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

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

Magdi Hanafi (NPI 1699758672)

Field	Value
Entity Type	Individual
Organization	Magdi Hanafi
Address	5673 Peachtree Dunwoody Rd Ne
City	Atlanta
State	GA
ZIP	30342
Taxonomy	Specialist
NPI Enumerated	November 23, 2005

Payer Source	Total Paid
Medicare	$2.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The 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…	10	$100	$1.4K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	10	$40	$560
83986	The analyst performs the technical lab test to measure the pH, meaning the acidity or alkalinity, of a body fluid not represented by another code. The analyst may use methods such as a pH meter,…	20	$1	$70
82947	The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.	10	$1	$50
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	20	$1	$50
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	20	$1	$30
J0696	Injection, ceftriaxone sodium, per 250 mg	20	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Magdi Hanafi — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	2,850	3,270	30	$120	$7.7K
Q0091	204	250	20	$40	$1.5K
82947	132	140	50	$1	$500
85018	109	130	30	$1	$230
81002	1,009	1,300	30	$1	$220
83986	7	10	30	$1	$200
J0696	617	640	80	$1	$70

Magdi Hanafi — Billing Profile & Reimbursement Data

Sign up for Magdi Hanafi — Billing Profile & Reimbursement Data policy alerts

Magdi Hanafi — Billing Profile & Reimbursement Data

Sign up for Magdi Hanafi — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References