Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarwan Mustaklem
    Ask Trek AI about this page

    Marwan Mustaklem — Billing Profile & Reimbursement Data

    NPI 1750357513 · Fishers, IN · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Marwan Mustaklem — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Marwan Mustaklem is a internal medicine physician provider located in Fishers, Indiana. This profile covers 12 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMarwan Mustaklem
    Address8500 E 116th St Unit 575
    CityFishers
    StateIN
    ZIP46038
    TaxonomyInternal Medicine Physician
    NPI EnumeratedFebruary 23, 2006

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

    Payer SourceTotal Paid
    Medicare$480.3K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…4,160$50$207.8K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…900$90$84.7K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…1,470$40$54.3K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…900$60$50.2K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…550$80$40.9K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…800$30$20.8K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…100$100$10.7K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…80$90$7K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…10$140$1.9K
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…10$80$1.1K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309227730280$70$35K
    99487303040$90$18.5K
    993081690160$50$17.2K
    9934921842090$80$13.6K
    9935016818050$110$11.2K
    994908510120$40$10.4K
    99305228060$90$8.5K
    9934832735060$50$4.7K
    99439929060$30$4.6K
    99497147040$60$4.5K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Vincent Anderson Regional Hospital, Inc.INGeneral Acute Care Hospital$0$23.7M
    St Vincent Pediatric SubspecialtiesINPediatrics Physician$0$20.8M
    St Vincent Physician Services Hospital And Health Care CenterINFamily Medicine Physician$0$14M
    Saint Vincent Physician Services, Inc.MAFamily Medicine Physician$0$6.1M
    Hancock Physician Network, LLCINFamily Medicine Physician$0$4.6M
    St. Vincent Anderson Regional Hospital, Inc.INPsychiatry Physician$0$3.5M
    St. Vincent Williamsport HospitalINCritical Access Hospital$0$2.7M
    St. Vincent Hospital & Health Care Center, Inc.INPsychiatry Physician$0$2.5M
    Ryan PickellINInternal Medicine Physician$1.1M$0
    Crystal WilesINFamily Nurse Practitioner$991.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Indiana Oral & Maxillofacial Surgery Associates PCINOral and Maxillofacial Surgery (Dentist)$0$12.9M
    Fishers Pediatric DentistryINPediatric Dentistry$0$12.5M
    Aba Grateful Care InINBehavior Analyst$0$2.7M
    City Of FishersINAmbulance$454.4K$1M
    Erik BarrettINOphthalmology Physician$388.4K$0
    Randall FraniakINPain Medicine (Anesthesiology) Physician$263.5K$0
    Meredith LanghorstINPain Medicine Physician$95.9K$0
    Margaret BlackINClinical Social Worker$64K$0
    Erica FiskINOrthopaedic Foot and Ankle Surgery Physician$57.5K$0
    Katherine BrandoliniINPhysical Therapist$39.6K$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. Indiana Distribution
    Marwan Mustaklem — 6 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana