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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMir-omar Ali
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    Mir-omar Ali — Billing Profile & Reimbursement Data

    NPI 1083800965 · Clayton, NC · Pulmonary Disease Physician

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    Mir-omar Ali is a pulmonary disease physician provider located in Clayton, North Carolina. This profile covers 13 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
    OrganizationMir-omar Ali
    Address8878 Us 70 Hwy W Ste 400a
    CityClayton
    StateNC
    ZIP27520
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedSeptember 24, 2007

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

    Payer SourceTotal Paid
    Medicare$181.6K
    Medicaid$0

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical 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…330$160$52.6K
    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…310$130$40.1K
    99233The 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…220$90$20.2K
    95810Polysomnography 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,…30$450$11.3K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…330$30$9.3K
    95811During 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.20$470$8.5K
    95070Providers use the bronchial challenge test, also known as a histamine challenge test or a methacholine challenge test, to assist in the diagnosis of asthma. The test involves the patient inhaling the…330$30$8.3K
    94618The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise.330$30$8.3K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.140$40$6K
    99205The provider sees a new 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 provider…40$170$5.8K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    958119712040$260$12.1K
    958108514040$250$11.8K
    992335834,23070$90$10.1K
    99291242,63040$160$9.3K
    95070110330$20$8.3K
    992151495,72040$110$7.7K
    992232,0784,58030$130$6.5K
    992057272,29020$140$4.9K
    947296928070$30$3.4K
    947264922060$30$2.9K

    Showing 1–10 of 13

    Nearby Providers

    Other providers in the same ZIP code as Mir-omar Ali, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hhdm, Inc.NCMethadone Clinic$0$7.2M
    Benjamin AtkesonNCCardiovascular Disease Physician$477.1K$0
    Debra HarrNCRadiation Oncology Physician$414.3K$0
    Sanjay TomarNCDermatology Physician$245.1K$0
    Mazen KhusayemNCInternal Medicine Physician$188K$14K
    Christian GringNCCardiovascular Disease Physician$193.5K$0
    Joan MeehanNCFamily Medicine Physician$193.4K$0
    Digestive Asc LLCNCAmbulatory Surgical Clinic/Center$159.6K$0
    Joseph AllenNCUrology Physician$121.9K$0
    Martha IngramNCPhysician Assistant$104.4K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Mir-omar Ali — 4 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina