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    OpenPayerNPI Medicare & MedicaidSyed Zafar
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    Syed Zafar — Billing Profile & Reimbursement Data

    NPI 1811187909 · Fort Myers, FL · Medical Oncology Physician

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    Syed Zafar is a medical oncology physician provider located in Fort Myers, Florida. This profile covers 65 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
    OrganizationSyed Zafar
    Address8260 Gladiolus Dr
    CityFort Myers
    StateFL
    ZIP33908
    TaxonomyMedical Oncology Physician
    NPI EnumeratedJuly 26, 2007

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

    Payer SourceTotal Paid
    Medicare$6M
    Medicaid$0

    Key Findings

    SYED ZAFAR is a Medical Oncology Physician in FORT MYERS, FL with an NPI enumerated on 2007-07-26 (~19 years ago). The provider reports Total Medicare revenue of $6M and has no Medicaid billing on file, indicating an effectively single-payer footprint concentrated on Medicare beneficiaries.

    Revenue is highly concentrated in three drugs: the precomputed top 3 Medicare codes by revenue account for 75.1% of this provider's Total Medicare revenue. Those top codes are J9271 ($3.1M revenue; 52.1% of this provider's total Medicare revenue), J9144 ($697.7K; 11.9%), and J9299 ($649.9K; 11.1%), which together dominate the practice’s Medicare receipts.

    The code mix and volumes point to an outpatient infusion oncology operation focused on high-cost biologics and checkpoint inhibitors; key chemotherapy and biologic codes are J9271 (pembrolizumab), J9144 (daratumumab), and J9299 (nivolumab). Ancillary administration and chemotherapy codes such as 96413 (1.2K claims, $122K revenue), G0498 (230 claims, $30.6K), and 96365 (392 claims, $19.6K) show on-site infusion capability and continuity-of-care infusions that support a clinic-based infusion model.

    Competitive standing is exceptional for pembrolizumab: J9271 ranks #3 of 1841 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), indicating this provider is a national outlier and a leading biller for that drug. By contrast, J9144 (rank #59 of 615, 90th percentile; typical, unremarkable) and J9299 (rank #94 of 505, 82th percentile; typical, unremarkable) are high-volume but not at the same dominant level, so the provider is nationally prominent specifically for J9271.

    Several service and administration codes are also statistical outliers, consistent with high throughput of infusion visits and follow-up care: 96413 is listed as 100th percentile (extreme outlier), 99214 ranks in the 99th percentile (extreme outlier), and J0185 ranks #2 of 819 providers (100th percentile; extreme outlier). These outlier labels signal materially higher procedure volumes relative to national peers for both drug administration and associated office visit activity.

    Payer mix is effectively single-payer Medicare: the dataset shows Total Medicare revenue of $6M and explicitly notes none below for Medicaid (no Medicaid billing on file). That concentration means the provider’s revenue base and payer negotiations are driven by Medicare beneficiaries and reimbursement policies rather than a blended Medicare/Medicaid book.

    The presence of high-volume evaluation-and-management codes alongside infusion codes suggests an integrated practice that combines longitudinal oncology care with on-site therapeutics. For example, 99214 (1.5K claims, $145.3K revenue) and 99213 (819 claims, $54.9K revenue) show substantial office visit activity supporting the infusion services and drug administration workflow.

    From a business perspective, the practice’s dependence on a single drug is meaningful: J9271 alone represents $3.1M and 52.1% of Total Medicare revenue. That concentration gives the provider strong negotiating relevance for pembrolizumab-related services and creates a strategic sensitivity to changes in utilization, clinical guidelines, or reimbursement for that agent, while the broader top-3 concentration (75.1%) underscores a focused oncology drug portfolio driving most Medicare revenue.

    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.

    65 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg71,200$40$3.1M
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj18,360$40$697.7K
    J9299Injection, nivolumab, 1 mg27,080$20$649.9K
    J2353Injection, octreotide, depot form for intramuscular injection, 1 mg1,370$160$220.6K
    J0897Injection, denosumab, 1 mg10,740$20$204.1K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg5,310$40$191.2K
    J9304Injection, pemetrexed (pemfexy), 10 mg2,660$60$148.8K
    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…1,450$100$145.3K
    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…1,200$100$122K
    J1449Injection, eflapegrastim-xnst, 0.1 mg2,510$30$65.2K

    Showing 1–10 of 65

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 65 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    65 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271121016,100$40$802.7K
    J9299187015,580$20$423.9K
    J914412809,000$40$410.6K
    J23532101,400$160$225.6K
    J1569481304,080$40$176.2K
    J93041102,660$60$147.6K
    J08971661,0603,290$20$106.5K
    J144938403,560$30$99.2K
    J0885842406,630$10$45.6K
    964134730200$100$26.1K

    Showing 1–10 of 65

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Florida Cancer Specialists & Research Institute, LLCFLMedical Oncology Physician$0$63.5M
    Wilfredo BlasiniFLClinical Pathology Physician$16.9M$307.9K
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    Robert McdonaldAZDiagnostic Radiology Physician$7.5M$0
    Christopher LoboFLMedical Oncology Physician$6.1M$0
    Ronald GoodwichFLNuclear Medicine Physician$5.7M$0
    Steven NewmanFLMedical Oncology Physician$5.7M$0
    Andrew LipmanFLMedical Oncology Physician$5.6M$0
    Vijay PatelFLMedical Oncology Physician$4.8M$0
    Jay WangFLMedical Oncology Physician$4.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lee Memorial Health SystemFLInternal Medicine Physician$0$15.1M
    Hope Hospice And Community Services IncFLCommunity Based Hospice Care Agency$0$12.9M
    Lee Memorial Health SystemFLMedically Fragile Infants and Children Day Care$0$7.4M
    Veronica PapaveroFLAnatomic Pathology Physician$3.7M$0
    Raymond EsperFLMedical Oncology Physician$3M$0
    Francisco RodriguezFLMedical Oncology Physician$2.7M$0
    Alan BrownFLRadiation Oncology Physician$2.2M$0
    Keith MillerFLRadiation Oncology Physician$1.7M$0
    William HarwinFLMedical Oncology Physician$1.5M$0
    Graciela GartonFLRadiation Oncology Physician$1.2M$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. Florida Distribution
    Syed Zafar — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida