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    OpenPayerNPI Medicare & MedicaidFaisal Musa
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    Faisal Musa — Billing Profile & Reimbursement Data

    NPI 1811138787 · Dearborn, MI · Hematology & Oncology Physician

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    Faisal Musa is a hematology & oncology physician provider located in Dearborn, Michigan. This profile covers 44 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
    OrganizationFaisal Musa
    Address13530 Michigan Ave Ste 280
    CityDearborn
    StateMI
    ZIP48126
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMarch 23, 2009

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

    Payer SourceTotal Paid
    Medicare$3M
    Medicaid$0

    Key Findings

    This profile reads like an infusion-based hematology/oncology practice: the top revenue drivers are oncology biologics and immunotherapies rather than routine primary-care E/M billing. The highest-revenue codes are J9271, J9022 and J0897, and these drugs (pembrolizumab, atezolizumab and denosumab) are consistent with an operation focused on in-office infusion of high-cost cancer therapies and bone-health support for oncology patients. 96413, 96365 and administration/add-on codes also appear on the list, reinforcing that drug administration is a core service line.

    Revenue is highly concentrated in a small set of products: the precomputed top-3 Medicare codes account for 82.9% of this provider's total Medicare revenue. Individually, J9271 accounts for $1.2M (40.4% of Medicare revenue), J9022 for $753.4K (25.9%), and J0897 for $482.8K (16.6%), which shows most Medicare dollars flow from a narrow set of infused agents. This concentration implies the practice’s financial performance is closely tied to utilization and reimbursement for these specific drugs.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $3M while there is no Medicaid billing on file. That absence of Medicaid claims means the provider’s public-payer exposure is concentrated in Medicare beneficiaries, which reduces diversification across state Medicaid programs and could shape contract priorities and patient outreach.

    Competitive standing varies by product: for J9022 the provider ranks #3 of 39 nationally and is described as "notably above typical national volume," indicating an unusually large national presence for atezolizumab administration. By contrast J9271 (27.4K claims, $1.2M revenue) ranks #169 of 1841 and is characterized as typical/unremarkable volume, so pembrolizumab activity is sizable but not uniquely dominant versus peers. J0897 ranks #129 of 10057 and is labeled an "extreme outlier," signaling extraordinarily high denosumab billing relative to the national population of providers.

    Clinical workload and acuity are elevated: E/M and inpatient initial visit codes show high volumes and high statistical standing, with 99214 at 1.4K claims ($133.2K, 4.6% of Medicare revenue) labeled an "extreme outlier" and 99205 (156 claims, $26.1K) similarly flagged. These patterns suggest the provider manages a steady stream of complex established patients and high-acuity new evaluations in addition to infusion work, consistent with specialist oncology care requiring significant decision making and visit time.

    Operational footprint is supported by supportive-care and biosimilar use: pegfilgrastim biosimilar codes Q5108 and Q5122 appear on the list (588 claims, $57.6K and 288 claims, $25.1K respectively), and administration codes such as 96413 (549 claims, $57.1K) are present. This mix indicates the practice provides on-site supportive oncology services (growth factor support, chemotherapy administration) that complement the high-cost oncology agents driving top-line revenue.

    Tenure and scale signal an established practice: the NPI was enumerated 2009-03-23 (~17 years ago), and lifetime Medicare revenue of $3M reflects a moderate cumulative Medicare footprint for an individual Hematology & Oncology Physician. Combined with the high claim counts for key drugs (e.g., J9271 27.4K claims, J9022 11.8K claims, J0897 26.8K claims), the provider demonstrates sustained operational activity in infusion oncology over a long tenure.

    Concentration-driven opportunities and sensitivities are evident for contracting and risk management. With 82.9% of Medicare revenue tied to three codes and no Medicaid billing on file, the practice could have negotiating leverage for those high-volume agents (especially where national rank is elevated), but it also faces revenue vulnerability if formulary shifts, reimbursement cuts, or utilization changes affect J9271, J9022 or J0897. These dynamics should be considered in payer contracting, utilization review, and network strategy given the asymmetric reliance on specific infused biologics.

    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.

    44 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg27,400$40$1.2M
    J9022Injection, atezolizumab, 10 mg11,770$60$753.4K
    J0897Injection, denosumab, 1 mg26,820$20$482.8K
    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…1,390$100$133.2K
    Q5108Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg590$100$57.6K
    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…550$100$57.1K
    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…270$140$35.8K
    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…240$140$33.7K
    J1439Injection, ferric carboxymaltose, 1 mg26,250$1$26.3K
    99205The provider sees a new 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 provider…160$170$26.1K

    Showing 1–10 of 44

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 44 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    44 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J902211011,770$60$754.7K
    J92713308,800$40$473.6K
    J089721702,460$20$69.1K
    Q5108310310$100$39.1K
    Q5122310290$80$22.6K
    J1439103021,750$1$20.3K
    964137170120$100$16.1K
    Q013884029,070$1$12.8K
    992331,3694,22070$90$12.3K
    992321,2196,73090$60$12K

    Showing 1–10 of 44

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michigan Healthcare Professionals PCMIInternal Medicine Physician$0$106.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Jeffrey MargolisMIHematology & Oncology Physician$3M$0
    Richard ZekmanMIMedical Oncology Physician$1.4M$0
    Ishmael JaiyesimiMIHematology & Oncology Physician$1.3M$0
    Joshua GrantMIOphthalmology Physician$1.3M$0
    Christopher SweetMIDiagnostic Radiology Physician$1.3M$0
    Susanna GaikazianFLMedical Oncology Physician$1.2M$0
    Andrew MuskovitzMIHematology & Oncology Physician$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Psygenics IncMIClinical Social Worker$0$41.4M
    Children's Dental Care PLLCMIPediatric Dentistry$0$37.5M
    Arab Community Center For Economic And Social Services AccessMICommunity/Behavioral Health Agency$0$25.1M
    Alzohaili Medical Consultants Md PCMIEndocrinology, Diabetes & Metabolism Physician$0$13.3M
    Patient First Medical Clinic PLLCMIAddiction Medicine (Internal Medicine) Physician$0$11.6M
    Chase PediatricsMIPrimary Care Clinic/Center$0$11M
    Basel Khatib, M.d., P.C.MIPediatrics Physician$0$8.3M
    Childrens Health CenterMIHealth Service Clinic/Center$0$7.3M
    Mohamed Ayad, M.d., P.C.MIFamily Medicine Physician$0$6.7M
    Ali SobhMIDentist$0$6.3M

    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. Michigan Distribution
    Faisal Musa — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan