRehabilitation Clinic/Center$0$140.9M
    Milestones Services, Inc.ARDevelopmentally Disabled Services Day Training Agency$0$11.6M
    Conway Regional Medical Center IncARGeneral Acute Care Hospital$0$10.6M
    Independent Living Services, Inc.ARDevelopmentally Disabled Services Day Training Agency$0$9.8M
    Counseling Associates, IncARMental Health Clinic/Center (Including Community Mental Health Center)$0$9.6M
    Pediatrics Plus Therapy Services, LLCARDevelopmental Disabilities Clinic/Center$0$7.1M
    Central Arkansas Pediatrics, P.A.ARPediatrics Physician$0$6.7M
    Aaron K. Forrester Dds, PLLCARPediatric Dentistry$0$5.7M
    Conway Childrens Clinic PA CorpARPediatrics Physician$0$4.8M
    Arkansas Pediatrics Of Conway, PAARPediatrics Physician$0$3.9M

    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. Arkansas Distribution
    Noha Mohamed — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas