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    OpenPayerNPI Medicare & MedicaidHesham Mohamed
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    Hesham Mohamed — Billing Profile & Reimbursement Data

    NPI 1922122209 · Phoenix, AZ · Pulmonary Disease Physician

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    Hesham Mohamed is a pulmonary disease physician provider located in Phoenix, Arizona. This profile covers 9 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
    OrganizationHesham Mohamed
    Address500 W Thomas Rd Ste 500
    CityPhoenix
    StateAZ
    ZIP85013
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedMarch 19, 2007

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

    Payer SourceTotal Paid
    Medicare$102.5K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…300$140$40.4K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…250$90$23.2K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…80$170$13.4K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…280$30$7K
    31628The provider uses a rigid or flexible bronchoscope to obtain one or more transbronchial biopsies from a single lobe of the lung. The provider may use fluoroscopic guidance.40$140$5.5K
    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…40$130$5.1K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…50$90$4.5K
    31632In this add–on procedure, the provider uses a rigid or flexible bronchoscope to obtain one or more transbronchial biopsies from an additional lobe of the lung following biopsy of an initial lobe. The…60$40$2.3K
    31624In this procedure, the provider uses a rigid or flexible bronchoscope for bronchial alveolar lavage, a procedure using saline solution to wash the cells from alveoli, the air sacs at the end of the…50$20$1.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992338302,670120$90$21K
    992913421,21040$160$12.9K
    992152353,27050$120$11.9K
    992231,5802,77050$130$11K
    992397491,23070$90$8.4K
    3162893030$80$3K
    7104610972050$20$2.2K
    31624109030$60$1.9K
    3163221030$40$1.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rabessler Md PCGAInternal Medicine Physician$0$5.1M
    Jefferson YuNVInternal Medicine Physician$308.9K$0
    Swetal PatelNVCardiovascular Disease Physician$212.3K$0
    Haitham ElconsulNVHospitalist Physician$199.2K$0
    Chafik AssalWVClinical Cardiac Electrophysiology Physician$139.1K$0
    Tamejiro TakuboWVCritical Care Medicine (Internal Medicine) Physician$119.6K$0
    Zachary AburahmaWVVascular Surgery Physician$27.9K$0
    Laura WilhelmWVClinical Psychologist$990$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dignity HealthAZGeneral Acute Care Hospital$0$126.1M
    Sjhmc Physician ServicesAZMulti-Specialty Clinic/Center$0$46.6M
    Circle The CityAZFederally Qualified Health Center (FQHC)$0$30.7M
    Empower Emergency Physicians, PCAZEmergency Medicine Physician$0$25M
    Circle The CityAZFederally Qualified Health Center (FQHC)$0$20M
    St. Joseph's Outpatient Surgery Center, LLCAZAmbulatory Surgical Clinic/Center$2.9M$14.5M
    Windsor Maryland Gardens, LLCAZAlzheimer Center (Dementia Center)$0$9.5M
    Solterra 3rd Indian School Operations, LLCAZAssisted Living Facility$0$8.2M
    Az Center For ChangeAZCommunity/Behavioral Health Agency$0$7.2M
    Crossroads MidtownAZSubstance Abuse Rehabilitation Facility$0$7M

    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. Arizona Distribution
    Hesham Mohamed — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona