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    OpenPayerNPI Medicare & MedicaidRashid Khan
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    Rashid Khan — Billing Profile & Reimbursement Data

    NPI 1649446444 · Mishawaka, IN · Medical Oncology Physician

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    Rashid Khan is a medical oncology physician provider located in Mishawaka, Indiana. This profile covers 54 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
    OrganizationRashid Khan
    Address5340 Holy Cross Pkwy
    CityMishawaka
    StateIN
    ZIP46545
    TaxonomyMedical Oncology Physician
    NPI EnumeratedMay 1, 2008

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the clear revenue center: lifetime Medicare revenue is $1.5M while there is no Medicaid billing on file, making the practice effectively single‑payer (Medicare) in the claims data available. The absence of any Medicaid activity suggests payer-mix exposure is concentrated and that Medicaid-related contract or service lines are not present in this record.

    Revenue is highly concentrated in a few drug and clinic visit codes: the precomputed top‑3 codes account for 69.9% of total Medicare revenue, led by J9271 at $791.2K (53.2%), followed by J0897 at $156.6K (10.5%), and 99214 at $92.6K (6.2%). This concentration indicates that a small set of high-cost drug administrations and associated E/M visits drive the majority of receipted Medicare dollars for this NPI.

    The code mix indicates an oncology infusion–centric operation with a strong emphasis on immunotherapy and supportive biologics. J9271 (pembrolizumab) is the dominant revenue generator, and J0897 (denosumab) appears as the second‑largest drug line; chemotherapy administration codes such as 96413 ($40.1K, 2.7%) and infusion add‑ons like 96417 ($4.6K, 0.3%) further support an infusion/oncology practice model rather than a purely office‑visit clinic.

    Competitive standing by code is mixed: J9271 ranks #485 of 1841 (73th percentile) and is characterized as "typical, unremarkable volume for this code," so the provider participates at a mid‑level nationally for pembrolizumab. J0897 ranks #1401 of 10057 (86th percentile) and is also labeled "typical, unremarkable volume for this code," indicating solid but not dominant denosumab activity; by contrast, 99214 ranks #10384 of 479517 (98th percentile) and is labeled "notably above typical national volume for this code," signaling unusually high E/M visit volume relative to national peers.

    Operational throughput appears significant for infusion workflow: 96375 (907 claims, $10 avg, $10K revenue) ranks #202 of 5191 (96th percentile) and is labeled "notably above typical national volume for this code," which—together with high counts for 96365 and 96372—indicates frequent IV push and infusion procedures and supports the need for robust infusion staffing and supply capacity. Multiple administration codes appearing in the top lines point to a practice oriented around repeated drug administrations rather than episodic consults alone.

    Imaging and diagnostic support are a meaningful portion of revenue but secondary to drug administration: 78815 (PET/CT) generated $87.6K (5.9%) and ranks in the midrange nationally (59th percentile, "typical, unremarkable volume for this code"), while CT abdomen/pelvis 74177 contributed $17.9K (1.2%). This pattern suggests integrated use of advanced imaging to guide oncology care rather than imaging as a primary revenue driver.

    Tenure and stability in the market are evident: the NPI was enumerated on 2008-05-01 (~18 years ago), indicating a long-established billing presence under this provider identifier. Combined with concentrated Medicare revenue and repeated high-frequency administration codes, the record is consistent with a stable oncology clinician operating an infusion-focused service line.

    Several codes show above‑peer percentiles for supportive and infusion activity even when labeled "typical" for volume, and a few (notably 96375 and 99214) are explicitly flagged as "notably above typical national volume for this code." These mixed signals—very high E/M and infusion administration percentiles alongside drug volumes that are mid‑range nationally—suggest the provider has higher encounter and infusion throughput relative to many peers while drug utilization patterns are within more common national ranges.

    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.

    54 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg18,400$40$791.2K
    J0897Injection, denosumab, 1 mg8,700$20$156.6K
    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…1,040$90$92.6K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…80$1,150$87.6K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)33,900$1$67.8K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg2,070$30$66.2K
    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…430$90$40.1K
    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…500$60$28.8K
    Q5108Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg280$90$25.7K
    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…180$110$20.3K

    Showing 1–10 of 54

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 54 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    54 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927162011,200$40$631.7K
    J15683102,690$30$97.5K
    J0897252202,730$20$74.9K
    J088121020,080$1$47.4K
    788155114060$300$26.6K
    Q5108310310$80$24.6K
    J92176090150$130$23K
    9641312120140$90$19.1K
    9921413710,540110$80$15.5K
    J3490154050$180$12.8K

    Showing 1–10 of 54

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Woodlawn HospitalINCritical Access Hospital$0$5.3M
    Michiana Hematology-oncology P CINMedical Oncology Physician$0$3M
    Mohamed FarhatINMedical Oncology Physician$2.2M$0
    Eduardo BraunINMedical Oncology Physician$1.8M$0
    Bilal AnsariINMedical Oncology Physician$1.7M$0
    Brion ShinTNRadiation Oncology Physician$1.5M$0
    Binh TranINRadiation Oncology Physician$1M$0
    Sayuri CheruvuINMedical Oncology Physician$934.1K$0
    Muhammad HussainINMedical Oncology Physician$932.8K$0
    Jose BufillINMedical Oncology Physician$765.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Joseph Regional Medical Center-south Bend Campus, Inc.INGeneral Acute Care Hospital$0$18.7M
    Toxusa Labs LLCINClinical Medical Laboratory$1.3M$9.6M
    Pic Indiana PCINUrgent Care Clinic/Center$0$10.7M
    Radiology, IncINDiagnostic Radiology Physician$0$6.8M
    Miracle Lane Family Dentistry P.C.INDental Clinic/Center$0$5.1M
    Michiana Eye Center LLCINOphthalmology Physician$0$5M
    Saint Joseph Regional Medical Center-south Bend Campus, Inc.INFamily Medicine Physician$0$4.8M
    Northern Indiana Interim Healthcare Company LLCINHome Health Agency$0$4.5M
    Del Pilar Medical & Urgent Care PCINGeriatric Medicine (Family Medicine) Physician$0$3.6M
    Linda MonroeINClinical Psychologist$15.4K$2.9M

    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. Indiana Distribution
    Rashid Khan — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana