Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Unspecified Location for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Unspecified Location only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Unspecified Location (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ghulam Sarwar (NPI 1619354180)

Field	Value
Entity Type	Individual
Organization	Ghulam Sarwar
Address	7 203 Herold Terrace
City	Saskatoon
State	XX (Unspecified Location)
ZIP	S7V 1
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	May 4, 2015

Payer Source	Total Paid
Medicare	$1.1K
Medicaid	$0

Key Findings

Billing and service line profile is narrowly focused on hospital inpatient/observation follow-up E/M: the provider's Medicare revenue is concentrated in 99231, which denotes subsequent hospital inpatient or observation care visits involving straightforward or low medical decision making or ≥25 minutes total time. As a Psychiatric/Mental Health Nurse Practitioner, this code mix suggests the provider is delivering inpatient follow-up evaluation and management rather than outpatient psychotherapy or clinic-based psychiatry services.

Revenue concentration is extreme: the precomputed top three Medicare codes account for 100.0% of this provider's total Medicare revenue, and 99231 alone is listed as $1.1K revenue (100.0% of this provider's total Medicare revenue). This indicates the provider’s Medicare income is dependent on a very narrow set of billed services.

The payer mix is effectively single-payer for the available data: total Medicare revenue is $1.1K, while Total Medicaid revenue is none (no Medicaid billing on file). Because there is no Medicaid billing on file, the provider does not appear to participate in Medicaid-covered encounters in the reported records.

Operational scale is very small based on reported Medicare activity: 99231 shows 32 claims with $33 avg paid/claim and $1.1K revenue. These absolute volumes point to low overall Medicare throughput rather than substantial panel size or high encounter frequency.

Competitive standing on the reported code is modest: 99231 ranks #28473 of 50953 providers nationally (43th percentile; typical, unremarkable volume for this code), indicating the provider is not a major or dominant national biller for this service. The percentile and rank suggest activity around the national median rather than a strong market position.

Tenure in the NPI system is established but not matched by volume: the NPI enumerated date is 2015-05-04 (~11 years ago), so the provider has been registered for roughly eleven years; however, the low Medicare revenue and claim counts imply limited Medicare billing activity over that tenure.

Statistical characterization and operational risk: the reported descriptor for 99231 is "typical, unremarkable volume," meaning usage of that code falls within expected norms rather than being an outlier. Nevertheless, because 100.0% of Medicare revenue is tied to the top codes, any changes in inpatient E/M utilization patterns, coding practice, or Medicare reimbursement for 99231 could materially affect this provider's Medicare receipts.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99231	The 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	$30	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Ghulam Sarwar — 0 of 0 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99231	6	0	N/A	$N/A	$N/A

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pioneer Human Services	WA	Substance Abuse Rehabilitation Facility	$0	$15.5M
Jeffrey Korcz	WA	Psychiatry Physician	$38.9K	$0
Brian Coleman	WA	Psychiatry Physician	$36.5K	$0
Monica Strope	WA	Psychiatry Physician	$30.6K	$0
Debby Leffler	WA	Family Nurse Practitioner	$25.4K	$0
Zachary Annen	WA	Adult Health Nurse Practitioner	$8.9K	$0

Ghulam Sarwar — Billing Profile & Reimbursement Data

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Ghulam Sarwar — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References