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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFaysal Haroun
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    Faysal Haroun — Billing Profile & Reimbursement Data

    NPI 1598078990 · Washington, DC · Hematology & Oncology Physician

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    Faysal Haroun is a hematology & oncology physician provider located in Washington, District of Columbia. This profile covers 27 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
    OrganizationFaysal Haroun
    Address2150 Pennsylvania Ave Nw Ste 5-404
    CityWashington
    StateDC
    ZIP20037
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJuly 14, 2010

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

    Payer SourceTotal Paid
    Medicare$2.4M
    Medicaid$0

    Key Findings

    This provider’s commercial footprint is effectively single‑payer at the beneficiary level: total Medicare revenue is $2.4M and there is no Medicaid billing on file, indicating Medicare accounts for essentially the entire public‑payer activity reported here. That concentration means the provider’s public revenue is highly exposed to Medicare utilization and reimbursement changes.

    Revenue is extremely concentrated in a small set of drugs and administration codes: the precomputed top 3 Medicare codes by revenue account for 93.7% of this provider's total Medicare revenue. The three top contributors are J9271 ($1.5M revenue, 63.3%), J9299 ($688.3K revenue, 28.8%), and 96413 ($38.1K revenue, 1.6%), so the practice’s economics are dominated by a narrow set of oncology therapies.

    The code mix is consistent with a Hematology & Oncology infusion practice that primarily bills for high‑cost immunotherapy agents rather than visit‑based E/M or routine chemotherapy administration. J9271 (pembrolizumab) and J9299 (nivolumab) together drive the lion’s share of revenue while E/M codes such as 99215 ($37.7K) and 99214 ($29.4K) and chemotherapy administration 96413 ($38.1K) represent only small portions of total Medicare revenue. This suggests the operation is organized around outpatient infusion of checkpoint inhibitors rather than office visits or high-volume traditional chemo infusions.

    On competitive standing for pembrolizumab, the provider is a national high‑volume participant: J9271 has 35.2K claims, $43 avg paid/claim and ranks #60 of 1841 providers nationally (97th percentile), and is described as notably above typical national volume for this code. That ranking places the provider among the upper tier of Medicare billers nationwide for this specific immunotherapy agent.

    By contrast, the provider’s nivolumab activity is less exceptional: J9299 shows 28.7K claims, $24 avg paid/claim, $688.3K revenue and ranks #86 of 505 providers nationally (83th percentile) with a characterization of typical, unremarkable volume. Routine chemotherapy administration 96413 ranks #1763 of 7514 providers (76th percentile) and is also described as typical, indicating strong drug‑focused volume but modest procedural or infusion complexity relative to national chemotherapy billing peers.

    Several codes show very high claim counts paired with low average paid/claim amounts, which highlights a billing profile measured in many units rather than high per‑claim payments. Examples include J9271 (35.2K claims, $43 avg paid/claim), J9299 (28.7K claims, $24 avg paid/claim), and J1439 (23.8K claims, $1 avg paid/claim); additionally J1453 reports 8.6K claims with $0 revenue. These patterns are consistent with per‑unit reporting for injectable biologics and supportive agents and suggest operational scale in infusion throughput.

    The provider has an established national presence by tenure: the NPI was enumerated 2010-07-14 (~16 years ago), indicating a long‑standing billing history. Combined with the high national rank on J9271, this tenure supports the interpretation of an established infusion practice rather than a recent entrant.

    From an operational and payer‑risk perspective, the practice’s dependence on two high‑revenue immunotherapy codes creates sensitivity to utilization shifts or reimbursement policy changes affecting those agents, and the absence of Medicaid billing on file means there is no in‑state public‑payer diversification to buffer those risks. Analysts should treat this as a Medicare‑concentrated oncology infusion provider whose financial profile is tightly linked to pembrolizumab and nivolumab utilization.

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg35,200$40$1.5M
    J9299Injection, nivolumab, 1 mg28,680$20$688.3K
    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…310$120$38.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…240$160$37.7K
    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…280$110$29.4K
    J1439Injection, ferric carboxymaltose, 1 mg23,800$1$23.8K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg280$80$22.4K
    96417In this add–on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report administration of a different chemotherapy…80$60$5K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…20$180$4.4K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…280$20$4.3K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927111025,100$40$1.1M
    J929911028,680$20$678.3K
    J2506110280$80$22.5K
    J143911023,800$1$21K
    9923347865090$100$17.6K
    992142471,40090$100$15.3K
    992155766050$130$12.3K
    9641312060$120$11.4K
    992135411,20050$70$8.5K
    9922349061040$140$8.4K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Memorial Health CareMNAmbulance$0$112.8M
    Fairview Health ServicesMNGeneral Acute Care Hospital$0$90.4M
    Medical Faculty Associates, IncDCAnesthesiology Physician$0$75.7M
    Fairview Health ServicesMNLand Ambulance$2.3M$48.5M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Regions HospitalMNGeneral Acute Care Hospital$0$44.4M
    Fairview Express CareMNSpecialist$0$33.1M
    North Memorial Health CareMNGeneral Acute Care Hospital$0$32.5M
    Fairview Health ServicesMNGeneral Acute Care Hospital$0$30M
    Fairview Health ServicesMNEmergency Medicine Physician$0$26.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    District Hospital Partners L PDCGeneral Acute Care Hospital$0$136.3M
    Baymark Health Services Of West Virginia, Inc.DCSubstance Use Disorder Rehabilitation Clinic/Center$571.6K$6.4M
    Medical Home Development GroupDCFamily Medicine Physician$0$6.7M
    The Foundation For Contemporary Mental HealthDCPublic Health or Welfare Agency$0$5.4M
    Dva Renal Healthcare IncDCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.9M
    Miriam's KitchenDCCase Management Agency$0$3.1M
    Rishi SoodDCVascular & Interventional Radiology Physician$2.2M$0
    Matthew ForsthoefelDCRadiation Oncology Physician$1.1M$0
    Mustafa AliDCInternal Medicine Physician$135.4K$909.4K
    Jonathan JohnsonDCSurgery Physician$825K$16.5K

    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. District of Columbia Distribution
    Faysal Haroun — 6 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia