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    OpenPayerNPI Medicare & MedicaidKhaleel Ashraf
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    Khaleel Ashraf — Billing Profile & Reimbursement Data

    NPI 1760437925 · Birmingham, AL · Hematology & Oncology Physician

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    Khaleel Ashraf is a hematology & oncology physician provider located in Birmingham, Alabama. This profile covers 32 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
    OrganizationKhaleel Ashraf
    Address513 Brookwood Blvd Ste 275
    CityBirmingham
    StateAL
    ZIP35209
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMay 24, 2006

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

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$0

    Key Findings

    Revenue concentration is extremely high: the precomputed top 3 Medicare codes account for 81.9% of this provider's total Medicare revenue, driven by J9271 ($434.6K, 32.1% of Medicare revenue), J1568 ($399.6K, 29.5%), and J1569 ($274.3K, 20.3%). These three codes together dominate the $1.4M in Medicare revenue reported for this provider, indicating that a small set of high-cost infusible products are the primary revenue drivers.

    The code mix points to an infusion-focused hematology/oncology practice that provides both oncology immunotherapy and high-volume immune globulin treatments: J9271 is pembrolizumab (an oncology immunotherapy) with 10.6K claims, while J1568 (12.1K claims) and J1569 (7.6K claims) are immune globulin products used for IVIG infusions. Presence of chemotherapy/infusion codes such as 96413, 96365 and add-on infusion codes confirms on-site administration capability and routine delivery of infusible specialty drugs.

    This provider is effectively single-payer in the dataset: total Medicare revenue is $1.4M and there is no Medicaid billing on file, so Medicaid contributes $none to reported revenue. That concentration in Medicare makes the provider highly exposed to Medicare reimbursement policy and utilization changes, and it suggests limited engagement with Medicaid patient populations or contracts.

    Competitive standing varies by product: for the high-revenue IVIG product J1568 the provider ranks #22 of 381 nationally (94th percentile) which places them among the higher-volume national reporters for that product, while J1569 ranks #88 of 542 (84th percentile) indicating a strong but not leading position. By contrast, pembrolizumab (J9271) is at #1102 of 1841 (39th percentile), a more modest national position for that oncology drug despite its being the single largest revenue line item. Note that these rank descriptors are characterized in the source as typical or unremarkable for many codes even at high percentiles.

    Operational intensity is supported by high-volume administration and support codes: infusion-related administration codes such as 96366 show 611 claims and are labeled "notably above typical national volume" (rank #122 of 2976, 96th percentile), while 96375 (764 claims, 95th percentile) and 96365 (362 claims, 92nd percentile) are also elevated. High volumes of lab/venipuncture codes (85025 with 1.1K claims at the 94th percentile and 36415 with 873 claims at the 96th percentile) further indicate on-site phlebotomy and laboratory work consistent with an infusion clinic workflow.

    Face-to-face evaluation and management visits generate only a small share of Medicare revenue relative to drug/infusion lines: 99214 appears with 593 claims and $50.4K (3.7% of Medicare revenue) and 99215 has 107 claims and $12.9K (1.0%), showing that E/M services are a secondary revenue component compared with infusible drug administration. This mix suggests referrals and visit activity are driven primarily by infusion episodes rather than high-volume office-based management visits.

    Provider tenure is long: the NPI was enumerated on 2006-05-24 (~20 years ago), which indicates an established presence in the market and potential continuity of referral relationships needed to sustain high-volume IV infusion services. Longevity combined with concentrated drug revenue suggests a stable operational model focused on specialty infusions.

    Concentration risk is notable from a strategic perspective because a few high-cost drugs dominate receipts: the practice’s financial performance depends heavily on continued utilization and reimbursement for pembrolizumab and the two IVIG products (J9271, J1568, J1569). Any shifts in payer coverage, drug supply, or referral patterns for these specific agents could materially affect this provider’s Medicare revenue given the heavy dependence on those lines.

    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg10,600$40$434.6K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg12,110$30$399.6K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg7,620$40$274.3K
    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…590$90$50.4K
    J1437Injection, ferric derisomaltose, 10 mg2,400$20$38.4K
    J0897Injection, denosumab, 1 mg1,800$20$32.4K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units3,660$10$22K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.360$50$16.3K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…150$90$13.1K
    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…110$120$12.9K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271253019,900$40$827.2K
    J15688305,180$30$316.2K
    J15692105,120$40$179.3K
    J08971402003,120$20$97.7K
    J143726403,000$20$59.1K
    J08852103,660$10$32.3K
    9641378150150$90$20.2K
    992145977,330120$80$16.8K
    992331,3901,86080$90$13.4K
    992321,9082,530100$60$13.3K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sylacauga Health Care Authority IncALRural Acute Care Hospital$0$4.2M
    Elquis CastilloALMedical Oncology Physician$2.5M$0
    Allen YeildingALHematology & Oncology Physician$980.4K$0
    Michael GibsonALInterventional Pain Medicine Physician$359.2K$0
    Song YuALFamily Medicine Physician$314.9K$590
    David MooneyALHematology & Oncology Physician$303.4K$0
    Nitin ChhabraGAPain Medicine (Anesthesiology) Physician$276.7K$0
    Alejandro GarciaALHematology & Oncology Physician$230.4K$0
    Shawnta AnakwahALHematology & Oncology Physician$213K$0
    Jonathan BridgesALHematology & Oncology Physician$204.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Core Diagnostic Laboratories LLCALClinical Medical Laboratory$1.3M$44.2M
    Lab Works, LLCALClinical Medical Laboratory$738.4K$41.6M
    Valentines Home Care, Inc.ALDurable Medical Equipment & Medical Supplies$0$13.6M
    Devansh Lab Werks,incALClinical Medical Laboratory$1.9M$5.9M
    Grayson And Associates PCALPsychiatry Physician$0$5M
    Affinity Acquisitions, LLCALCommunity Based Hospice Care Agency$0$4.8M
    Metro Pediatrics PCALSpecialist$0$4.5M
    Birmingham Radiological Group PCALDiagnostic Radiology Physician$0$3.5M
    Proteus Molecular And Clinical Lab LLCALClinical Medical Laboratory$236.9K$3.2M
    Greg EudyALRheumatology Physician$3.3M$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. Alabama Distribution
    Khaleel Ashraf — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama