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    OpenPayerNPI Medicare & MedicaidKhaled Rabadi
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    Khaled Rabadi — Billing Profile & Reimbursement Data

    NPI 1639180425 · Grand Forks, ND · Internal Medicine Physician

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    Khaled Rabadi is a internal medicine physician provider located in Grand Forks, North Dakota. This profile covers 70 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
    OrganizationKhaled Rabadi
    Address1451 44th Ave S
    CityGrand Forks
    StateND
    ZIP58201
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 10, 2006

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

    Payer SourceTotal Paid
    Medicare$472.7K
    Medicaid$0

    Key Findings

    This provider reports Total Medicare revenue of $472.7K and has no Medicaid billing on file, making its payer footprint effectively single‑payer Medicare for the periods represented. The absence of any Medicaid codes means analysts should treat Medicaid as not contributing to current revenue or service mix for benchmarking and contracting decisions.

    Revenue is highly concentrated: the precomputed top 3 Medicare codes (99215, 99214, 90960) account for 66.5% of the provider's Medicare revenue. Those three codes individually generate $102.4K (99215), $90.9K (99214), and $88.8K (90960) — together they dominate the revenue profile and create exposure to changes in outpatient E/M or ESRD payment and referral patterns.

    The code mix and top revenue drivers indicate an internal medicine practice with a strong emphasis on high‑complexity outpatient E/M visits and active management of end‑stage renal disease (ESRD) patients. High volumes of 99215 (819 claims) and 99214 (1K claims) together with 90960 (335 claims) suggest routine provision or co‑management of monthly dialysis/ESRD visits alongside complex chronic disease management.

    Competitive standing on national benchmarks is mixed by service line: for high‑complexity office visits the provider is a national outlier — 99215 ranks #493 of 145531 (100th percentile; extreme outlier) and 99214 ranks #10247 of 479517 (98th percentile; notably above typical national volume). By contrast, ESRD management via 90960 ranks #752 of 6549 (88th percentile; typical, unremarkable volume), indicating very strong E/M volume but more typical relative activity in dialysis management.

    Operational implications of the ESRD volume: 90960 (335 claims, $88.8K) is billed for monthly face‑to‑face management of ESRD patients requiring four or more encounters per month, which implies regular recurring visits, coordination with dialysis facilities, and schedule capacity to support frequent monthly contact. This pattern supports a workflow and referral network oriented around recurrent chronic care rather than episodic specialty procedures.

    Practice ancillary and diagnostic activity supports chronic disease management and cardiometabolic monitoring: high claim counts and above‑typical national ranks appear for routine labs and specimen collection (80053: 1.1K claims, $11K, 95th percentile; 36415: 1.3K claims, $10.3K, 98th percentile) and for natriuretic peptide testing (83880: 376 claims, $14.3K, 89th percentile), consistent with frequent outpatient monitoring of heart failure and chronic conditions.

    Tenure is long: the provider's NPI was enumerated 2006-08-10 (~20 years ago), indicating an established practice presence in the market. That longevity, combined with concentrated high‑complexity E/M volume, suggests sustained referral patterns and an entrenched patient panel that generates the observed Medicare activity.

    Concentration and diversification risk should be noted: with no Medicaid revenue and 66.5% of Medicare dollars tied to three codes (99215, 99214, 90960), the provider's revenue profile is vulnerable to shifts in outpatient E/M coding patterns, ESRD referral volumes, or Medicare payment policy targeted at those specific services. For payer contracting or network planning, consider the provider as a high‑volume E/M clinic with important but secondary ESRD responsibilities rather than as a broadly diversified multispecialty revenue source.

    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.

    70 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…820$130$102.4K
    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…1,050$90$90.9K
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…340$270$88.8K
    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…270$60$16.7K
    83880The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…380$40$14.3K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1,100$10$11K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,290$10$10.3K
    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…60$150$9.4K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…80$100$7.4K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…930$10$7.4K

    Showing 1–10 of 70

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 70 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    70 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90960310210$270$57.3K
    8230651050$30$27.1K
    770674170360$50$23.5K
    933063960180$50$19K
    9096241030$150$15.4K
    770634160340$30$13.1K
    99214141,47090$60$10.4K
    741776670110$70$9.7K
    8448142080$20$9.6K
    8260762020$10$9K

    Showing 1–10 of 70

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Duluth Clinic, LtdMNMulti-Specialty Clinic/Center$0$51.7M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Innovis Health, LLCNDGeneral Acute Care Hospital$0$25.5M
    St Mary's Regional Health CenterMNRural Health Clinic/Center$0$21.5M
    St. Marys Regional Health CenterMNRural Acute Care Hospital$0$18.7M
    Essentia Health Virginia, LLCMNGeneral Acute Care Hospital$0$12.9M
    St Mary's Regional Health CenterMNFamily Medicine Physician$0$6.8M
    Innovis Health LLCNDFamily Medicine Physician$0$5.1M
    Avera St MarysSDMulti-Specialty Clinic/Center$0$4.6M
    Deer River Healthcare Center, Inc.MNCritical Access Hospital$0$4.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Development Homes IncNDCommunity/Behavioral Health Agency$0$53.9M
    Altru Health SystemNDClinic/Center$0$29.7M
    Altru Health SystemNDGeneral Acute Care Hospital$0$18.7M
    L.i.s.t.e.n. IncNDCommunity/Behavioral Health Agency$0$9.4M
    Peterson Medical Clinics, LLCNDMulti-Specialty Clinic/Center$0$8.8M
    Edgewood Sartell LLCNDAssisted Living Facility$0$7.1M
    Northeast Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$6.7M
    Spectra HealthNDFederally Qualified Health Center (FQHC)$0$5.5M
    Little Miracles, Inc.NDMulti-Specialty Clinic/Center$0$5.5M
    Anil PottiNDHematology & Oncology Physician$4.9M$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.

    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. North Dakota Distribution
    Khaled Rabadi — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota