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NPI 1366527160 · Burton, MI · Gastroenterology Physician
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Muhammad Al-midani is a gastroenterology physician provider located in Burton, Michigan. This profile covers 12 Medicare and 7 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 | Muhammad Al-midani |
| Address | 4050 Walli Strasse Dr |
| City | Burton |
| State | MI |
| ZIP | 48509 |
| Taxonomy | Gastroenterology Physician |
| NPI Enumerated | October 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $115.9K |
| Medicaid | $46.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 45388 | In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating… | 30 | $1,890 | $58.6K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 70 | $300 | $21.8K |
| 43239 | The 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. | 50 | $170 | $9.3K |
| 99215 | The 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… | 50 | $140 | $6.8K |
| 45385 | The 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… | 30 | $170 | $5.7K |
| 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… | 40 | $100 | $4K |
| 45380 | The 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 | $110 | $3.6K |
| 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 | $60 | $2.1K |
| 99203 | The provider sees a new 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 provider… | 20 | $80 | $1.5K |
| 91200 | The provider uses elastography to determine whether tumors in the liver are nonmalignant or benign and to distinguish a lesion from normal tissue. Tumors show less elasticity or resumption of their… | 50 | $20 | $970 |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 45388 | 3 | 10 | 20 | $370 | $33.2K |
| 45385 | 329 | 530 | 40 | $270 | $18.3K |
| 99214 | 10,942 | 15,470 | 80 | $80 | $11.4K |
| 45380 | 242 | 490 | 30 | $170 | $9.4K |
| 43239 | 238 | 510 | 50 | $110 | $8.2K |
| 43248 | 4 | 40 | 30 | $170 | $7K |
| 99213 | 10,250 | 14,810 | 60 | $60 | $6.6K |
| 99215 | 1,345 | 4,420 | 30 | $110 | $6K |
| 99203 | 3,176 | 4,560 | 30 | $70 | $3K |
| 99212 | 2,283 | 2,750 | 30 | $40 | $2K |
Showing 1–10 of 12
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 45388 | In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating… | 10 | $1,700 | $23.8K |
| 43239 | The 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 | $130 | $11.8K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 20 | $210 | $3.3K |
| 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… | 60 | $50 | $3K |
| 45380 | The 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… | 20 | $100 | $1.6K |
| 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 | $40 | $1.5K |
| 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… | 20 | $90 | $1.4K |
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 45388 | In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating… | 2 | 10 | 230 | $1,450 | $331.5K |
| 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… | 3,775 | 4,380 | 1,000 | $70 | $289.9K |
| 43239 | The 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. | 163 | 220 | 440 | $180 | $249.7K |
| 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… | 4,195 | 4,770 | 1,060 | $50 | $247.8K |
| 45380 | The 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… | 132 | 150 | 240 | $280 | $214.5K |
| 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… | 1,633 | 1,860 | 220 | $90 | $96.9K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 8 | 10 | 170 | $160 | $80.3K |
Other providers in the same ZIP code as Muhammad Al-midani, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Michigan Community Services, Inc | MI | Child Intellectual and/or Developmental Disabilities Respite Care | $0 | $27.9M |
| Hhas Target LLC | MI | Behavior Analyst | $0 | $8.3M |
| Chaitanya Vemulapalli | MI | Diagnostic Radiology Physician | $176.4K | $0 |
| Nick Buttar | MI | Family Medicine Physician | $157.1K | $0 |
| Khaled Shukairy | MI | Otolaryngology/Facial Plastic Surgery Physician | $105.7K | $0 |
| Samir Basata | MI | Urology Physician | $76.6K | $11.8K |
| Kristin Nikolakeas | MI | Family Medicine Physician | $48.6K | $0 |
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