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    OpenPayerNPI Medicare & MedicaidZainab Rashid
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    Zainab Rashid — Billing Profile & Reimbursement Data

    NPI 1992816664 · Mesa, AZ · Dermatology Physician

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    Zainab Rashid is a dermatology physician provider located in Mesa, Arizona. This profile covers 49 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
    OrganizationZainab Rashid
    Address5424 E Southern Ave
    CityMesa
    StateAZ
    ZIP85206
    TaxonomyDermatology Physician
    NPI EnumeratedAugust 31, 2006

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

    Payer SourceTotal Paid
    Medicare$3.3M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer: lifetime Medicare revenue is $3.3M and there is no Medicaid billing on file, so operational and revenue analysis should focus entirely on the Medicare book of business. The NPI was enumerated on 2006-08-31 (~20 years ago), indicating long tenure in the Medicare program that could support established referral and service patterns.

    Revenue is highly concentrated: the top three Medicare codes account for 63.5% of total Medicare revenue, driven by Q4180 ($1.2M, 38.9%), 77280 ($537.2K, 17.7%), and Q4229 ($211.1K, 6.9%). This level of concentration means a small set of services dominates the provider’s financial performance with Medicare and should be the focus of payer contracting and utilization reviews.

    The code mix points to a procedural dermatology and wound-care profile with heavy use of biologic skin/substitute products and photodynamic therapy: high-revenue product codes include Q4180 (Revita), Q4229 (Cogenex amniotic membrane), Q4158 (Kerecis), and Q4186 (Epifix), while photodynamic and topical agents appear via 96574, J7345, and J7308. Concurrent presence of Mohs surgery (17311, 17313), excisions (11303, 11302), and complex repairs (13121, 13132) indicates the practice performs both surgical dermatology and advanced wound/tissue-replacement interventions rather than only medical dermatology.

    A very unusual feature is the exceptionally high use of radiation simulation and planning codes: 77280 shows 2.6K claims and $537.2K in revenue (17.7%) and ranks #19 of 3348 providers nationally (99th percentile; extreme outlier), with additional planning codes 77290 ($71K) and 77263 ($26.9K) also present at high percentiles. Those 77xxx codes are not typical for a standalone dermatology clinic and, given their "extreme outlier" labels, signal involvement in or billing for radiation-simulation/planning activity at volumes far above peers; this is a clear area for operational inquiry.

    The provider also posts very high procedural and office visit throughput: 99214 (1.1K claims, $94.9K; ranks #9492 of 479517 providers, 98th percentile; extreme outlier) and 99213 (835 claims, $55.9K; 98th percentile) show that evaluation-and-management volume is substantial alongside procedure-driven revenue. High counts of lesion-destruction and excision codes (e.g., 17004, 17110, 11303) reinforce that patient flow is procedure‑heavy rather than limited to low-intensity office care.

    Several codes are national-level outliers for volume even where they contribute modest revenue shares: J7345 appears as 52.8K claims with $52.8K revenue and ranks #11 of 767 providers nationally (99th percentile; extreme outlier), and 96574 (357 claims, $74.3K) is labeled an "extreme outlier" as well. These patterns—very high claim counts for low unit payment items and extreme percentile ranks—suggest workflows or supply-use practices that materially affect claim counts and should be considered when evaluating utilization patterns and contract terms.

    Competitive standing is mixed by service line: for radiation-simulation/planning the provider is a clear national outlier and de facto major participant (77280, 77290, 77263 are at or near the 99th percentile; extreme outlier), whereas for biologic products Q4180 ranks #3 of 23 nationally (91th percentile; typical, unremarkable volume) and Q4229 ranks #9 of 46 (82th percentile; typical, unremarkable volume), indicating relatively stronger national position in select product categories but not uniformly dominant across all high-revenue items. This split suggests the provider competes at different scales across distinct service lines rather than being uniformly large or small across dermatology codes.

    For payer operations and oversight, the concentration of 63.5% of Medicare revenue in three codes plus multiple "extreme outlier" utilization signals (notably 77280, 96574, J7345, 77290, 77263, and 11303) create focused areas for contract negotiation, utilization-management strategies, and targeted medical-record review. Given the absence of Medicaid billing, any network, rate-setting, or program-integrity work should prioritize Medicare claims and these specific CPT/HCPCS lines where both revenue and claim-volume anomalies are concentrated.

    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.

    49 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4180Revita, per square centimeter (add-on, list separately in addition to primary procedure)2,380$500$1.2M
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.2,560$210$537.2K
    Q4229Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)1,260$170$211.1K
    Q4158Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)700$180$128.1K
    Q4186Epifix, per square centimeter (add-on, list separately in addition to primary procedure)800$120$95.6K
    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…1,080$90$94.9K
    96574This code is used to report removal of hyperkeratotic (hardened, dry, scaly) skin lesions that appear precancerous followed by photodynamic therapy that exposes a lesion treated with a…360$210$74.3K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…200$350$71K
    77401Deleted effective Jan. 1, 2026.1,960$30$62.7K
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…110$520$59.3K

    Showing 1–10 of 49

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 49 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    49 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q41801102,380$500$1.2M
    1731179100240$450$148.3K
    Q4158110700$180$128.1K
    Q4229110700$170$116.2K
    Q4186110520$120$71.8K
    88305255270700$40$71.1K
    1731280100120$320$56.9K
    17313309070$440$39.1K
    7728029060$200$37.6K
    1500252050$200$25.1K

    Showing 1–10 of 49

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Physicians Of Indiana IncINFamily Medicine Physician$0$185M
    Community Health Network, IncINMental Health Clinic/Center (Including Community Mental Health Center)$0$37.4M
    Randall OliverINInterventional Pain Medicine Physician$1.5M$0
    Lorraine CalvertINAdult Health Nurse Practitioner$484.2K$0
    Ernest AsamoahINEndocrinology, Diabetes & Metabolism Physician$401.3K$0
    Krishna MalineniINClinical Cardiac Electrophysiology Physician$345.5K$0
    Pragneshkumar RadadiyaINFamily Medicine Physician$318.4K$0
    Chad ReichardINUrology Physician$315.7K$0
    Chris MageeINUrology Physician$288.6K$0
    Emily RoseINClinical Cardiac Electrophysiology Physician$282.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acumen Fiscal Agent LLCAZCommunity/Behavioral Health Agency$0$1.1B
    Affinity Family Care, LLC.AZHome Health Agency$0$63.8M
    Residents At The Heights, LLCAZSubstance Abuse Rehabilitation Facility$0$33.2M
    Banner Baywood Medical CenterAZGeneral Acute Care Hospital$0$29.6M
    A Brighter Avenue LLCAZSpeech-Language Pathologist$0$28.6M
    Emergency Physicians Southwest, PCAZEmergency Medicine Physician$0$27M
    Health Care Alternatives, Inc.AZIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$26.1M
    Christian3 Mega Clinic LLCAZSubstance Use Disorder Rehabilitation Clinic/Center$0$22.3M
    Horizon Pediatric Therapy, Inc.AZMusic Therapist$0$17.9M
    Zarephath Inc.AZCommunity/Behavioral Health Agency$0$17M

    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. Arizona Distribution
    Zainab Rashid — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona