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    OpenPayerNPI Medicare & MedicaidZahoor Makhdoom
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    Zahoor Makhdoom — Billing Profile & Reimbursement Data

    NPI 1982667309 · Carbondale, IL · Gastroenterology Physician

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    Zahoor Makhdoom is a gastroenterology physician provider located in Carbondale, Illinois. This profile covers 28 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationZahoor Makhdoom
    Address1100 W Diann Ln
    CityCarbondale
    StateIL
    ZIP62901
    TaxonomyGastroenterology Physician
    NPI EnumeratedApril 7, 2006

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

    Payer SourceTotal Paid
    Medicare$850.9K
    Medicaid$61.2K

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.340$800$272.6K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…540$390$211.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.560$140$78.5K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1,090$50$59K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…520$80$41.3K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.120$240$28.1K
    46221In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…110$210$23K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.130$140$17.6K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…200$90$16.9K
    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…200$80$16.5K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305153580610$30$38.2K
    453856264060$270$23.4K
    992146,01918,540110$80$17.1K
    4538414030$270$16.3K
    45380767050$160$12.7K
    741775031,020120$80$11.7K
    43239568070$110$9.6K
    4622133030$190$9.2K
    4325165020$280$8.7K
    43249113020$280$8.1K

    Showing 1–10 of 28

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.360$130$45.9K
    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…280$20$5.9K
    J2175Injection, meperidine hydrochloride, per 100 mg1,120$1$3.4K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…20$120$2.3K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.20$110$1.9K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…10$20$290
    J1200Injection, diphenhydramine hcl, up to 50 mg1,160$0$0
    J2250Injection, midazolam hydrochloride, per 1 mg1,230$0$0
    J3010Injection, fentanyl citrate, 0.1 mg50$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.6430070$180$50.5K
    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…7,51914,680300$50$48.7K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…41010$180$38.7K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.861920400$50$29.1K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…8712050$140$25K
    J2175Injection, meperidine hydrochloride, per 100 mg1101,120$1$3.9K
    J1200Injection, diphenhydramine hcl, up to 50 mg920310$1$790
    J3010Injection, fentanyl citrate, 0.1 mg61040$1$270
    J2250Injection, midazolam hydrochloride, per 1 mg42070$1$110

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Comprehensive Services, Inc.ILRehabilitation Hospital$0$20.4M
    Southern Illinois Medical Services, NfpILRural Health Clinic/Center$0$15.2M
    Shawnee Health Service And Development CorpILFederally Qualified Health Center (FQHC)$0$13.2M
    Shawnee Health Service And Development CorpILFederally Qualified Health Center (FQHC)$0$9.7M
    Shawnee Health Service And Development CorpILFederally Qualified Health Center (FQHC)$0$6.7M
    Centerstone Of Illinois, IncILMental Health Clinic/Center (Including Community Mental Health Center)$0$4.6M
    Shawnee Health Service & Development CorpILFederally Qualified Health Center (FQHC)$0$4M
    Gateway Foundation, Inc.ILSubstance Use Disorder Rehabilitation Clinic/Center$0$3.1M
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$3M
    Nader DababnehILGastroenterology Physician$111.5K$813.7K

    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. Illinois Distribution
    Zahoor Makhdoom — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Zahoor Makhdoom — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois