Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSakeer Hussain
    Ask Trek AI about this page

    Sakeer Hussain — Billing Profile & Reimbursement Data

    NPI 1952423071 · Council Bluffs, IA · Hematology & Oncology Physician

    Customize your policy alerts

    Sign up for Sakeer Hussain — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Sakeer Hussain is a hematology & oncology physician provider located in Council Bluffs, Iowa. This profile covers 52 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSakeer Hussain
    Address1 Edmundson Pl
    CityCouncil Bluffs
    StateIA
    ZIP51503
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 6, 2007

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$0

    Key Findings

    Scale and payer mix: This provider reports $1.9M in lifetime Medicare revenue and has no Medicaid billing on file, so their publicly visible reimbursement footprint is effectively single‑payer Medicare rather than a dual‑payer mix. That concentration means analyses of utilization and contracting should treat Medicare as the dominant and near‑exclusive source of claims data for this clinician.

    Revenue concentration: Three codes—J9271, J0897, and Q5122—account for a very large share of Medicare receipts; the precomputed top‑3 share is 78.9%. In raw terms J9271 alone accounts for $1.1M (62.2% of Medicare revenue), with J0897 at $169.6K (9.5%) and Q5122 at $127.8K (7.1%), signaling heavy dependence on a small set of drug administration codes.

    Service‑line implications: The code mix is characteristic of an outpatient hematology/oncology infusion practice focused on systemic cancer therapy and supportive oncology care—high‑value immunotherapy (J9271, pembrolizumab), bone‑modifying therapy (J0897, denosumab), and growth‑factor support via a pegfilgrastim biosimilar (Q5122). Substantial chemotherapy administration codes (96413, 96365, 96417, 96415) and E/M codes for follow‑up visits (99213, 99214) further indicate integrated on‑site infusion and clinic visit workflows.

    Competitive standing — pembrolizumab (J9271): Although J9271 drives the majority of this provider’s Medicare revenue ($1.1M, 62.2%), the provider ranks #207 of 1841 nationally (89th percentile) for this code and is described as having a typical, unremarkable volume relative to peers. In short, pembrolizumab is the single largest revenue driver here but the provider is not an extreme national outlier in market share for that drug.

    Competitive standing — pegfilgrastim biosimilar (Q5122) and denosumab (J0897): Use of Q5122 is notably concentrated compared with peers—Q5122 ranks #8 of 239 nationally (97th percentile) and is flagged as notably above typical national volume—while J0897 ranks #1268 of 10057 (87th percentile) and is described as typical. This combination suggests the practice has an outsized role in administering biosimilar pegfilgrastim relative to other providers, even as its denosumab and pembrolizumab volumes sit within expected ranges for oncology clinicians.

    Operational profile from visit and infusion codes: High counts and above‑typical percentiles for E/M and infusion add‑ons (e.g., 99214: 629 claims/$56K, 3.1% of revenue; 99213: 722 claims/$42.6K, 2.4%; 96413: 588 claims/$54.1K, 3.0%; 96367: 811 claims/$17K, 1.0%) indicate a steady stream of follow‑up visits coupled with frequent on‑site chemotherapy/infusion activity. Several of these codes are labelled “notably above typical” in percentile terms (96413, 96367, 99213), supporting an interpretation of regular, clinic‑based infusion throughput and follow‑up management of oncology patients.

    Tenure and continuity: The provider’s NPI was enumerated on 2007-04-06 (~19 years ago), indicating long‑standing Medicare enrollment and an established presence in the market; longevity supports stable historical billing patterns for longitudinal benchmarking. Analysts should interpret current utilization in the context of nearly two decades of enrollment rather than a recent market entrant.

    Concentration sensitivity and contracting implications: With $1.1M of $1.9M Medicare revenue tied to a single drug code (J9271) and the top three codes representing 78.9% of Medicare receipts, the provider’s revenue is highly concentrated in specific high‑cost oncology drugs and biosimilars. That concentration makes reimbursement and utilization policy changes for those agents, or shifts in referral patterns, likely to have an outsized impact on this clinician’s Medicare revenue profile.

    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.

    52 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg25,900$40$1.1M
    J0897Injection, denosumab, 1 mg9,420$20$169.6K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg1,400$90$127.8K
    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…630$90$56K
    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…590$90$54.1K
    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…720$60$42.6K
    J0185Injection, aprepitant, 1 mg29,250$1$29.3K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units4,680$10$28.1K
    J1439Injection, ferric carboxymaltose, 1 mg25,500$1$25.5K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…810$20$17K

    Showing 1–10 of 52

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 52 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    52 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927153017,200$40$902.3K
    Q5122110530$100$75.4K
    J0897201901,920$20$74.1K
    J1439101041,250$1$39.7K
    J08851104,680$10$27.4K
    96413780210$90$24K
    M0010110210$70$15.2K
    J01852206,890$1$14.5K
    992143164,690100$70$14.4K
    9923385491060$90$10.5K

    Showing 1–10 of 52

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Alegent Creighton ClinicNEFamily Medicine Physician$0$43.2M
    Crawford County Memorial HospitalIARural Health Clinic/Center$0$19.5M
    Wilfredo BlasiniFLClinical Pathology Physician$16.9M$307.9K
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    American Oncology Partners PAOHHematology & Oncology Physician$0$11.8M
    Alegent Creighton ClinicIAFamily Medicine Physician$0$9.6M
    Shenandoah Medical CenterIARural Health Clinic/Center$0$9.4M
    Cass County Memorial HospitalIARural Health Clinic/Center$0$9.2M
    Robert McdonaldAZDiagnostic Radiology Physician$7.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trivium Life ServicesIADevelopmentally Disabled Services Day Training Agency$0$149.2M
    Vocational Development Center IncIADevelopmentally Disabled Services Day Training Agency$0$59M
    Rem Iowa Community Services, IncIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$54.3M
    Focus-family Options & Community Supports, IncIADevelopmentally Disabled Services Day Training Agency$0$41.2M
    Council Bluffs Community School DistrictIALocal Education Agency (LEA)$0$17.5M
    Family Connections, IncIACase Management Agency$0$15.1M
    Alegent Health Bergan Mercy Health SystemIAGeneral Acute Care Hospital$0$13M
    Jennie Edmundson Memorial HospitalIAGeneral Acute Care Hospital$0$9.8M
    City Of Council BluffsIAAmbulance$425.7K$6.2M
    Alegent Creighton HealthIAPsychiatry Physician$0$5.8M

    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. Iowa Distribution
    Sakeer Hussain — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa