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 Unspecified Location for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Hussein Raef (NPI 1942483748)

Field	Value
Entity Type	Individual
Organization	Hussein Raef
Address	King Faisal Hospital, Dept Of Medicine, Takassusi Stree
City	Riyadh
State	XX (Unspecified Location)
ZIP	11211
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 14, 2007

Payer Source	Total Paid
Medicare	$3.2K
Medicaid	$0

Key Findings

HUSSEIN RAEF is an Internal Medicine Physician enumerated NPI on 2007-12-14 (~19 years ago) and practicing in RIYADH; the provider’s documented Medicare footprint is very small with total Medicare revenue of $3.2K. This long-tenured NPI suggests sustained enrollment, but the economic scale of Medicare activity is minimal in absolute terms.

This provider is effectively single-payer in the available data: total Medicaid revenue is listed as none (no Medicaid billing on file), while Medicare accounts for the entire recorded public-payer activity. Analysts should treat this profile as Medicare-centric for payer-mix and competitive analyses, and note the absence of Medicaid claims when comparing to in-state peers.

Revenue concentration on Medicare is extreme by share: the precomputed top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue, with two documented codes explicitly showing 99232 at 63.0% and 99239 at 37.0%. This concentration means operational or coding changes tied to a very small set of services will materially affect reported Medicare revenue.

The top revenue-driving CPTs are hospital-focused E/M services: 99232 (subsequent hospital inpatient/observation care) and 99239 (hospital inpatient/observation discharge day management). Combined with the claims mix (32 claims for 99232 at $63 avg paid/claim and 13 claims for 99239 at $91 avg paid/claim), the pattern indicates inpatient hospital-based internal medicine activity rather than ambulatory clinic throughput.

Competitive standing for each code is modest: 99232 ranks #139480 of 177383 providers nationally (20th percentile) and 99239 ranks #58195 of 62398 providers nationally (5th percentile), both labeled in the source as "typical, unremarkable volume for this code." These rank positions and the very small claim counts indicate the provider is not a dominant national player for these services and operates at low-to-moderate volume relative to peers.

Both high-revenue codes are explicitly characterized in the source as "typical, unremarkable volume for this code," so there are no statistical outlier signals in either direction despite the high proportional concentration of Medicare revenue in those codes. Given the small absolute dollar amounts ($2K from 99232 and $1.2K from 99239), routine month-to-month variation or a handful of additional/removed claims would meaningfully change standings.

From a business risk and opportunity perspective, the practice’s Medicare revenue profile is fragile: $3.2K total Medicare revenue concentrated entirely in a narrow set of inpatient E/M codes with no Medicaid claims recorded. For payer negotiations, network planning, or acquisition screening, this profile signals limited current Medicare volume and high sensitivity to changes in referral patterns, hospital affiliations, or coding of inpatient E/M services.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$60	$2K
99239	The 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…	10	$90	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Hussein Raef — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	10	10	110	$60	$6.9K
99239	4	0	N/A	$N/A	$N/A

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
B& H Healtcare Services Inc	NY	Home Health Agency	$0	$281.2M
Parent Care Home Care, LLC	NY	Home Health Agency	$0	$176M
St. Nicks Alliance Home Care Corp.	NY	In Home Supportive Care Agency	$0	$112.1M
Gj Apex Company, LLC	NY	Home Health Agency	$0	$111.5M
School Settlement Home Attendant Service Corp	NY	Home Health Agency	$0	$63.1M
Emanuel Cdpap LLC	NY	Home Health Agency	$0	$47.5M
Emanuel Services, Inc.	NY	Home Health Agency	$0	$26.9M
Human Development Association	NY	Home Health Agency	$0	$20M
Joseph Sidaoui	NY	Surgery Physician	$16.3M	$297.2K
Fastrad LLC	NY	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$892.8K	$104.1K

Hussein Raef — Billing Profile & Reimbursement Data

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Hussein Raef — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References