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    OpenPayerNPI Medicare & MedicaidIrfan Vaziri
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    Irfan Vaziri — Billing Profile & Reimbursement Data

    NPI 1811900244 · Lincoln, NE · Medical Oncology Physician

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    Irfan Vaziri is a medical oncology physician provider located in Lincoln, Nebraska. 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
    OrganizationIrfan Vaziri
    Address4101 Tiger Lily Rd Ste 100
    CityLincoln
    StateNE
    ZIP68516
    TaxonomyMedical Oncology Physician
    NPI EnumeratedAugust 15, 2006

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

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$0

    Key Findings

    This provider reports Total Medicare revenue: $1.4M and Total Medicaid revenue: none (no Medicaid billing on file), making the practice effectively single‑payer with Medicare as the dominant revenue source. Absence of Medicaid billing on file indicates payer mix is heavily concentrated on Medicare beneficiaries rather than dual or Medicaid populations.

    Revenue is highly concentrated in a small set of infusion drugs: Top 3 Medicare codes by revenue account for 76.9% of this provider's total Medicare revenue, led by J9271 which alone generates $782.6K (55.5% of Medicare revenue). The reliance on a few high‑value drug codes creates sensitivity to changes in drug pricing, reimbursement, or utilization of those specific agents.

    The code mix (J9271, J9144, J1569 and multiple chemotherapy administration codes such as 96413, 96365 and 96417) identifies this practice as an oncology‑focused infusion operation that administers high‑cost biologics and monoclonal antibodies and provides on‑site chemotherapy services. Supportive care and infusion‑related services are also present (for example J2506, J0185, and administration/add‑on codes), indicating integrated drug administration and follow‑up E/M visits rather than a purely consultative practice.

    Competitive standing for the top drug is middle‑of‑the‑pack nationally: J9271 (pembrolizumab) is $782.6K of revenue and ranks #493 of 1841 providers nationally (73th percentile; typical, unremarkable volume for this code), which suggests respectable but not market‑leading volume for this specific immunotherapy. By contrast J9144 (daratumumab) accounts for $191.5K and ranks #483 of 615 (19th percentile; typical, unremarkable volume for this code), signaling relatively low national share among daratumumab providers, while J1569 (immune globulin) sits at a modest national position (rank #310 of 542, 43th percentile).

    Office visit E/M activity is notable relative to national peers: 99214 accounts for $56.1K and 638 claims and ranks #31627 of 479517 providers nationally (93th percentile; notably above typical national volume for this code). This elevated 99214 volume suggests the provider sustains a higher‑than‑typical level of established‑patient management, consistent with ongoing treatment and follow‑up for chronic oncology patients.

    There are operational utilization patterns worth attention: J1439 appears with 21.8K claims but a $1 avg paid/claim and $21.8K revenue (1.5% of Medicare revenue) and ranks #770 of 1209 providers nationally (35th percentile; typical, unremarkable volume for this code), reflecting a very high claim count with minimal per‑claim payment that may represent low‑reimbursed supply or small‑unit billing rather than a high‑revenue drug line. Monitoring claim composition and unitization for such items may clarify resource and revenue drivers.

    Tenure is long: NPI enumerated (registered) 2006-08-15 (~20 years ago), indicating an established provider with a multi‑year billing history in Medicare. That longevity supports interpretation of observed patterns as stable practice behavior rather than a short‑term anomaly.

    Overall business implication: with $1.4M in Medicare revenue concentrated in expensive oncology biologics (J9271, J9144) and no Medicaid activity, this provider operates as a Medicare‑facing oncology infusion practice where drug mix and administration volume drive financial performance. Payer negotiations, drug acquisition and inventory management, and capacity for infusion services will be the primary levers affecting revenue and margins for this practice.

    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 mg18,200$40$782.6K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj5,040$40$191.5K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg3,080$40$110.9K
    J0897Injection, denosumab, 1 mg4,380$20$78.8K
    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…640$90$56.1K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg420$90$38.6K
    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…250$90$22.5K
    J1439Injection, ferric carboxymaltose, 1 mg21,750$1$21.8K
    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…130$130$16.8K
    J0185Injection, aprepitant, 1 mg9,100$1$9.1K

    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
    J927193014,400$40$671.6K
    J9144111010,440$40$434.6K
    J15698105,980$40$224.3K
    J0897432002,040$20$62.7K
    J25061120460$90$40.5K
    J1439183025,880$1$26.4K
    J92175150110$130$20.6K
    J088513103,180$10$19.2K
    96413318060$90$18.2K
    992142203,210110$70$14.9K

    Showing 1–10 of 68

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bryan Medical CenterNEGeneral Acute Care Hospital$0$56.9M
    Alegent Creighton ClinicNEFamily Medicine Physician$0$43.2M
    The Physician NetworkNEFamily Medicine Physician$0$3.1M
    Eric AveryNEHematology & Oncology Physician$3.1M$0
    Kailash MosalpuriaNEHematology & Oncology Physician$2.9M$0
    Chi Health Clinic Specialty, LLCNEHospitalist Physician$0$2.6M
    Madhu MidathadaNEHematology & Oncology Physician$2.3M$0
    Scott MchamNEHematology & Oncology Physician$1.9M$0
    Sakeer HussainIAHematology & Oncology Physician$1.9M$0
    Phelps Memorial Health CenterNECritical Access Hospital$0$1.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Melvin ChurchillNERheumatology Physician$4.8M$0
    Lincoln Radiology Group PCNEDiagnostic Radiology Physician$0$4.5M
    Elite Professionals Home Care LLCNEHome Health Agency$0$4.2M
    Rick ChatwellNERheumatology Physician$3.5M$0
    Lincoln Pediatric Group LLCNEPediatrics Physician$0$2.3M
    Nebraska House Call Physicians, P.C.NEInternal Medicine Physician$0$1.7M
    Steven DunderNEHematology & Oncology Physician$1.7M$0
    Urology Surgical Center LLCNEAmbulatory Surgical Clinic/Center$1.4M$190.5K
    Wallace PetersonNEHematology & Oncology Physician$1.5M$0
    Stacey KnoxNEHematology & Oncology Physician$1.4M$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. Nebraska Distribution
    Irfan Vaziri — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska