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    OpenPayerNPI Medicare & MedicaidAhmad Abu-ghaida
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    Ahmad Abu-ghaida — Billing Profile & Reimbursement Data

    NPI 1659320257 · Baltimore, MD · Vascular Surgery Physician

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    Ahmad Abu-ghaida is a vascular surgery physician provider located in Baltimore, Maryland. This profile covers 47 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
    OrganizationAhmad Abu-ghaida
    Address5233 King Ave
    CityBaltimore
    StateMD
    ZIP21237
    TaxonomyVascular Surgery Physician
    NPI EnumeratedMay 9, 2006

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

    Payer SourceTotal Paid
    Medicare$3.6M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the dataset: Total Medicare revenue: $3.6M and Total Medicaid revenue: none (no Medicaid billing on file). The absence of Medicaid billing on file indicates virtually all reported public-payer revenue is Medicare-based, concentrating payer exposure on Medicare reimbursement dynamics. NPI enumerated 2006-05-09 (~20 years ago) — showing long tenure and an established billing history with Medicare.

    Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 55.1% of this provider's total Medicare revenue. Those top codes are 37229 ($775.2K revenue, 22.2% of this provider's total Medicare revenue), 37227 ($613.9K revenue, 17.6% of this provider's total Medicare revenue), and 37225 ($532.5K revenue, 15.3% of this provider's total Medicare revenue), indicating more than half of Medicare dollars come from a small set of endovascular CPTs.

    The code mix indicates a vascular surgery practice with a strong procedural focus on endovascular peripheral interventions and stent/angioplasty work: high-revenue procedural codes 37229, 37227, and 37225 dominate the revenue profile. Complementing those are multiple angiography and intravascular imaging/intervention codes (for example 37252 at $95.6K and 37226 at $232K), which together point to a practice model that combines high-cost interventional procedures with periprocedural imaging and device use.

    This provider reports unusually high volume in noninvasive vascular diagnostics, suggesting an integrated diagnostic pipeline supporting the interventional practice: 93925 shows 1.3K claims and $253.6K revenue (7.3% of this provider's total Medicare revenue) and is labeled an extreme outlier, far above typical national volume for this code; 93880 shows 1K claims and $141.5K revenue (4.1%) and is also an extreme outlier; 93922 shows 1.3K claims and $71K revenue (2.0%) and is an extreme outlier as well. High duplex/physiology volumes likely reflect either a centralized vascular lab or a referral capture model that feeds procedural work.

    Competitive standing varies by code: for the three top revenue drivers the provider ranks in the upper national tiers but not necessarily as the dominant national leader — 37229 ranks #58 of 603 providers (90th percentile; typical, unremarkable volume for this code), 37227 ranks #25 of 363 providers (93th percentile; typical, unremarkable volume for this code), and 37225 ranks #51 of 715 providers (93th percentile; typical, unremarkable volume for this code). Conversely, several diagnostic and select procedure codes show market-leading intensity: 93925 ranks #13 of 10098 (100th percentile; extreme outlier, far above typical national volume for this code) and 93880 ranks #29 of 21316 (100th percentile; extreme outlier, far above typical national volume for this code), indicating the provider is a national outlier on diagnostic throughput while being a strong but not singular leader on higher-revenue interventional CPTs.

    Dialysis-access and circuit intervention codes are present and meaningful to the mix: 36903 ($100.8K revenue, 28 claims) and related codes 36906 and 36902 appear in the top codes, which aligns with reported angiographic and stent activity around dialysis circuits. The presence of these codes suggests the practice performs maintenance and interventional work for dialysis access in addition to peripheral arterial interventions, diversifying procedural types within the vascular space.

    The practice shows substantial office-based and outpatient follow-up volume alongside procedures: 99213 lists 891 claims and $59.7K revenue (1.7% of total Medicare revenue) and ranks as an extreme outlier, far above typical national volume for this code, while 99204 lists 211 claims and $27.9K revenue (0.8%) and is also an extreme outlier. This combination of high E/M throughput and procedural volume implies significant patient follow-up and referral management capacity, reinforcing a high-touch outpatient model that supports the interventional caseload.

    Concentration and payer mix create both operational strengths and potential risks: with Top 3 codes accounting for 55.1% of Medicare revenue and no Medicaid billing on file, the provider captures concentrated revenue from a narrow set of high-cost vascular procedures and relies heavily on Medicare volume. That concentration is an operational strength if referral and diagnostic pipelines remain stable (supported by extreme outlier diagnostic volumes), but it also represents exposure to shifts in Medicare payment policy or referral patterns given the lack of Medicaid diversification.

    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.

    47 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37229N/A100$7,450$775.2K
    37227N/A70$9,440$613.9K
    37225N/A80$6,570$532.5K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…1,310$190$253.6K
    37226N/A40$5,950$232K
    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…1,010$140$141.5K
    37228N/A50$2,460$117.9K
    36903The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…30$3,600$100.8K
    37252In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…120$820$95.6K
    36906Under fluoroscopic guidance (live X–rays which can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special…20$4,740$75.8K

    Showing 1–10 of 47

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    47 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3722943030$7,390$480.1K
    3722723020$9,310$298K
    3722543030$5,210$291.8K
    3690621010$5,060$101.3K
    3690331020$2,950$73.7K
    36902175030$900$64.1K
    3725294060$760$60.2K
    3722611020$2,570$48.9K
    3722812020$1,610$32.1K
    3722111020$1,520$27.3K

    Showing 1–10 of 47

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ahmad Abu-ghaida, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medstar Franklin Square Physicians LLCMDGeneral Practice Physician$0$15.8M
    Huzefa BahrainMDHematology & Oncology Physician$2.1M$0
    Kapil SimloteMDVascular Surgery Physician$1.2M$0
    Sajid ShahTXVascular Surgery Physician$1M$0
    Suresh MalikMDInternal Medicine Physician$497K$0
    Hassan KassamaliMDSpecialist$432.3K$0
    Amit KalraNJCardiovascular Disease Physician$426.5K$0
    Glenn MeiningerMDClinical Cardiac Electrophysiology Physician$331.2K$0
    David LumsdenMDOrthopaedic Surgery Physician$293.7K$0
    Tamara AshvetiyaMDCardiovascular Disease Physician$293.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Ahmad Abu-ghaida, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riverside Treatment Services LLCMDMethadone Clinic$1M$56.3M
    Thrive Behavioral Health, LLCMDCommunity/Behavioral Health Agency$0$51.8M
    Medstar Health Visiting Nurse Association, Inc.MDHome Health Agency$0$26.2M
    Amedisys Hospice, LLCMDCommunity Based Hospice Care Agency$0$15.6M
    Mosaic Community Services, Inc.MDComprehensive Outpatient Rehabilitation Facility (CORF)$0$13.9M
    Advance Adult Day Care L.L.C.MDAdult Day Care Clinic/Center$0$7.9M
    Franklin Square Hospital Center, IncMDGeneral Acute Care Hospital$0$7.2M
    Medstar Medical Group IiMDPsychiatry Physician$0$6.4M
    Edwin F. Aguilar, M.d., P.C.MDPediatrics Physician$0$5.6M
    Procare Ambulance Of Maryland IncMDLand Ambulance$3.8M$1.4M

    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. Maryland Distribution
    Ahmad Abu-ghaida — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland