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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJan Tawakol
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    Jan Tawakol — Billing Profile & Reimbursement Data

    NPI 1750375671 · Christiansted, VI · Nephrology Physician

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    Jan Tawakol is a nephrology physician provider located in Christiansted, U.S. Virgin Islands. This profile covers 27 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
    OrganizationJan Tawakol
    Address3004 Orange Grove
    CityChristiansted
    StateVI
    ZIP00820
    TaxonomyNephrology Physician
    NPI EnumeratedSeptember 7, 2005

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

    Payer SourceTotal Paid
    Medicare$212.1K
    Medicaid$0

    Key Findings

    This provider’s billing footprint is effectively single-payer Medicare: total Medicare revenue is $212.1K and there is no Medicaid billing on file. The record shows an NPI enumeration date of 2005-09-07 (~21 years ago), indicating long-standing enrollment in Medicare but minimal or no participation in state Medicaid programs.

    Revenue concentration is meaningful at the code level: the precomputed top-3 Medicare codes account for 38.4% of total Medicare revenue, driven by 99215 ($36.5K), 91322 ($27.9K), and 99214 ($17K). This concentration shows that a few high-volume office E/M and vaccine codes make up a large share of the provider’s Medicare receipts.

    The code mix indicates a hybrid practice model combining office-based nephrology E/M visits with preventive services and remote chronic-care management. High-revenue E/M codes (99215, 99214, 99213, 99211) dominate professional billing, while sizable activity in remote monitoring and chronic care codes (99490, 99457, 99458, 99454) and annual wellness visits (G0438, G0439) suggests an operational emphasis on longitudinal management and telemonitoring of chronic conditions.

    On competitive standing, the provider is a strong national-level participant for some key codes: 99215 ranks #5494 of 145531 providers nationally (96th percentile; notably above typical national volume for this code) and G0438 ranks #581 of 17441 providers nationally (97th percentile; notably above typical national volume for this code). For many chronic-care and RPM codes the provider sits in the mid-to-upper range versus peers (for example, 99490 ranks in the 73th percentile and 99458 in the 76th percentile), indicating solid but not dominant positioning for remote-care services.

    Remote patient monitoring and chronic care management contribute material, recurring revenue and appear operationally significant: 99490 (314 claims, $13.5K, 6.4%), 99457 (323 claims, $11.6K, 5.5%), 99458 (376 claims, $11.3K, 5.3%), and 99454 (283 claims, $10.5K, 4.9%) together represent a set of services that support active longitudinal management. While each of these RPM/CCM codes is characterized as typical or unremarkable versus national peers (percentiles in the low-to-mid 70s), their aggregate presence signals an organized approach to remote monitoring and monthly care coordination.

    Preventive care and vaccinations are also notable revenue drivers: 91322 (COVID-19 vaccine) generates $27.9K (13.2% of Medicare revenue) and 90694 (influenza vaccine) generates $8.1K (3.8%). The provider’s vaccination activity ranks at typical-to-above-typical levels for these codes (91322 at the 86th percentile and 90694 at the 73th percentile), indicating immunization services are an important complement to office visits in the practice mix.

    There is modest procedural capability tied to dialysis access: 36902 appears with 32 claims and $5.9K (2.8% of Medicare revenue) and ranks #808 of 1666 providers nationally (50th percentile; typical, unremarkable volume for this code). This suggests occasional in-office or facility-based vascular interventions consistent with nephrology practice, but procedures are not the dominant source of revenue for this clinician.

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The 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…310$120$36.5K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.200$140$27.9K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…220$80$17K
    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…310$40$13.5K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit70$160$12K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…320$40$11.6K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…380$30$11.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit90$130$11.3K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.280$40$10.5K
    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…210$50$9.5K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3690211030$770$22.4K
    9921583060$120$19.8K
    992142280100$80$15.5K
    9132211090$140$14.1K
    99497110210$50$9.4K
    99458110350$30$8.4K
    G043952060$120$8.1K
    992132780100$50$7.6K
    99454110210$40$7K
    99457110150$40$5.8K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Governor Juan F. Luis Hospital & Medical CenterVIGeneral Acute Care Hospital$0$15.4M
    Governor Juan F. Luis Hospital & Medical CenterVIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3M
    Sherman WashingtonCAEmergency Medicine Physician$1.7M$0
    Jennifer RobertsILEmergency Medicine Physician$52.2K$692.5K
    Plessen Medical Group, LLCVIMulti-Specialty Clinic/Center$0$671K
    Kevin StewartVIOphthalmology Physician$469.5K$0
    Angel LakeVIInternal Medicine Physician$78.2K$249.8K
    Emmanuel GrahamVIUrology Physician$318.4K$0
    Ian Manuel CorpusMNFamily Medicine Physician$314.8K$0
    Eugene KimMNDiagnostic Radiology Physician$248.2K$16.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Croix Vision Center IncVIOptometrist$0$3.6M
    One Dental Practice LLCVIDentist$0$3.2M
    Js Therapies, LLCVIOccupational Therapist$0$2.9M
    Healthquest, LLC.VIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.4M
    Department Of Health, Ems StxVILand Ambulance$0$2.2M
    Lindsy Wagner LLCVIClinical Social Worker$0$2.2M
    Ophthalmology Consultants, PCVIOphthalmology Physician$0$2.1M
    Acute Alternative Medical GroupVIEmergency Medical Services (Emergency Medicine) Physician$0$1.9M
    Pediatric Care Center LLCVIPediatrics Physician$0$1.7M
    Island Dental Specialties Dba ToothworksVIEndodontics$0$1.5M

    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. U.S. Virgin Islands Distribution
    Jan Tawakol — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands