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

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

Samer Elfallal (NPI 1700047412)

Field	Value
Entity Type	Individual
Organization	Samer Elfallal
Address	2255 E Mossy Oaks Rd Ste 500
City	Spring
State	TX
ZIP	77389
Taxonomy	Neurological Surgery Physician
NPI Enumerated	June 24, 2008

Payer Source	Total Paid
Medicare	$50K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
22614	The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…	60	$300	$17.6K
22610	The provider performs arthrodesis, also known as spinal fusion, in the thoracic spine (upper back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…	10	$840	$9.2K
22842	The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…	10	$600	$7.2K
22840	The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.	10	$590	$7.1K
22513	The provider performs a percutaneous vertebral augmentation of the thoracic spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a…	10	$360	$4.4K
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…	20	$90	$1.6K
99203	The provider sees a new 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 provider…	10	$90	$1.2K
99213	The 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…	20	$70	$1.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$30	$520

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Samer Elfallal — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
22513	18	20	10	$1,120	$18K
22614	73	210	40	$210	$12.4K
99213	26,937	29,790	70	$60	$8.4K
22842	142	190	20	$410	$8.3K
22610	4	10	10	$660	$7.9K
22840	103	150	10	$410	$7.4K
99222	5,628	7,910	30	$100	$4.9K
99203	9,406	10,820	30	$70	$3.4K
99212	4,033	5,510	30	$40	$2.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Texas Home & Community Services, Inc.	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20.4M
Integrated Community Services, Inc.	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20.3M
Lisa Campbell	TX	Family Nurse Practitioner	$1.9M	$0
Adeel Shahid	TX	Vascular & Interventional Radiology Physician	$95.2K	$0
Patrick Einstein Garcia	TX	Pain Medicine (Anesthesiology) Physician	$80.3K	$0
Victoria Vanis	TX	Family Nurse Practitioner	$77.6K	$0
Luke Carroll	TX	Anesthesiology Physician	$22.5K	$0

Samer Elfallal — Billing Profile & Reimbursement Data

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Samer Elfallal — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References