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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMayez El-harake
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    Mayez El-harake — Billing Profile & Reimbursement Data

    NPI 1578550679 · Beckley, WV · Medical Oncology Physician

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    Mayez El-harake is a medical oncology physician provider located in Beckley, West Virginia. This profile covers 69 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
    OrganizationMayez El-harake
    Address275 Dry Hill Rd
    CityBeckley
    StateWV
    ZIP25801
    TaxonomyMedical Oncology Physician
    NPI EnumeratedOctober 4, 2005

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider’s Medicare business is heavily centered on oncology infusion and immunotherapy: J9271 (pembrolizumab) alone accounts for $800.7K and 77.3% of the provider’s Medicare revenue, and procedural chemotherapy codes such as 96413 appear among the top revenue drivers. The presence of multiple infusion administration add‑ons (96417, 96415, 96411) plus G0498 for initiation/transition of pump‑based infusions supports the interpretation that this is an in‑office infusion practice delivering systemic cancer therapies. Imaging and lab entries (e.g., 74177 at $24.2K and 80053 at $5.7K) are present but represent much smaller revenue streams relative to drug and infusion administration.

    Revenue concentration is very high: the precomputed top‑3 Medicare codes represent 85.8% of Medicare revenue, with J9271 alone representing 77.3% of that revenue. That level of concentration creates exposure to shifts in utilization or reimbursement of that single agent despite a small slate of additional chemo and supportive codes contributing the remainder of billings. Analysts should treat underlying volume trends for J9271 as the primary driver of this provider’s financial performance on Medicare.

    Payer mix is effectively single‑payer Medicare: Lifetime Medicare revenue is $1.1M while there is no Medicaid billing on file. Because Medicaid activity is absent, the practice’s public‑payer exposure and risk profile should be evaluated almost entirely through its Medicare utilization patterns and reimbursement trends.

    Competitive standing on the headline drug and chemo codes is modest rather than dominant. J9271 ranks #477 of 1841 providers nationally (74th percentile; typical, unremarkable volume for this code), Q5108 ranks #27 of 125 (79th percentile; typical, unremarkable volume for this code), and 96413 ranks #864 of 7514 (88th percentile; typical, unremarkable volume for this code), indicating routine community oncology volumes rather than leadership positions in national markets. These ranks imply the provider participates meaningfully in standard oncology regimens but is not a high‑volume national hub for these therapies.

    Several codes are statistical outliers or unusually concentrated at the procedure level and may reflect operational practices tied to infusion throughput. 96523 (irrigation of venous access devices) is an extreme outlier (rank #16 of 1643, 99th percentile; extreme outlier, far above typical national volume for this code), while 96372 (therapeutic/subcutaneous injections) is at the 97th percentile (notably above typical national volume for this code). The combination of very high venous access device activity and above‑typical injection volumes is consistent with a busy infusion clinic model that performs frequent line maintenance and supportive injections.

    Code mix indicates adoption of contemporary supportive care and biosimilar products alongside high‑cost immunotherapy: Q5108 (pegfilgrastim‑jmdb, fulphila) contributes $46.5K (4.5% of Medicare revenue) and appears high in rank among peers, signaling use of biosimilar growth‑factor support in patients receiving cytotoxic or immunotherapy. That, together with routine use of antiemetic J2469 and multiple infusion administration codes, paints a picture of an oncology practice delivering multimodal systemic therapy and associated supportive care services.

    Although the practice bills for evaluation/management visits and diagnostics, these are small relative to drug revenue and support an infusion‑centric business model. Examples include 99214 at $11.5K (1.1% of Medicare revenue) and 74177 imaging at $24.2K (2.3% of Medicare revenue), showing E/M and diagnostic services supplement—but do not substitute for—the large oncology drug revenue stream. For payers and network planners, that implies facility and drug‑cost considerations will dominate contracting discussions.

    This provider is long‑tenured in Medicare data, with an NPI enumerated on 2005-10-04 (~21 years ago), indicating an established practice history. Tenure combined with the concentrated drug mix suggests stability in practice operations but also emphasizes the importance of monitoring utilization and reimbursement trends for J9271 and related infusion services as the primary indicators of future Medicare revenue performance.

    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.

    69 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg18,620$40$800.7K
    Q5108Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg530$90$46.5K
    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…460$90$41.9K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.160$150$24.2K
    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…130$90$11.5K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg80$130$11K
    G0498Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community…50$180$9.2K
    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…150$60$8.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,020$10$8.1K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.170$50$7.8K

    Showing 1–10 of 69

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 69 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    69 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927121021,430$40$920.6K
    Q5108210580$90$52.3K
    96413210170$90$19.5K
    J9217510100$130$15.9K
    Q013821034,680$1$13.4K
    992141,1272,740100$70$11.8K
    G049821060$180$10.9K
    7706788120160$40$10.1K
    7417762130150$60$10K
    74176115130110$60$7.5K

    Showing 1–10 of 69

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charleston Area Medical Center IncWVGeneral Acute Care Hospital$0$200.1M
    Charleston Area Medical Center, Inc.WVGeneral Acute Care Hospital$0$50.9M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Rainelle Medical Center IncWVFederally Qualified Health Center (FQHC)$0$14.3M
    Mark LeFLDiagnostic Radiology Physician$10.7M$0
    Beckley Oncology Associates IncWVRadiation Oncology Clinic/Center$0$5M
    Rajiv KhannaWVMedical Oncology Physician$2M$0
    Charleston Area Medical Center, Inc.WVHospitalist Physician$0$1.4M
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K

    Nearby Providers

    Other providers in the same ZIP code as Mayez El-harake, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Raleigh General Hospital LLCWVGeneral Acute Care Hospital$0$36.4M
    Community Health Systems, Inc.WVFederally Qualified Health Center (FQHC)$0$35M
    Fmrs Health Systems IncWVCommunity/Behavioral Health Agency$0$27M
    Health Care Alliance, Inc.WVEmergency Medicine Physician$0$25M
    Jan-care Ambulance Of Raleigh County IncWVLand Ambulance$1.9M$20.8M
    Appalachian Regional Healthcare, IncWVGeneral Acute Care Hospital$0$18.3M
    Raleigh County Commission On Aging, Inc.WVHome Health Agency$0$16.7M
    Mountain State Home Health Care IncWVNursing Care Agency$0$16.5M
    Family Options Providers, LLC.WVCommunity/Behavioral Health Agency$0$16.1M
    Raleigh County Commission On Aging, Inc.WVHome Health Agency$0$13.8M

    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. West Virginia Distribution
    Mayez El-harake — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia