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 Delaware for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Delaware 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. Delaware (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.

Afshin Khams (NPI 1669440194)

Field	Value
Entity Type	Individual
Organization	Afshin Khams
Address	424 Savannah Rd
City	Lewes
State	DE
ZIP	19958
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 10, 2006

Payer Source	Total Paid
Medicare	$109.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99222	The 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…	560	$100	$56.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	330	$130	$43.5K
99235	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	60	$120	$7.5K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	40	$70	$2.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Afshin Khams — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99223	14	500	50	$130	$10.4K
99222	3	600	40	$100	$5.6K
99235	1	10	10	$120	$2.5K
99221	54	160	20	$60	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beebe Physician Network Inc.	DE	Internal Medicine Physician	$0	$19.7M
Union Hospital Of Cecil County	MD	Internal Medicine Physician	$0	$4.9M
Union Hospital Of Cecil County	MD	General Acute Care Hospital	$182.5K	$1.7M
Rajinder Prasad	DE	Cardiovascular Disease Physician	$1.1M	$0
Ehtasham Qureshi	DE	Cardiovascular Disease Physician	$975.7K	$0
Mouhanad Freih	DE	Cardiovascular Disease Physician	$796K	$0
Georges Dahr	DE	Cardiovascular Disease Physician	$763.7K	$0
Wasif Qureshi	DE	Cardiovascular Disease Physician	$683.6K	$0
Mohammad Khan	DE	Pediatrics Physician	$0	$669.4K
Gene Myers	DE	Cardiovascular Disease Physician	$650.7K	$0

Afshin Khams — Billing Profile & Reimbursement Data

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Afshin Khams — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References