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 & MedicaidPouyan Changizzadeh
    Ask Trek AI about this page

    Pouyan Changizzadeh — Billing Profile & Reimbursement Data

    NPI 1982047981 · Storrs, CT · Hematology & Oncology Physician

    Customize your policy alerts

    Sign up for Pouyan Changizzadeh — 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.

    Pouyan Changizzadeh is a hematology & oncology physician provider located in Storrs, Connecticut. This profile covers 63 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
    OrganizationPouyan Changizzadeh
    Address1244 Storrs Rd
    CityStorrs
    StateCT
    ZIP06268
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 10, 2013

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    POUYAN CHANGIZZADEH’s Medicare billing is concentrated in oncology drug administration: the single largest revenue source is J9271 (pembrolizumab) with $473K representing 47.5% of the provider’s total Medicare revenue, and the top three Medicare codes account for 72.3% of total Medicare revenue. This mix indicates the practice is primarily delivering high-volume infused immunotherapy and bone-modifying agents rather than a broad primary care panel of services, consistent with the Hematology & Oncology taxonomy.

    Medicaid billing is absent for this provider — the record shows no Medicaid billing on file. As a result, the provider is effectively a single-payer (Medicare) earner in the available claims data, which concentrates revenue exposure to Medicare reimbursement policy and beneficiary mix.

    Denosumab (J0897) and pembrolizumab (J9271) together represent a dominant portion of the revenue stream beyond the single largest code: J0897 produced $192.2K (19.3% of Medicare revenue) and, with J9271, reflects a business model centered on in-office administration of specialty injectables and biologics. That drug-heavy revenue footprint suggests clinical throughput and infusion capacity are central to the provider’s operations rather than high-volume routine office evaluation and management alone.

    Routine E/M and care coordination codes are present but secondary: 99214 and 99215 together account for measurable ambulatory evaluation revenue ($50.1K and $40K respectively) and 99490 contributes $54K for chronic care management, indicating that while the practice administers complex therapies, it also bills for moderate- to high-complexity outpatient visits and provider-directed care coordination. This pattern is consistent with oncology follow-up and chronic disease management accompanying infusion services.

    Competitive standing on key codes is mixed. For pembrolizumab (J9271) the provider ranks #1054 of 1841 (42nd percentile), indicating typical, unremarkable national volume for that immunotherapy; by contrast J0897 ranks at the 90th percentile nationally (#1027 of 10057), signaling comparatively strong use of denosumab versus peers. Several office visit and lab codes (e.g., 99215 at the 96th percentile, 85025 at the 95th percentile, and 36415 at the 98th percentile) show above-typical national activity for those services, suggesting the provider is more active than most peers in these operational areas despite not being a national leader on the flagship oncology drug.

    Tenure on file is substantial: the NPI was enumerated on 2013-04-10 (~13 years ago). This length of enumeration supports that the observed drug-administration and E/M billing patterns represent an established practice rather than a short-term reporting artifact.

    There are notable statistical descriptors in the dataset that help interpret relative activity: 99215 is labeled notably above typical national volume (96th percentile), indicating higher-than-typical billing for high-complexity outpatient visits, while most chemotherapy administration and infusion codes are described as typical or unremarkable in volume. These characterizations suggest the provider delivers a higher-than-usual share of complex clinic visits alongside routine infusion volumes.

    Laboratory and procedure volumes appear substantial for a specialty practice: codes such as 85025 (CBC), 36415 (venipuncture), and 80053 (CMP) are all in the high national percentiles (95th–98th) and together contribute multiple small revenue lines. This supports an in-house workflow where lab draws and panel testing accompany infusion and oncology visits rather than reliance on external lab vendors.

    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.

    63 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg11,000$40$473K
    J0897Injection, denosumab, 1 mg10,680$20$192.2K
    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…1,040$50$54K
    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…500$100$50.1K
    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…290$140$40K
    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…250$120$28.5K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg170$130$22.4K
    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…250$70$16.8K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units1,940$10$11.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,400$10$11.2K

    Showing 1–10 of 63

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 63 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    63 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92711109,000$40$414.6K
    99439577080$40$241.1K
    994908170180$60$157.4K
    J3490192050$1,380$76K
    J089741002,700$20$66.4K
    J08854102,710$10$25.7K
    J92171030150$130$20.2K
    J08815106,550$1$14.5K
    992143686,48090$90$14.2K
    96413550110$110$13.6K

    Showing 1–10 of 63

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hartford HospitalCTGeneral Acute Care Hospital$0$316.3M
    Hartford Healthcare Medical Group Specialists, PLLCCTSurgery Physician$0$46M
    Hartford HospitalCTSurgery Physician$0$27.5M
    Hartford Healthcare Medical Group, IncCTSurgery Physician$0$22.4M
    Eastern Connecticut Hematology & Oncology Associates PCCTHematology & Oncology Physician$0$2M
    Philip SimkovitzCTCritical Care Medicine (Internal Medicine) Physician$589.2K$506K
    Nikia BrayCTFamily Nurse Practitioner$58.9K$557K
    Dinesh KapurCTHematology & Oncology Physician$494.8K$0
    Rabindranath MahabirCTInternal Medicine Physician$166.9K$299.3K
    Duarte MachadoCTNeurology Physician$390.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michele CooperCTMedical Physician Assistant$22.8K$0

    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. Connecticut Distribution
    Pouyan Changizzadeh — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut