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    OpenPayerNPI Medicare & MedicaidArinola Dada
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    Arinola Dada — Billing Profile & Reimbursement Data

    NPI 1609871029 · Bellevue, WA · Rheumatology Physician

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    Arinola Dada is a rheumatology physician provider located in Bellevue, Washington. This profile covers 26 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
    OrganizationArinola Dada
    Address1310 116th Ave Ne
    CityBellevue
    StateWA
    ZIP98004
    TaxonomyRheumatology Physician
    NPI EnumeratedJune 14, 2005

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-focused practice with lifetime Medicare revenue of $1.6M and no Medicaid billing on file; the absence of Medicaid activity makes the provider a single‑payer (Medicare) operation for the dataset shown. That payer concentration should be considered when evaluating reimbursement risk or network-value to Medicaid-managed plans.

    Revenue is highly concentrated in a small set of biologic drug codes: the precomputed top 3 Medicare codes by revenue account for 50.9% of this provider's total Medicare revenue. Those top codes are J1602 ($289.9K, 17.5%), J0129 ($279.7K, 16.9%), and J0897 ($271.1K, 16.4%), indicating that roughly half of Medicare dollars flow through three injectable biologic agents.

    The CPT/HCPCS mix points to a rheumatology practice with an infusion/administration component: multiple high-revenue J‑codes for biologic agents (J1602, J0129, J0897, J1745, J0717, J3111) alongside infusion/administration codes such as 96365 and J7050. This pattern is consistent with a clinic that both manages chronic autoimmune disease and provides on-site drug administration rather than relying solely on self-injectable therapies.

    Competitive standing is mixed across drugs: J0897 ranks #535 of 10057 providers nationally (95th percentile; notably above typical national volume), marking this provider as a substantial national outlier for denosumab administration, while J1602 (rank #194 of 1041, 81th percentile; typical) and J0129 (rank #584 of 1221, 52th percentile; typical) are in more typical volume bands. In short, the practice is a modest-to-typical participant for several biologics but a notably high-volume administrator of J0897.

    Office visit activity is an important revenue stream: 99214 generated $137.9K (8.3% of Medicare revenue) and the provider’s 99214 usage is an extreme outlier (ranks #5315 of 479517 providers nationally, 99th percentile; extreme outlier, far above typical national volume). This suggests a sizeable established-patient panel and substantial visit-based management in addition to infusion services.

    Support services and infusion throughput are evidenced by above-typical ranks on administration codes: 96365 (356 claims, ranks #727 of 8873, 92th percentile; typical) and J7050 (589 claims, ranks #168 of 1837, 91th percentile; typical), while 96372 (690 claims) is at the 98th percentile (notably above typical national volume). Those ranks imply a clinic workflow and staffing model able to handle frequent injections and intravenous administrations.

    The practice’s service mix includes osteoporosis-focused care in addition to rheumatology: J3111 (romosozumab, $196.6K, 11.9% of Medicare revenue) and J0897 (denosumab) together with 77080 (DXA, $11.5K, 0.7% of Medicare revenue, ranks #2883 of 17308, 83th percentile; typical) indicate both pharmacologic osteoporosis treatment and routine bone-density monitoring. This combination suggests coordinated longitudinal bone-health management as a meaningful component of clinical activity.

    The provider has a long tenure on file (NPI enumerated 2005-06-14, approximately 21 years ago), which supports the observed established-patient volume and could explain sustained infusion and administration activity. Given the lack of Medicaid billing, analysts should treat this entity as a long-standing Medicare-participating rheumatology/infusion clinic when assessing market position or partnership opportunities.

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1602Injection, golimumab, 1 mg, for intravenous use26,350$10$289.9K
    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)8,480$30$279.7K
    J0897Injection, denosumab, 1 mg15,060$20$271.1K
    J3111Injection, romosozumab-aqqg, 1 mg24,570$10$196.6K
    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)47,200$1$188.8K
    J1745Injection, infliximab, excludes biosimilar, 10 mg6,030$30$156.8K
    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…1,330$100$137.9K
    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…240$120$28.8K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.360$60$19.9K
    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…130$150$19.2K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01296205,280$30$208.7K
    J071721038,800$1$140.5K
    J16024207,060$10$135.2K
    J174510503,630$30$111.5K
    J31111108,820$10$99.4K
    J089731501,800$20$57.9K
    964132816080$110$15K
    992145810,860100$80$13.6K
    992155794,32040$120$8.4K
    992134,1629,69060$60$6.5K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kent TaWARheumatology Physician$1.1M$0
    Jeffrey MathewsUTRheumatology Physician$61.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Universal Language Service, Inc.WAContractor$0$103.7M
    Overlake Medical Center & ClinicsWAGeneral Acute Care Hospital$0$16.6M
    Daiya Healthcare PLLCWAInternal Medicine Physician$0$8.7M
    Steve KimWAOphthalmology Physician$3.4M$20
    David SapersteinWAOphthalmology Physician$3.3M$100
    Andrew BarloonWAOphthalmology Physician$2.7M$20
    Puget Sound Physicians PLLCWAEmergency Medicine Physician$0$2.5M
    Northwest Kidney CentersWAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.5M
    Charles BirnbachWAOphthalmology Physician$2.4M$0
    Todd KlesertWAOphthalmology Physician$2.1M$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Washington Distribution
    Arinola Dada — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington