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

Why is the Medicaid comparison limited to Delaware 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. Delaware (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.

Hummayun Ismail (NPI 1962422469)

Field	Value
Entity Type	Individual
Organization	Hummayun Ismail
Address	550 Stanton Christiana Rd Ste 103
City	Newark
State	DE
ZIP	19713
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	July 20, 2006

Payer Source	Total Paid
Medicare	$740.1K
Medicaid	$0

Key Findings

This provider’s Medicare activity is concentrated in high-acuity and office E/M services: 99233 ($221.3K, 29.9% of Medicare revenue), 99214 ($184.6K, 24.9%), and 99232 ($115.9K, 15.6%) together account for 70.4% of total Medicare revenue. The code mix — two subsequent hospital inpatient/observation E/M codes plus a high-complexity established outpatient visit — indicates a practice model that spans hospital-based pulmonary care and substantial outpatient clinic volume focused on ongoing management of established patients.

Revenue scale is modest but Medicare‑dominated: total Medicare revenue is $740.1K and there is no Medicaid billing on file, so the provider effectively operates as single‑payer (Medicare) in the available claims data. The absence of Medicaid activity means Medicaid-related service-line or payer-negotiation observations cannot be drawn from this profile.

The provider ranks as a high-volume national outlier on the top three revenue-driving Medicare codes: 99233 is an "extreme outlier" (ranks #219 of 128818), 99214 is also labeled an "extreme outlier" (ranks #1305 of 479517), and 99232 is an "extreme outlier" as well (ranks #1537 of 177383). These rank/percentile signals point to unusually large national volumes for inpatient/subsequent care and mid-level outpatient E/M relative to peers, supporting a characterization of the provider as a major national participant for those specific services.

Beyond E/M services, the provider shows meaningful sleep and pulmonary function activity: 95810 generated $50.6K (6.8%) and 95811 generated $32.4K (4.4%) of Medicare revenue, while PFT-related codes such as 94729 ($8.2K, 1.1%) and 94726 ($7.7K, 1.0%) are also present. This mix is consistent with a pulmonology practice that incorporates diagnostic sleep testing and pulmonary function labs alongside inpatient and clinic care.

Remote physiologic monitoring (RPM) is a visible ancillary service line: 99457 ($15.9K, 2.1%), 99454 ($14.3K, 1.9%), and 99458 ($3.5K, 0.5%) together indicate active RPM billing for chronic disease management. The presence of both setup code 99453 (albeit small at $195) and monthly RPM codes suggests the provider leverages connected-device workflows for managing respiratory conditions in the Medicare population.

Several secondary codes show typical national volumes rather than outlier status: sleep study codes 95810 and 95811 are described as "typical, unremarkable volume" (91st and 72nd percentiles respectively), and many PFT and spirometry codes fall in the 70–90th percentile range. These profile elements imply the provider’s sleep and pulmonary testing operations are within expected ranges for peers and not the primary source of the extreme volume signal seen in the inpatient/office E/M codes.

Clinical intensity is reflected in higher-level inpatient and outpatient E/M usage rather than low-complexity office visits: lower-level codes such as 99211 and 99213 account for small shares ($2.6K and $5.7K respectively) while high-complexity codes dominate revenue. This suggests the practice’s case mix favors more complex management and inpatient follow-up rather than a large volume of low-acuity office encounters.

The provider has long tenure on file with an NPI enumerated on 2006-07-20 (~20 years ago), which aligns with the high ranked volumes on several established E/M codes and may reflect an entrenched referral footprint or long-standing hospital privileges supporting the observed inpatient and outpatient activity. Long enumeration combined with concentrated Medicare revenue and no Medicaid billing frames this profile as an experienced, Medicare-focused pulmonary clinician with specialty ancillary services (sleep testing and RPM).

Medicare: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The 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…	2,350	$90	$221.3K
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…	2,010	$90	$184.6K
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…	1,870	$60	$115.9K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	110	$480	$50.6K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	70	$500	$32.4K
99291	Critical 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…	100	$170	$17.5K
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…	200	$80	$16K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	420	$40	$15.9K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	370	$40	$14.3K
99223	The 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…	100	$140	$13.7K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Hummayun Ismail — 3 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	14	1,830	150	$80	$25.5K
99458	10	20	170	$30	$19.4K
95810	2	20	50	$330	$18.3K
99457	10	20	170	$40	$18.1K
95811	6	20	40	$370	$16.8K
99233	2	500	80	$90	$15.4K
99232	8	730	120	$60	$14.2K
99213	1,091	1,810	120	$60	$13.6K
99454	8	20	180	$40	$12.7K
99291	48	240	40	$170	$10.9K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services, Inc.	DE	General Acute Care Hospital	$0	$99.4M
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Christiana Care Health Services Inc	DE	Obstetrics & Gynecology Physician	$0	$9.9M
Christiana Care Health Services Inc	DE	Neonatal-Perinatal Medicine Physician	$0	$8.9M
Christiana Care Health Services Inc	DE	Family Medicine Physician	$0	$5.6M
Christiana Care Health Services Inc	DE	Neurology Physician	$0	$5.1M
Christiana Care Health Services, Inc	DE	Family Medicine Physician	$0	$5.1M
Christiana Care Health Services Inc	DE	Student Health Clinic/Center	$0	$3.9M
Christiana Care Health Services, Inc	DE	Psychiatry Physician	$0	$2.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Retinal Consultants LLC	DE	Ophthalmology Physician	$0	$25.2M
Columbus Medical Services, LLC	DE	Case Management Agency	$0	$18.7M
Caritas Home Health Services, Inc	DE	Home Health Agency	$0	$11.2M
Delaware Center For Maternal Fetal Medicine Of Christiana Care	DE	Maternal & Fetal Medicine Physician	$0	$9.8M
Medical Oncology Hematology Consultants PA	DE	Hematology & Oncology Physician	$0	$7.7M
Christiana Care Quality Partners	DE	Urgent Care Clinic/Center	$0	$7M
Jamal Misleh	DE	Hematology & Oncology Physician	$6.8M	$0
Mid-atlantic Behavioral Health, LLC	DE	Intellectual & Developmental Disabilities Psychologist	$0	$6.5M
First State Orthopaedics, PA	DE	Orthopaedic Surgery Physician	$0	$6M
Autism Delaware	DE	Intellectual & Developmental Disabilities Psychologist	$0	$5.8M

Hummayun Ismail — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References