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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWadad Ailabouni
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    Wadad Ailabouni — Billing Profile & Reimbursement Data

    NPI 1811196355 · Marshfield, WI · Nephrology Physician

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    Wadad Ailabouni is a nephrology physician provider located in Marshfield, Wisconsin. This profile covers 6 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
    OrganizationWadad Ailabouni
    Address1000 N Oak Ave
    CityMarshfield
    StateWI
    ZIP54449
    TaxonomyNephrology Physician
    NPI EnumeratedJuly 15, 2007

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

    Payer SourceTotal Paid
    Medicare$160.3K
    Medicaid$0

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…540$270$142.8K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…40$220$8.8K
    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…110$50$5.1K
    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…40$40$1.7K
    90970The provider manages for less than one full month all the daily services associated with the dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal…160$10$1.1K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…20$60$830

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90960390190$260$53.1K
    90961407050$220$14K
    992143,6109,80080$70$9.2K
    992135,7559,38060$50$4.7K
    9093512513050$50$3.9K
    909701110270$10$1.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mchs Hospitals IncWIRural Acute Care Hospital$0$45.3M
    Family Health Center Of Marshfield IncWIDental Clinic/Center$0$20.4M
    Marshfield Clinic IncWIClinic/Center$526.8K$19.6M
    Mchs Hospitals IncWIGeneral Acute Care Hospital$0$12.4M
    Mchs Hospitals IncWIClinic/Center$0$11.8M
    Lakeview Medical Center Inc Of Rice LakeWIRural Acute Care Hospital$0$10M
    Mchs Hospitals IncWICritical Access Hospital$0$7.4M
    Flambeau Hospital IncWICritical Access Hospital$0$7M
    Mchs Hospitals IncWIGeneral Acute Care Hospital$0$6.4M
    Mchs Hospitals IncWIClinic/Center$0$4.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Health Center Of Marshfield IncWIFederally Qualified Health Center (FQHC)$0$3.4M
    Family Health Center Of Marshfield IncWIFederally Qualified Health Center (FQHC)$0$3.2M
    Marriage & Family Health Services, Ltd.WIAdolescent and Children Mental Health Clinic/Center$0$2.6M
    Mchs Hospitals IncWILand Ambulance$1.4M$987.9K
    School District Of MarshfieldWILocal Education Agency (LEA)$0$1.7M
    Total Renal Care IncWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.3M
    City Of MarshfieldWILand Ambulance$200K$484.6K
    Lori BentsWIChiropractor$27.4K$399.4K
    Yan GuoWIOphthalmology Physician$318.7K$0
    Yi HsiehWIUrology Physician$299K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wisconsin Distribution
    Wadad Ailabouni — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin