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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMahir Elder
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    Mahir Elder — Billing Profile & Reimbursement Data

    NPI 1962427260 · Detroit, MI · Cardiovascular Disease Physician

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    Mahir Elder is a cardiovascular disease physician provider located in Detroit, Michigan. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMahir Elder
    Address4160 John R St Ste 510
    CityDetroit
    StateMI
    ZIP48201
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJuly 13, 2006

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    MAHIR ELDER is effectively a Medicare-focused cardiovascular practice: lifetime Medicare revenue is reported at $1.5M while there is no Medicaid billing on file, so the provider operates with a single-payer footprint in the available data and derives its entire reported public-payer revenue from Medicare. This concentration suggests that analyses of payer risk, patient mix, and reimbursement trends should focus on Medicare policy and referral patterns rather than Medicaid dynamics.

    Revenue concentration is high: the precomputed top three Medicare codes by revenue account for 46.0% of this provider's total Medicare revenue, indicating that a small set of procedures—primarily interventional vascular therapies and cardiac monitoring—drive nearly half of Medicare earnings. This level of concentration implies that changes in reimbursement or utilization for those codes would materially affect overall Medicare revenue.

    The provider’s top Medicare revenue code is 37225 (26.5% of Medicare revenue, $377.7K) and ranks #82 of 715 nationally (89th percentile). This places MAHIR ELDER as a solid national participant in that code with above-typical volume relative to peers, consistent with an interventional vascular focus and meaningful procedural throughput for that service.

    37229 is the second-highest revenue driver (12.0% of Medicare revenue, $171K) but ranks #338 of 603 nationally (42nd percentile), which indicates that while the code contributes materially to this provider’s revenue, the provider’s volume for this specific code is modest relative to the national peer set. The mix of 37225 and 37229 suggests a practice performing multiple types of endovascular procedures with uneven national standing across specific interventions.

    High-volume diagnostic and monitoring services feature prominently: 93229 (163 claims, $107.6K; 7.5% of Medicare revenue) and 93306 (618 claims, $85.9K; 6.0% of Medicare revenue) are among the top codes, and 93229 ranks #115 of 2091 providers nationally (94th percentile) while 93306 ranks #2007 of 24624 providers nationally (92nd percentile). These placements indicate the provider maintains notable capacity and utilization for ambulatory cardiac monitoring and transthoracic echocardiography, supporting a clinic workflow that blends procedural interventions with noninvasive cardiac testing.

    Several codes are statistical outliers or well above typical national volume and point to service specialization: 78452 ranks in the 96th percentile and 99215 ranks in the 98th percentile (described as an "extreme outlier"), showing unusually high national-level billing for stress SPECT imaging and high-complexity office E/M visits respectively. These elevated percentiles suggest the provider delivers a disproportionate share of certain imaging and complex outpatient evaluation services compared with peers.

    Remote monitoring and chronic care management are a meaningful component of billed services: 99490 (1.4K claims, $69K, 4.8% of Medicare revenue), 99457 (994 claims, $38.8K, 2.7%), 99458 (795 claims, $24.6K, 1.7%), and 99454 (467 claims, $18.2K, 1.3%) together reflect a sustained investment in RPM and CCM services. Multiple codes rank in the 85th–96th percentiles, indicating this provider is actively billing these longitudinal care codes at levels above many peers and likely maintains infrastructure to support remote physiologic monitoring and team-based chronic disease management.

    Tenure is long: the NPI was enumerated on 2006-07-13 (approximately 20 years ago), indicating an established practice presence. This longevity combined with the procedural and diagnostic mix suggests sustained referral relationships and operational stability in the Detroit market.

    Competitive standing across codes is mixed: for some high-revenue items the provider is a strong national performer (e.g., 37225 at the 89th percentile; 93229 at the 94th percentile), while for others the provider’s volume is typical or modest (e.g., 37229 at the 42nd percentile). Overall, MAHIR ELDER appears as a specialized cardiovascular operator with concentrated revenue drivers, robust use of cardiac diagnostics and remote monitoring, and uneven but sometimes above-typical national standing across key procedure codes.

    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
    37225N/A60$6,000$377.7K
    37229N/A20$7,130$171K
    93229In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…160$660$107.6K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…280$340$94.8K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…620$140$85.9K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…1,380$50$69K
    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…460$140$64.5K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose570$110$59.6K
    37252In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…80$760$59.6K
    J2785Injection, regadenoson, 0.1 mg1,010$40$43.4K

    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
    37229133020$6,250$243.9K
    3722543030$4,670$158.7K
    9322924040$640$34.8K
    3725296030$670$30.9K
    A95003120130$110$18.7K
    9330638750190$70$16.4K
    37253194060$130$16K
    992332,3484,22070$90$12.3K
    784521352060$160$12.3K
    992324,0336,73090$60$12K

    Showing 1–10 of 52

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Halo Medical Group PLLCMICardiovascular Disease Physician$0$19.4M
    Tamam MohamadMIInterventional Cardiology Physician$868.1K$0
    Amir KakiMIInterventional Cardiology Physician$492.4K$0
    Moussa BazziMIPhysical Medicine & Rehabilitation Physician$474.7K$0
    Hamid SattarMICardiovascular Disease Physician$456.3K$0
    Theodore SchreiberMICardiovascular Disease Physician$398.2K$0
    Thomas DavisMICardiovascular Disease Physician$321.9K$0
    Richard CrossMINephrology Physician$296.6K$0
    Hammam ZmilyMICardiovascular Disease Physician$230.5K$0
    Youssef RizkMIVascular Surgery Physician$217.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vhs Childrens Hospital Of Michigan IncMIChildren's Hospital$0$180.4M
    University PediatriciansMIPediatrics Physician$0$106.9M
    University Physician GroupMIInternal Medicine Physician$0$87.4M
    Vhs Harper-hutzel Hospital IncMIGeneral Acute Care Hospital$0$76.6M
    The Children's Center Of Wayne Co., Inc.MICommunity/Behavioral Health Agency$0$74.3M
    Vhs Detroit Receiving Hospital IncMIGeneral Acute Care Hospital$0$60.6M
    Medical Center Emergency ServicesMIEmergency Medical Services (Emergency Medicine) Physician$0$44.1M
    Barbara Ann Karmanos Cancer HospitalMIGeneral Acute Care Hospital$0$42.5M
    Detroit Central City Community Mental Health Inc.MIFederally Qualified Health Center (FQHC)$0$29.2M
    Vhs University Laboratories IncMIClinical Medical Laboratory$677.7K$26.3M

    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. Michigan Distribution
    Mahir Elder — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan