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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRizwan Kibria
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    Rizwan Kibria — Billing Profile & Reimbursement Data

    NPI 1730292319 · Dayton, OH · Gastroenterology Physician

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    Rizwan Kibria is a gastroenterology physician provider located in Dayton, Ohio. This profile covers 16 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
    OrganizationRizwan Kibria
    Address75 Sylvania Dr
    CityDayton
    StateOH
    ZIP45440
    TaxonomyGastroenterology Physician
    NPI EnumeratedAugust 16, 2006

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

    Payer SourceTotal Paid
    Medicare$120.3K
    Medicaid$0

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…520$60$30.6K
    99222The 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…310$100$30K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…30$310$10.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.130$80$9.8K
    99223The 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…60$130$7.9K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…60$110$6.7K
    43275Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…20$230$4.4K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.40$90$3.8K
    43255An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding.20$150$3.1K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…40$70$2.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538019367040$160$9K
    432399167050$110$8.8K
    992324078,05070$60$8.7K
    992231,7495,59040$130$7.6K
    4327454020$320$7.1K
    43248589020$170$6K
    4537828134020$170$4.5K
    4327521020$250$4.2K
    99222295,48030$100$4.2K
    43259222020$180$4K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Reid Physician Associates, Inc.INInternal Medicine Physician$11.9K$66.4M
    University Of Cincinnati Physicians Company, LLCOHFamily Medicine Physician$0$65.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Adena Medical Group LLCOHFamily Medicine Physician$0$39.9M
    Pediatric Academic Association, Inc.OHPediatrics Physician$0$37.2M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    West Chester Hospital LLCOHGeneral Acute Care Hospital$0$19.5M
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Kettering Independent Medical Group IncOHOrthopaedic Surgery Physician$0$8.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reliable Home Health Care LLCOHHome Health Agency$0$8.4M
    Bruce BuerkOHRetina Specialist (Ophthalmology) Physician$3.4M$0
    Dayton Eye Surgery Center L L COHAmbulatory Surgical Clinic/Center$1.6M$656.4K
    Scott SchoenbergerOHRetina Specialist (Ophthalmology) Physician$2.1M$0
    Martin WilkesOHRetina Specialist (Ophthalmology) Physician$2.1M$0
    Digestivecare, LLCOHAmbulatory Surgical Clinic/Center$877K$1.1M
    Endoscopy Center Of Dayton LtdOHAmbulatory Surgical Clinic/Center$447.5K$222.8K
    Eye Laser And Surgery Center LLCOHAmbulatory Surgical Clinic/Center$664.8K$0
    Bal SrivastavaOHCardiovascular Disease Physician$384.6K$0
    Syed HasanOHSpecialist$306.4K$0

    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. Ohio Distribution
    Rizwan Kibria — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio