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    v1.0.28
    OpenPayerNPI Medicare & MedicaidShahla Siddiqui
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    Shahla Siddiqui — Billing Profile & Reimbursement Data

    NPI 1164980579 · Boston, MA · Anesthesiology Physician

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    Shahla Siddiqui is a anesthesiology physician provider located in Boston, Massachusetts. This profile covers 5 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.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationShahla Siddiqui
    Address330 Brookline Ave
    CityBoston
    StateMA
    ZIP02215
    TaxonomyAnesthesiology Physician
    NPI EnumeratedMarch 5, 2019

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

    Payer SourceTotal Paid
    Medicare$37.4K
    Medicaid$0

    Key Findings

    SHAHLA SIDDIQUI is listed as an Anesthesiology Physician in BOSTON, MA with an NPI enumerated on 2019-03-05 (~7 years ago). Lifetime Medicare revenue on file is $37.4K and there is no Medicaid billing on file, indicating the dataset captures only Medicare activity for this NPI.

    Revenue concentration is extremely high: the precomputed top-3 Medicare codes by revenue account for 95.3% of this provider's total Medicare revenue, driven primarily by 99291 (84.8%), 00731 (5.8%), and 00811 (4.7%). This level of concentration means a small set of services determines the vast majority of Medicare income for this provider.

    The service mix is focused on critical care and procedural anesthesia. Code 99291 ($31.7K revenue) is the dominant line and corresponds to critical care services for seriously ill patients, while 00731 and 00811 (combined $4.0K) reflect anesthesia services for upper and lower gastrointestinal endoscopic procedures, suggesting the provider works in ICU/critical care settings and also provides anesthesia for endoscopy cases.

    Competitive standing by code is modest rather than dominant. 99291 ranks #6118 of 71290 providers nationally (91th percentile; typical, unremarkable volume for this code), 00731 ranks #14706 of 39088 (60th percentile; typical, unremarkable volume for this code), and 00811 ranks #18934 of 30986 (35th percentile; typical, unremarkable volume for this code), indicating volumes that are within typical ranges nationally rather than outlier performance.

    Other billed anesthesia codes contribute only small shares of Medicare revenue: 00812 accounts for $1.3K (3.4% of Medicare revenue) and ranks #9231 of 16489 providers nationally (40th percentile; typical, unremarkable volume for this code), while 36620 contributes $481 (1.3% of Medicare revenue) and ranks #9781 of 12809 providers nationally (17th percentile; typical, unremarkable volume for this code). These smaller codes reinforce a profile of focused procedural anesthesia with limited ancillary billing.

    Payer mix is effectively single-payer in this dataset: $37.4K in Medicare revenue versus no Medicaid billing on file. For payers or network planners, this suggests the provider either does not participate in Medicaid, does not bill Medicaid under this NPI, or any Medicaid activity is not captured here, and Medicare patterns will dominate contract/value assessments.

    The overall scale of identified Medicare billing is modest ($37.4K lifetime), consistent with a practitioner who either has a limited Medicare panel, works in a part-time or consultative role, or provides high-acuity but episodic services (e.g., critical care shifts, endoscopy anesthesia). Given the heavy reliance on 99291, earnings appear concentrated in fewer, higher-intensity encounters rather than a broad volume of routine E/M or anesthesiology 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.

    5 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…180$180$31.7K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…30$90$2.2K
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…20$100$1.8K
    00812The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…20$70$1.3K
    36620In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…10$40$480

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9929112,15050$170$12.8K
    0081121,06030$70$2.9K
    00812371020$70$2.5K
    0073111,27030$70$2.3K
    36620141020$40$890

    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. Massachusetts Distribution
    Shahla Siddiqui — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts