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    OpenPayerNPI Medicare & MedicaidSohail Ali
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    Sohail Ali — Billing Profile & Reimbursement Data

    NPI 1235137167 · Maitland, FL · Endocrinology, Diabetes & Metabolism Physician

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    Sohail Ali is a endocrinology, diabetes & metabolism physician provider located in Maitland, Florida. This profile covers 47 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
    OrganizationSohail Ali
    Address635 N Maitland Ave
    CityMaitland
    StateFL
    ZIP32751
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedJuly 13, 2005

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

    Payer SourceTotal Paid
    Medicare$317.8K
    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.

    47 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,310$90$117.7K
    95250In 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…160$100$16K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.200$70$14.2K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.330$40$13.2K
    99213The 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…210$60$13.1K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…720$20$11.6K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1,080$10$10.8K
    95251A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…380$30$9.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,190$10$9.5K
    99204The 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…80$120$9.4K

    Showing 1–10 of 47

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    47 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,05532,760140$90$25K
    8230621292070$30$21.5K
    800531081,430170$10$21.3K
    844431281,210130$20$20.9K
    839704032050$40$20.2K
    994901,1381,200150$50$19.7K
    800611791,250160$10$19.4K
    8440311021040$30$17.3K
    99457325460160$40$15K
    992137,66630,01080$60$12K

    Showing 1–10 of 47

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carlos PachecoFLEndocrinology, Diabetes & Metabolism Physician$321.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$124.5M
    Adventist Health System Sunbelt, Inc.FLUrgent Care Clinic/Center$0$67.5M
    Integrity Health Services Orlando, LLCFLHome Health Agency$0$24.8M
    Kacian BrownFLFamily Medicine Physician$9.4M$0
    Childrens Surgery Center LLCFLAmbulatory Surgical Clinic/Center$735.2K$2.8M
    Vivia FranksonFLFamily Nurse Practitioner$1.5M$0
    Amish ParikhFLCardiovascular Disease Physician$1.2M$0
    Arnaldo IsaFLSpecialist$844.6K$0
    Penny GlickmanFLEndocrinology, Diabetes & Metabolism Physician$485.9K$0
    Neel PatelFLCardiovascular Disease Physician$481.6K$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. Florida Distribution
    Sohail Ali — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida