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NPI 1417096454 · Jefferson Hills, PA · Pulmonary Disease Physician
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Ziad Ismael is a pulmonary disease physician provider located in Jefferson Hills, Pennsylvania. This profile covers 15 Medicare and 8 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 | Ziad Ismael |
| Address | 1200 Brooks Ln |
| City | Jefferson Hills |
| State | PA |
| ZIP | 15025 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | February 6, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $49.4K |
| Medicaid | $13.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99291 | Critical 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… | 100 | $160 | $16.4K |
| 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… | 80 | $90 | $7.2K |
| 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… | 80 | $60 | $4.8K |
| 99233 | The 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… | 50 | $90 | $4.6K |
| 99232 | The 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… | 80 | $60 | $4.3K |
| 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… | 30 | $120 | $3.4K |
| 99223 | The 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… | 30 | $130 | $3.1K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 30 | $90 | $2.3K |
| 94626 | The provider performs services related to a session of outpatient pulmonary rehabilitation, a treatment program that helps a patient who has a chronic respiratory illness. Typical sessions include… | 60 | $20 | $1.3K |
| 36556 | The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older. | 10 | $60 | $900 |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 12,974 | 23,230 | 100 | $80 | $14.5K |
| 99233 | 3,937 | 6,630 | 70 | $90 | $12K |
| 99291 | 738 | 3,800 | 40 | $170 | $11.7K |
| 99232 | 5,427 | 10,870 | 80 | $60 | $9.6K |
| 99223 | 4,477 | 7,020 | 40 | $130 | $7.8K |
| 99213 | 9,877 | 22,370 | 70 | $60 | $7.7K |
| 99204 | 5,158 | 10,290 | 30 | $110 | $5K |
| 99222 | 4,065 | 7,850 | 30 | $100 | $4.3K |
| 94729 | 272 | 450 | 60 | $20 | $1.7K |
| 94010 | 225 | 370 | 40 | $20 | $1.4K |
Showing 1–10 of 15
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 280 | $30 | $9.5K |
| 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… | 120 | $20 | $2.8K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 90 | $10 | $860 |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 100 | $10 | $610 |
| 1034F | No Summary found for this code | 30 | $0 | $0 |
| 3008F | No Summary found for this code | 330 | $0 | $0 |
| 3074F | No Summary found for this code | 30 | $0 | $0 |
| 3078F | No Summary found for this code | 90 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 3,669 | 8,160 | 210 | $60 | $68.4K |
| 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… | 5,580 | 8,870 | 240 | $40 | $56.1K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 81 | 160 | 100 | $20 | $6.2K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 58 | 130 | 80 | $20 | $5.8K |
| 3074F | No Summary found for this code | 1,159 | 1,530 | 140 | $1 | $250 |
| 3078F | No Summary found for this code | 835 | 1,610 | 100 | $1 | $230 |
| 3008F | No Summary found for this code | 549 | 1,640 | 130 | $1 | $90 |
| 1034F | No Summary found for this code | 55 | 80 | 70 | $0 | $0 |
Other providers in the same ZIP code as Ziad Ismael, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Jefferson Regional Medical Center | PA | General Acute Care Hospital | $0 | $12.7M |
| Borough Of Jefferson Ambulance Association Inc | PA | Land Ambulance | $421.7K | $2.4M |
| Carol Mayfield | PA | Family Nurse Practitioner | $568.5K | $0 |
| Riaz Rahman | PA | Interventional Cardiology Physician | $391.5K | $0 |
| Tyler Willenbrink | PA | MOHS-Micrographic Surgery Physician | $262.2K | $0 |
| Feras Aloka | PA | Internal Medicine Physician | $239.1K | $0 |
| Rajesh Mehta | PA | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $181.1K | $19K |
| Gennady Geskin | PA | Cardiovascular Disease Physician | $152.1K | $0 |
| Thomas Baer | PA | Foot & Ankle Surgery Podiatrist | $114.5K | $0 |
| Scott Glazier | PA | Emergency Medicine Physician | $88.8K | $21.7K |
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