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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNouman Asif
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    Nouman Asif — Billing Profile & Reimbursement Data

    NPI 1790947174 · Rehoboth Beach, DE · Hematology & Oncology Physician

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    Nouman Asif is a hematology & oncology physician provider located in Rehoboth Beach, Delaware. This profile covers 68 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
    OrganizationNouman Asif
    Address18947 John J Williams Hwy
    CityRehoboth Beach
    StateDE
    ZIP19971
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJune 27, 2008

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider is an established Hematology & Oncology physician in REHOBOTH BEACH, DE with Total Medicare revenue of $1.5M and no Medicaid billing on file, meaning the practice is effectively single-payer (Medicare) in the available claims data. The NPI was enumerated 2008-06-27 (~18 years ago), indicating an enduring presence in the market that likely supports steady referral patterns and longitudinal care delivery.

    Revenue is highly concentrated in a small set of drug/infusion codes: the precomputed top 3 Medicare codes by revenue account for 60.7% of this provider's total Medicare revenue, led by J9271 ($507.4K, 36.7%), followed by J0897 ($204.1K, 14.7%) and J1568 ($128.4K, 9.3%). This concentration shows dependence on a few high-revenue biologics and infused therapies for the majority of billed Medicare dollars.

    The specific code mix points to an infusion-based oncology practice that delivers both anti-cancer immunotherapy and supportive care: J9271 (pembrolizumab) is the top revenue driver, J0897 (denosumab) is the second largest, and chemotherapy administration codes such as 96413 and infusion administration codes 96365/96367/96375 are present, together with frequent laboratory monitoring codes (85025, 80053). Concurrent use of iron therapies (J1437, J1439) and erythropoiesis-stimulating agent J0881 suggests active management of treatment-related anemia and supportive oncology services.

    Competitive standing varies by code: J9271 ranks #966 of 1841 (47th percentile) and is categorized as "typical, unremarkable volume for this code," indicating mid-pack pembrolizumab activity nationally; by contrast J0897 ranks #913 of 10057 (91th percentile) signaling relatively high denosumab activity among peers even though the dataset labels the volume as "typical, unremarkable." J1568 ranks #138 of 381 (64th percentile) and is also described as "typical, unremarkable volume."

    Office evaluation-and-management volumes are unusually high for an oncology practice: 99213 (1K claims, $65.6K) ranks in the 99th percentile and is labeled an "extreme outlier, far above typical national volume for this code," while 99214 (728 claims, $71.3K) ranks in the 95th percentile and is described as "notably above typical national volume." These elevated E/M volumes imply a high clinic throughput or intensive follow-up schedule that materially supplements drug and infusion revenue.

    Several ancillary/supportive services are also statistically elevated, consistent with active infusion practice workflows: 96372 ranks in the 99th percentile and is labeled "notably above typical national volume," 99195 ranks in the 99th percentile ("typical, unremarkable volume" in the dataset) for therapeutic phlebotomy, and lab codes such as 85025 and 36415 appear in the high percentiles (both described as "typical, unremarkable volume" but with high absolute claim counts). Together these point to frequent injections, blood draws, and lab monitoring supporting infusion care.

    The payer mix is effectively mono‑payer in the available records: Medicare accounts for the entirety of reported public-payer revenue ($1.5M) and there is none for Medicaid (no Medicaid billing on file). This absence of Medicaid volume has operational implications for contracting and revenue diversification and suggests the provider either does not enroll in Medicaid, does not treat many Medicaid patients, or bills them through other arrangements not visible in this dataset.

    Clinical implications from the drug mix include focus areas that affect referral and downstream services: heavy use of pembrolizumab (J9271) and chemotherapy administration (96413) is consistent with active oncology treatment, while denosumab (J0897) and iron therapies (J1437, J1439) reflect bone-health and anemia management services that increase ancillary visit and infusion demand. These service-line patterns, combined with long tenure (~18 years) and concentrated Medicare revenue, characterize the provider as a stable, infusion-centric oncology practice with high clinic throughput and limited Medicaid engagement.

    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.

    68 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg11,800$40$507.4K
    J0897Injection, denosumab, 1 mg11,340$20$204.1K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg3,890$30$128.4K
    J1437Injection, ferric derisomaltose, 10 mg5,400$20$86.4K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)39,190$1$78.4K
    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…730$100$71.3K
    99213The 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…1,030$60$65.6K
    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…450$100$46.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…2,660$10$21.2K
    J1439Injection, ferric carboxymaltose, 1 mg21,000$1$21K

    Showing 1–10 of 68

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 68 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    68 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927191017,600$40$992.4K
    J15682102,660$30$146.7K
    J089711603,360$20$132.9K
    J349021050$990$65.2K
    J088121025,410$1$57.7K
    J14372101,800$20$47.1K
    96413830280$100$36.6K
    J92172030160$130$31.1K
    992142001,830150$80$25.5K
    964011830110$60$18.4K

    Showing 1–10 of 68

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maryland Oncology Hematology P.A.MDHematology & Oncology Physician$0$4.6M
    Kashif AliMDHematology & Oncology Physician$3.6M$0
    Andrew MenerMDHematology & Oncology Physician$3.5M$0
    Jason TakseyMDMedical Oncology Physician$3.3M$0
    Frederick MinMDHematology & Oncology Physician$3.2M$0
    Mohit NarangMDMedical Oncology Physician$3M$0
    Frederick SmithMDMedical Oncology Physician$2.7M$0
    Deepnarayan TiwarriMDHematology & Oncology Physician$2.6M$0
    Amr HegaziMDHematology & Oncology Physician$2.3M$0
    Edward LeeMDMedical Oncology Physician$1.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coastal Kids Pediatric Dentistry, LLCDEPediatric Dentistry$0$9.7M
    Beacon Pediatrics LLCDEPediatrics Physician$0$3.7M
    Ams Of Delaware, LLCDESubstance Use Disorder Rehabilitation Hospital Unit$123.6K$3.3M
    Delaware Eye Surgery Center, LLCDEAmbulatory Surgical Clinic/Center$1.3M$20.1K
    Charles CurryDEOphthalmology Physician$605.3K$0
    Rehoboth Beach Volunteer Fire Co., Inc.DEAmbulance$459.2K$62.8K
    Scott FudembergDEOphthalmology Physician$353.5K$0
    Arthur BelsonDEOphthalmology Physician$316.3K$0
    Matthew TullochDEFamily Medicine Physician$257K$0
    Laurie ContiDEOptometrist$203.8K$44.9K

    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. Delaware Distribution
    Nouman Asif — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware