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    OpenPayerNPI Medicare & MedicaidBassam Moushmoush
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    Bassam Moushmoush — Billing Profile & Reimbursement Data

    NPI 1619961232 · Charleston, WV · Cardiovascular Disease Physician

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    Bassam Moushmoush is a cardiovascular disease physician provider located in Charleston, West Virginia. This profile covers 31 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
    OrganizationBassam Moushmoush
    Address331 Laidley St
    CityCharleston
    StateWV
    ZIP25301
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedSeptember 9, 2005

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

    Payer SourceTotal Paid
    Medicare$370.7K
    Medicaid$0

    Key Findings

    This provider’s commercial footprint is effectively single‑payer Medicare: total Medicare revenue is $370.7K and there is no Medicaid billing on file, so all observed public-payer activity is concentrated in Medicare claims. Analysts should treat this profile as Medicare‑driven when modeling payer mix or network dependence.

    Revenue is highly concentrated in a few services: the top three Medicare codes (78452, 99214, 93306) together account for 45.2% of the provider’s total Medicare revenue. Individually those codes contributed $67K (18.2%), $54.7K (14.9%), and $44.6K (12.1%) respectively, signaling that imaging (SPECT), office E/M, and transthoracic echocardiography are the main revenue drivers.

    Code-level mix points to a clinic oriented around diagnostic cardiology with on‑site nuclear and ultrasound imaging plus substantial E/M throughput. High revenue from 78452 and supporting supplies A9500 (technetium tc-99m sestamibi) and frequent use of J1245 (dipyridamole) indicate active pharmacologic/nuclear stress testing; the large contribution from 99214 and other E/M codes shows a parallel outpatient clinic practice.

    The provider is a comparatively high‑volume national performer for several imaging and E/M codes: 78452 ranks #707 of 14946 providers (95th percentile; notably above typical national volume), 99214 ranks #26710 of 479517 providers (94th percentile; notably above typical national volume), and A9500 ranks #210 of 4099 providers (95th percentile; notably above typical national volume). These ranks suggest the provider is a major national participant for myocardial perfusion imaging and related imaging consumables, and a high-volume office E/M biller relative to peers.

    Despite the imaging strength, procedural/interventional cath volume appears modest by comparison: 92928 contributes $12.2K (3.3% of Medicare revenue) and ranks in the middle nationally (56th percentile), while supervisory angiography codes 93458 and 93459 produce smaller revenue shares ($12.4K and $5.7K) with typical, unremarkable ranks. This pattern indicates occasional catheterization activity but not a primary interventional cardiology practice.

    Hospital-based care is a material part of the mix: inpatient E/M codes 99232 (710 claims, $41.9K revenue; ranks #8305 of 177383 providers, 95th percentile; typical, unremarkable volume) and 99222 (144 claims, $14K revenue; ranks #5521 of 117621 providers, 95th percentile; notably above typical national volume) together show meaningful inpatient evaluation and management workload. Combined outpatient imaging and inpatient E/M activity point to a blended ambulatory-plus-hospital operating model.

    Several codes are flagged as statistical outliers in the provided labels and support operational inferences: 78452, A9500, J1245, 99214 and the inpatient 99222 are described as "notably above typical national volume," which aligns with the provider’s concentrated nuclear/stress imaging and E/M volumes. Conversely, many vascular ultrasound and some echo/Tee codes are characterized as "typical, unremarkable volume," underscoring that the practice’s distinctive capability is nuclear cardiology and high‑volume E/M rather than broad vascular imaging leadership.

    The provider has long tenure in the NPI registry (NPI enumerated 2005-09-09, ~21 years ago), indicating an established presence in the market. For contracting or network planning, this longevity combined with concentrated Medicare imaging and E/M volumes suggests predictable historical throughput in those service lines rather than a newly emerging practice profile.

    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…250$270$67K
    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…690$80$54.7K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…540$80$44.6K
    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…710$60$41.9K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose440$80$36.7K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…140$110$15.6K
    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…140$100$14K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…60$200$12.4K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…30$420$12.2K
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…220$40$9.4K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9500520320$80$25.9K
    92928184030$410$16K
    9330612110190$60$15.8K
    99232491,34090$60$11.9K
    99214782,740100$70$11.8K
    7845289070$130$11.2K
    93458155040$190$9.6K
    992139332,86080$50$7.5K
    0504T31010$360$7.5K
    9324121050$170$7.5K

    Showing 1–10 of 31

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Bassam Moushmoush, 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
    Cardiovascular Consultants PLLCWVCardiovascular Disease Physician$0$2.4M
    Rajiv KhannaWVMedical Oncology Physician$2M$0
    Charleston Area Medical Center, Inc.WVHospitalist Physician$0$1.4M
    Mayez El-harakeWVMedical Oncology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wv Birth To ThreeWVEarly Intervention Provider Agency$0$59.9M
    Children's Home Society Of West VirginiaWVEmotionally Disturbed Childrens' Residential Treatment Facility$0$44.1M
    Kanawha County Emergency Ambulance AuthorityWVLand Ambulance$2.3M$31.9M
    Maxim Healthcare Services, Inc.WVHome Health Agency$0$19.9M
    All-aid Services, Inc.WVHome Health Agency$0$16.3M
    The Arc Of The Three Rivers, Inc.WVCase Management Agency$0$15.6M
    Retina Consultants, PLLCWVRetina Specialist (Ophthalmology) Physician$0$13.6M
    Dolan & Kalaskey LtdWVOrthodontics and Dentofacial Orthopedics Dentistry$0$8.3M
    Mindoula Health Inc.WVMental Health Clinic/Center (Including Community Mental Health Center)$0$6.7M
    Kanawha Valley Center IncWVMental Health Clinic/Center (Including Community Mental Health Center)$0$6M

    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
    Bassam Moushmoush — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia