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    OpenPayerNPI Medicare & MedicaidAli Hemacha
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    Ali Hemacha — Billing Profile & Reimbursement Data

    NPI 1225000870 · Vernon, CT · Gastroenterology Physician

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    Ali Hemacha is a gastroenterology physician provider located in Vernon, Connecticut. This profile covers 7 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
    OrganizationAli Hemacha
    Address428 Hartford Tpke
    CityVernon
    StateCT
    ZIP06066
    TaxonomyGastroenterology Physician
    NPI EnumeratedFebruary 7, 2006

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

    Payer SourceTotal Paid
    Medicare$36.1K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…70$220$14.6K
    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.90$80$7.2K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk20$190$4.1K
    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…30$120$3.9K
    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…30$110$3.6K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…10$150$1.9K
    43450The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing.20$40$780

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453856424050$290$19.3K
    992145,0316,48090$90$14.2K
    4538014724040$190$11.5K
    G01054611020$300$9.5K
    432394924050$120$8.9K
    45378729020$200$4.9K
    4345031020$50$1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prospect Ct Medical Foundation, Inc.CTFamily Medicine Physician$0$34M
    Connecticut Gi PLLCCTGastroenterology Physician$0$12M
    Robert NajarianMAAnatomic Pathology Physician$520.7K$878.6K
    Muhammad IjazNJInternal Medicine Physician$852.8K$0
    Bart MuhsCTVascular Surgery Physician$572.7K$0
    Susan GobelCTAnatomic Pathology & Clinical Pathology Physician$539K$0
    Parveen KhannaCTCardiovascular Disease Physician$469.3K$0
    Jody GerardCTFamily Medicine Physician$378.2K$0
    Ayesha SiddiqueCTAnatomic Pathology & Clinical Pathology Physician$353.4K$0
    Angela FieldsWAAnatomic Pathology & Clinical Pathology Physician$343.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prospect Rockville Hospital, Inc.CTGeneral Acute Care Hospital$0$30M
    Vcare Family Practice, LLCCTMulti-Specialty Clinic/Center$0$4.2M
    Babar KhanCTGeneral Practice Dentistry$0$3.8M
    4 Your Peace Of Mind, LLCCTHome Health Agency$0$3.8M
    Vernon Public SchoolsCTLocal Education Agency (LEA)$0$3.5M
    Hockanum Valley Community Council, Inc.CTMental Health Clinic/Center (Including Community Mental Health Center)$0$3.1M
    Strong FoundationsCTBehavior Analyst$0$2.5M
    Town Of VernonCTLand Ambulance$339.8K$1.8M
    Prospect Echn Home Health, Inc.CTHome Health Agency$0$1.7M
    Ctuc01CTUrgent Care Clinic/Center$0$1.7M

    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. Connecticut Distribution
    Ali Hemacha — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut