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    OpenPayerNPI Medicare & MedicaidShari Diamond
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    Shari Diamond — Billing Profile & Reimbursement Data

    NPI 1326165697 · Washington, DC · Rheumatology Physician

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    Shari Diamond is a rheumatology physician provider located in Washington, District of Columbia. 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
    OrganizationShari Diamond
    Address2021 K St Nw Ste 300
    CityWashington
    StateDC
    ZIP20006
    TaxonomyRheumatology Physician
    NPI EnumeratedMarch 23, 2007

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

    Payer SourceTotal Paid
    Medicare$482.1K
    Medicaid$0

    Key Findings

    This provider’s billing footprint is narrowly concentrated in Medicare with lifetime Medicare revenue reported at $482.1K and no Medicaid billing on file (“none”), making their practice effectively single‑payer in the public programs. That concentration means payer-management and utilization reviews will be driven entirely by Medicare activity rather than a mixed Medicare/Medicaid panel.

    Revenue is highly concentrated in three codes: J0897 ($175K, 36.8%), J3111 ($124.3K, 26.1%), and 99214 ($69.6K, 14.6%), which together account for 77.5% of this provider’s Medicare revenue. This top‑3 concentration indicates the practice’s financial performance is dominated by a small set of injectable biologic/administration codes plus moderate complexity evaluation & management visits.

    The code mix points to an office-based model centered on injectable biologic therapies and bone-health management: large revenue shares from J0897 (denosumab) and J3111 (romosozumab) alongside 77080 (DXA) and lab codes such as 82306 (vitamin D) and 86140 (CRP). These items together suggest routine osteoporosis/osteopenia assessment and frequent administration of specialty injections in the outpatient setting rather than a pure procedural or surgical practice.

    Competitive standing for the top drug-admin codes is mixed: J0897 ranks #1196 of 10057 providers nationally (88th percentile; typical, unremarkable volume for this code), and J3111 ranks #465 of 970 providers nationally (52th percentile; typical, unremarkable volume for this code), so the provider is a visible but not dominant national participant for these biologic injections. In contrast, 99214 ranks #29276 of 479517 providers nationally (94th percentile; notably above typical national volume for this code), indicating the provider carries a relatively high volume of moderate‑complexity established patient visits compared with national peers.

    Operationally, claim volumes for the leading drug codes are substantial: J3111 shows 15.5K claims and J0897 shows 9.7K claims, which aligns with the high revenue contribution from these specific injectables. The practice infrastructure therefore likely supports high-frequency injection workflows (scheduling, nursing/infusion support, and monitoring) even if many ancillary imaging and lab items register at much smaller revenue levels.

    The presence of chemotherapy/infusion administration codes (96413, 96401, 96415) and infusion/initial infusion code 96365—each contributing smaller shares of revenue—indicates occasional use of IV or subcutaneous administration services in addition to the predominant single‑injection biologic billing. These entries could reflect office-administered specialty therapies or coding overlap for biologic infusion administration and merit operational review to map clinical services to billed codes.

    For payers and network managers, the lack of any Medicaid billing (listed as “none”) means contracting and utilization risk for this provider is concentrated solely in Medicare; there is effectively no Medicaid exposure to offset Medicare trends. That single‑payer profile simplifies certain credentialing and reimbursement negotiations but increases sensitivity to Medicare policy or reimbursement shifts affecting injectable biologics and E/M visit valuation.

    The provider has an established NPI tenure, enumerated 2007-03-23 (~19 years ago), which suggests a long-standing practice and potential continuity of patient panel and referral relationships; this longevity can be relevant when assessing longitudinal utilization patterns and the potential impact of any reimbursement changes on patient access and care continuity.

    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
    J0897Injection, denosumab, 1 mg9,720$20$175K
    J3111Injection, romosozumab-aqqg, 1 mg15,540$10$124.3K
    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…660$110$69.6K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…160$130$20.1K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.220$70$15.6K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…230$50$10.6K
    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$130$10.2K
    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…140$70$9.6K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.600$10$4.8K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…150$30$4.3K

    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
    J311131024,360$10$204.1K
    J08972204,680$20$91.2K
    99214471,40090$100$15.3K
    96401310160$70$14.3K
    9641342060$120$11.4K
    992133101,20050$70$8.5K
    770802040230$30$7.9K
    9920412767030$130$6.4K
    20610326060$60$6.2K
    9069415617030$70$4K

    Showing 1–10 of 47

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alan MatsumotoMDRheumatology Physician$2.2M$0
    Emma DiiorioMDRheumatology Physician$2.1M$0
    Grant LouieMDRheumatology Physician$2.1M$0
    David WolfeMDRheumatology Physician$1.4M$0
    Nitasha KumarMDRheumatology Physician$1.2M$0
    Jeffrey PotterMDRheumatology Physician$1.1M$0
    Rami EltaraboulsiMDRheumatology Physician$1.1M$0
    Rachel KaiserMDRheumatology Physician$1M$0
    Ashley BeallMDRheumatology Physician$1M$0
    Guada Respicio DuqueMDRheumatology Physician$969.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Capitol View Home Healthcare AgencyDCRespite Care$0$26.2M
    Amazing Grace Supports IncDCIn Home Supportive Care Agency$0$20.2M
    Mba Non Profit Solutions, LLCDCDevelopmentally Disabled Services Day Training Agency$0$3.4M
    Premier Support Services IncDCCase Management Agency$0$2.9M
    Hamid SaranjamDCOrthodontics and Dentofacial Orthopedics Dentistry$0$1.8M
    District Endodontics PLLCDCEndodontics$0$1.8M
    Kerman Dental LLCDCGeneral Practice Dentistry$0$1.4M
    Lifetree Health, IncDCPrimary Care Clinic/Center$0$1.2M
    Kaveh ZandDCEndodontics$0$1M
    Limitless Possibilities, LLC.DCMental Health Counselor$0$741.8K

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. District of Columbia Distribution
    Shari Diamond — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia