Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMaryum Rafique
    Ask Trek AI about this page

    Maryum Rafique — Billing Profile & Reimbursement Data

    NPI 1538328869 · Bear, DE · Physical Medicine & Rehabilitation Physician

    Customize your policy alerts

    Sign up for Maryum Rafique — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Maryum Rafique is a physical medicine & rehabilitation physician provider located in Bear, Delaware. This profile covers 36 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMaryum Rafique
    Address100 Becks Woods Dr Ste 201
    CityBear
    StateDE
    ZIP19701
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedJune 2, 2008

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

    Payer SourceTotal Paid
    Medicare$437.2K
    Medicaid$0

    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…960$90$90.4K
    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…950$70$62.8K
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…230$240$55.4K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…200$200$38K
    96138A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.920$30$22.9K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.360$60$21.9K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.40$330$14.6K
    98981The provider manages treatment using data from remote therapeutic monitoring (RTM). The service requires at least one real–time interactive communication with the patient or caregiver during the…450$30$14K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…70$200$13.9K
    98980The provider manages treatment using data from remote therapeutic monitoring (RTM). The service requires at least one real–time interactive communication with the patient or caregiver during the…280$40$11K

    Showing 1–10 of 36

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    36 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0483810230$240$118.8K
    644832540170$220$62.4K
    G0482520100$190$33K
    992141201,830150$80$25.5K
    64635173050$390$24.8K
    62323174060$180$20.4K
    64493334060$200$19K
    G043946749090$120$17.2K
    97110432500690$20$16.9K
    80307520200$60$16.4K

    Showing 1–10 of 36

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Interventional Pain Spine LLCDEInterventional Pain Medicine Physician$0$17.6M
    Inpatient Consultants Of Delaware, LLCDEHospitalist Physician$0$1.5M
    Chee WooDEPain Medicine Physician$913.5K$140
    Venkatesh SundararajanPAPain Medicine Physician$498.5K$0
    Terence DuffyDEPain Medicine (Physical Medicine & Rehabilitation) Physician$477K$0
    Brittany RhoadsDENurse Practitioner$441.1K$0
    Dhruval PatelDENephrology Physician$436.8K$0
    Robert BrusFLInternal Medicine Physician$429.9K$0
    Romil PatelDENephrology Physician$421.8K$0
    Angad SinghPAInternal Medicine Physician$416K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chesapeake Rehab Equipment Inc.DECustomized Equipment (DME)$0$4.1M
    Reliance Healthcare, LLCDEFamily Medicine Physician$0$3.3M
    United Medical Clinic, LLCDEInternal Medicine Physician$0$2.7M
    Aquila Of Delaware, Inc.DESubstance Use Disorder Rehabilitation Clinic/Center$0$1.9M
    Kool Koala Pediatric & Adolescent Dentistry LLCDEPediatric Dentistry$0$1.6M
    Mark WieczorekDEDentist$0$1.4M
    Messiahs Angel Foundation CenterDEAdult Day Care Clinic/Center$0$1.2M
    Aquila Of Delaware, Inc.DESubstance Use Disorder Rehabilitation Clinic/Center$0$735.1K
    Wasif QureshiDECardiovascular Disease Physician$683.6K$0
    Mark ZwebenDECardiovascular Disease Physician$586.6K$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. Delaware Distribution
    Maryum Rafique — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware