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    OpenPayerNPI Medicare & MedicaidWael Dahhan
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    Wael Dahhan — Billing Profile & Reimbursement Data

    NPI 1548618796 · Detroit, MI · Gastroenterology Physician

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    Wael Dahhan is a gastroenterology physician provider located in Detroit, Michigan. This profile covers 9 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
    OrganizationWael Dahhan
    Address4160 John R St Ste 615
    CityDetroit
    StateMI
    ZIP48201
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 28, 2016

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

    Payer SourceTotal Paid
    Medicare$31.3K
    Medicaid$0

    Key Findings

    WAEL DAHHAN’s billing profile is consistent with a gastroenterology practice that performs endoscopic procedures and provides hospital-based evaluation and management: notable procedure codes include 45385 (40 claims, $193 avg paid/claim) and 45378 (15 claims, $147 avg paid/claim), while common E/M codes include 99222 (69 claims, $103 avg paid/claim) and 99232 (91 claims, $63 avg paid/claim). The presence of 43239 (35 claims, $84 avg paid/claim) further supports a mix of upper endoscopy biopsies and lower GI procedural work alongside inpatient consultations.

    Revenue is tightly concentrated in a small set of Medicare codes: the precomputed top 3 Medicare codes by revenue account for 65.7% of this provider's total Medicare revenue, and the listed top three contributions are $7.7K (24.7%) from 45385, $7.1K (22.7%) from 99222, and $5.7K (18.3%) from 99232, out of total Medicare revenue of $31.3K. This concentration indicates that a few procedures and hospital E/M encounters drive most of the provider’s Medicare income.

    Payer mix is effectively single-payer at this time: total Medicare revenue is $31.3K while the provider has no Medicaid billing on file. That absence of Medicaid activity means analyses and contracting considerations should treat the provider as Medicare-focused rather than mixed-payer.

    Competitive standing by code is modest and largely “typical, unremarkable volume” relative to national peers: 45385 ranks #10000 of 16310 providers nationally (38th percentile; typical, unremarkable volume), indicating unremarkable colon polypectomy volume; by contrast 99222 ranks #19643 of 117621 (83th percentile; typical, unremarkable volume), showing relatively stronger placement for initial inpatient E/M. 99232 sits near the middle at #83884 of 177383 (52th percentile; typical, unremarkable volume), consistent with a modest national presence in subsequent inpatient visits.

    Several commonly billed codes fall at low national percentiles despite being labeled typical, unremarkable volume: 43239 is at the 28th percentile, 45378 at the 25th percentile, 99223 at the 9th percentile, 99214 at the 4th percentile, and 45380 at the 2th percentile. These placements suggest lower-than-average Medicare volume for some biopsy, surveillance colonoscopy, high-level initial inpatient visits, and office E/M services relative to peers.

    Provider tenure is established but not long-standing: the NPI was enumerated on 2016-05-28 (~10 years ago). Given roughly a decade of enrollment paired with $31.3K in Medicare revenue, the profile is consistent with a clinician who has a sustained but relatively small Medicare revenue footprint.

    Average paid-per-claim patterns reflect a mix of procedure and E/M economics: 45385 averages $193 paid/claim, 99222 averages $103 paid/claim, and 99232 averages $63 paid/claim, indicating that higher-paid endoscopic procedures and lower-paid inpatient E/M visits both contribute materially to receipts. Operationally, this suggests the practice balances procedure revenue with hospital consultation time rather than relying solely on high-volume office visits.

    From an operational and contracting perspective, the dominance of inpatient E/M codes (99222, 99232) together with key endoscopic procedures (45385, 43239) points to a practice oriented toward hospital-based care and procedural throughput; the lack of Medicaid billing further narrows the provider’s payer exposure. Analysts should therefore consider hospital privileging, on-call arrangements, and procedure capacity when benchmarking or engaging this provider.

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…40$190$7.7K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$100$7.1K
    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…90$60$5.7K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.40$80$2.9K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…20$150$2.2K
    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…10$140$2K
    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…20$100$1.4K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…30$40$1.3K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…10$70$890

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    45385153040$270$18.3K
    9923266,73090$60$12K
    992141815,47080$80$11.4K
    45380249030$170$9.4K
    9922364,88040$130$8.3K
    43239251050$110$8.2K
    9922214,81030$100$5K
    45378122020$180$4.4K
    9923142,00040$40$2.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Physician GroupMIInternal Medicine Physician$0$87.4M
    Asheesh TewariMIRetina Specialist (Ophthalmology) Physician$2.8M$0
    University Physician GroupMICounselor$57.7K$1.4M
    Anthony ParendoWIRetina Specialist (Ophthalmology) Physician$1.2M$0
    Bachar HamadILGastroenterology Physician$325.3K$829.9K
    Zhe LiangMIRheumatology Physician$1M$14.6K
    Srinivas KoneruMICardiovascular Disease Physician$984.1K$0
    Patrick MurphyMIOphthalmology Physician$581.3K$0
    Brett MalbinMIOphthalmology Physician$477.6K$0
    Hassan AloshMIOrthopaedic Surgery Physician$429.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vhs Childrens Hospital Of Michigan IncMIChildren's Hospital$0$180.4M
    University PediatriciansMIPediatrics Physician$0$106.9M
    Vhs Harper-hutzel Hospital IncMIGeneral Acute Care Hospital$0$76.6M
    The Children's Center Of Wayne Co., Inc.MICommunity/Behavioral Health Agency$0$74.3M
    Vhs Detroit Receiving Hospital IncMIGeneral Acute Care Hospital$0$60.6M
    Medical Center Emergency ServicesMIEmergency Medical Services (Emergency Medicine) Physician$0$44.1M
    Barbara Ann Karmanos Cancer HospitalMIGeneral Acute Care Hospital$0$42.5M
    Detroit Central City Community Mental Health Inc.MIFederally Qualified Health Center (FQHC)$0$29.2M
    Vhs University Laboratories IncMIClinical Medical Laboratory$677.7K$26.3M
    Vhs Rehabilitation Institute Of Michigan IncMIRehabilitation Hospital$0$24.1M

    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. Michigan Distribution
    Wael Dahhan — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan