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    v1.0.28
    OpenPayerNPI Medicare & MedicaidIshaq Ali
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    Ishaq Ali — Billing Profile & Reimbursement Data

    NPI 1326248824 · Sherman, TX · Neurology Physician

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    Ishaq Ali is a neurology physician provider located in Sherman, Texas. This profile covers 14 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)

    FieldValue
    Entity TypeIndividual
    OrganizationIshaq Ali
    Address321 N Highland Ave
    CitySherman
    StateTX
    ZIP75092
    TaxonomyNeurology Physician
    NPI EnumeratedJuly 23, 2007

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

    Payer SourceTotal Paid
    Medicare$220.5K
    Medicaid$15K

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…670$90$61.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…300$130$38.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…270$130$34.2K
    J0585Injection, onabotulinumtoxina, 1 unit6,380$10$31.9K
    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…170$80$13.9K
    95819Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…130$100$12.7K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…70$150$10K
    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…40$140$4.9K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$60$3.2K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…20$170$3K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J05851252007,900$1$56.4K
    992334509,320100$90$17.9K
    9921412,25632,500110$80$17.6K
    992328,10411,790100$60$15.8K
    958192020040$220$14.2K
    992912,8114,72050$160$13.6K
    9588632945070$70$9.7K
    992233429,99040$130$9.5K
    992153848,73040$120$9.2K
    9591114420030$150$6.7K

    Showing 1–10 of 14

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 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…110$140$15K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Texas median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…4,2925,810540$50$155.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amanda FowlerMSRheumatology Physician$3.4M$0
    Anderson Physician Alliance, Inc.MSMulti-Specialty Clinic/Center$0$2.7M
    Thomas PlavacMSCardiovascular Disease Physician$1M$0
    Bharathy SundaramTXNeurology Physician$881.8K$0
    Easwar SundaramTXNeurology Physician$633.4K$31.5K
    Randall JoransenMSCardiovascular Disease Physician$510.4K$0
    John BoydMSCardiovascular Disease Physician$381.6K$0
    Lei WangTXNeurology Physician$370.7K$0
    Caleb DulaneyMSRadiation Oncology Physician$354.5K$0
    Muzaffar RahatMSInternal Medicine Physician$349.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gateway Diagnostic Imaging LLCTXRadiology Clinic/Center$3.4M$15.6K
    Tariq YousufTXInterventional Cardiology Physician$1.3M$0
    Irene AlfordTXFamily Nurse Practitioner$873.7K$0
    Syed Shariq SaghirTXNephrology Physician$766.9K$0
    Clint HayesTXSurgery Physician$699.2K$0
    Muqdad ZuriqatTXSpecialist$598.2K$0
    Peter SelzTXPlastic Surgery within the Head & Neck (Otolaryngology) Physician$192.6K$336.2K
    Aniwelyn TanTXFamily Nurse Practitioner$431.4K$5.4K
    Mcdonald ArnotTXOtolaryngology Physician$137.7K$241.9K
    Christian CooperTXFamily Medicine Physician$373.3K$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.

    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. Texas Distribution
    Ishaq Ali — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Ishaq Ali — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas