Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ayman Rawda (NPI 1902911050)

Ayman Rawda is a pediatrics physician provider located in Oak Lawn, Illinois. This profile covers 0 Medicare and 104 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Ayman Rawda
Address	9939 Southwest Hwy
City	Oak Lawn
State	IL
ZIP	60453
Taxonomy	Pediatrics Physician
NPI Enumerated	August 20, 2006

Payer Source	Total Paid
Medicaid	$15M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

104 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	12,610	$290	$3.7M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	12,180	$240	$2.9M
99213	The 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…	53,700	$50	$2.6M
99214	The 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…	20,150	$70	$1.5M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,980	$80	$523.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,880	$70	$429.2K
99203	The provider sees a new 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 provider…	8,940	$50	$411.2K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	27,380	$20	$410.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,160	$70	$345.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,850	$80	$227.8K

Showing 1–10 of 104

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

Claims Volume vs. Illinois Distribution

Ayman Rawda — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

104 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	307	350	400	$70	$514.7K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	50	80	530	$130	$505.1K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	2	50	270	$230	$271.9K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	3	10	200	$90	$230K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…	195	210	680	$20	$206.4K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	2	170	150	$200	$190.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	15	20	50	$70	$167.3K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	6	10	30	$40	$136.2K
0241U	N/A	125	260	120	$100	$91.8K
99214	The 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…	55	14,680	300	$50	$48.7K

Showing 1–10 of 104

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Medical Center	IL	General Acute Care Hospital	$0	$7.3M
Lake Hospital System Inc	OH	Family Medicine Physician	$0	$6.9M
Ghiath Al Kassar	IL	Pediatrics Physician	$0	$6.4M
Michael Blair	IL	Retina Specialist (Ophthalmology) Physician	$3M	$2.6M
Mazen Rachid	IL	Pediatrics Physician	$0	$5.1M
Osf Healthcare System	IL	Rural Health Clinic/Center	$0	$4.9M
Mohamed Adenwalla	IL	Ophthalmology Physician	$2.3M	$2.4M
Osf Healthcare System	IL	Rural Health Clinic/Center	$0	$4.7M
Aaron Weinberg	IL	Retina Specialist (Ophthalmology) Physician	$3.3M	$1.2M
Subash Arora	IL	Neonatal-Perinatal Medicine Physician	$0	$3.4M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Village Of Oak Lawn	IL	Land Ambulance	$649.5K	$11.6M
Oda Solutions, Inc	IL	Methadone Clinic	$0	$9.7M
Ahmed Ramaha	IL	General Practice Dentistry	$0	$4.9M
Omprakash Sawlani	IL	Pediatrics Physician	$0	$3.3M
Ghassan Zalzaleh	IL	Hematology & Oncology Physician	$3.1M	$149K
Amar Hamad	IL	Hematology & Oncology Physician	$3M	$97.1K
Sunil Shah	IL	Internal Medicine Physician	$256.6K	$1.6M
Chintan Mistry	IL	Emergency Medicine Physician	$301K	$1.5M
Rami Haddad	IL	Hematology & Oncology Physician	$1.2M	$219K
Ashraf Abourahma	IL	Cardiovascular Disease Physician	$406.9K	$731.9K

Ayman Rawda — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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