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NPI 1174506018 · Worcester, MA · Endocrinology, Diabetes & Metabolism Physician
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Samir Malkani is a endocrinology, diabetes & metabolism physician provider located in Worcester, Massachusetts. This profile covers 5 Medicare and 1 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Samir Malkani |
| Address | 55 Lake Ave N |
| City | Worcester |
| State | MA |
| ZIP | 01655 |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| NPI Enumerated | November 23, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $66K |
| Medicaid | $10.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 610 | $80 | $49.9K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 210 | $40 | $8.3K |
| 99204 | The provider sees a new 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 provider… | 40 | $110 | $4.2K |
| 99213 | The 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… | 40 | $70 | $2.4K |
| 95250 | In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a… | 10 | $120 | $1.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 850 | $10 | $10.2K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 1,368 | 5,040 | 200 | $70 | $209.5K |
Other providers in the same ZIP code as Samir Malkani, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Umass Memorial Medical Center, Inc. | MA | General Acute Care Hospital | $0 | $490.8M |
| Umass Memorial Medical Group Inc | MA | Internal Medicine Physician | $0 | $98.5M |
| Hesham Malik | MA | Diagnostic Radiology Physician | $3.9M | $0 |
| Bradley Switzer | MA | Internal Medicine Physician | $524.2K | $0 |
| Ilsa Grunder | MA | Nurse Practitioner | $419.2K | $0 |
| Erica Ghosh | MA | Diagnostic Radiology Physician | $286.3K | $110K |
| Matthew Peckham | MA | Diagnostic Radiology Physician | $348.3K | $1.1K |
| Umass Memorial Mri & Imaging Center, LLC | MA | Magnetic Resonance Imaging (MRI) Clinic/Center | $102.9K | $216.4K |
| Thomas Fitzgerald | MA | Radiation Oncology Physician | $293.9K | $0 |
| Ryan Holstead | MA | Hematology & Oncology Physician | $270.2K | $7.6K |
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