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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAli Achira
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    Ali Achira — Billing Profile & Reimbursement Data

    NPI 1427345065 · Dearborn, MI · Endocrinology, Diabetes & Metabolism Physician

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    Ali Achira is a endocrinology, diabetes & metabolism physician provider located in Dearborn, Michigan. This profile covers 14 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
    OrganizationAli Achira
    Address4700 Greenfield Rd Ste 2c
    CityDearborn
    StateMI
    ZIP48126
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedJuly 4, 2011

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

    Payer SourceTotal Paid
    Medicare$113.1K
    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.

    14 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…500$80$41.7K
    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…360$60$21.7K
    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…100$130$12.3K
    99222The 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…80$110$8.7K
    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…60$110$6.7K
    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…110$50$5.8K
    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…30$140$4.4K
    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…120$30$3.4K
    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.30$90$2.7K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…40$30$1.4K

    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
    992329706,73090$60$12K
    9921478115,47080$80$11.4K
    99490386450100$50$10.4K
    992232,7214,88040$130$8.3K
    992134,59714,81060$60$6.6K
    992154,1434,42030$110$6K
    992227194,81030$100$5K
    992043936,28030$110$4.2K
    9525052020$110$4K
    992033,4504,56030$70$3K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alzohaili Medical Consultants Md PCMIEndocrinology, Diabetes & Metabolism Physician$0$13.3M
    Mohammed YazbekMIInternal Medicine Physician$1.6M$0
    Mohammad AlhajiMINephrology Physician$522.6K$0
    Xihui LinMIOphthalmology Physician$376.6K$0
    Opada AlzohailiMIEndocrinology, Diabetes & Metabolism Physician$290K$0
    Ayman ElkadryWVEndocrinology, Diabetes & Metabolism Physician$186.7K$0
    Abbas El-khatibMENephrology Physician$122.5K$0
    Basel AssaadMINeurology Physician$120K$0
    Ali SaadMIAllergy & Immunology Physician$116.1K$0
    Saadia MianMIEndocrinology, Diabetes & Metabolism Physician$101.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Psygenics IncMIClinical Social Worker$0$41.4M
    Children's Dental Care PLLCMIPediatric Dentistry$0$37.5M
    Arab Community Center For Economic And Social Services AccessMICommunity/Behavioral Health Agency$0$25.1M
    Patient First Medical Clinic PLLCMIAddiction Medicine (Internal Medicine) Physician$0$11.6M
    Chase PediatricsMIPrimary Care Clinic/Center$0$11M
    Basel Khatib, M.d., P.C.MIPediatrics Physician$0$8.3M
    Childrens Health CenterMIHealth Service Clinic/Center$0$7.3M
    Mohamed Ayad, M.d., P.C.MIFamily Medicine Physician$0$6.7M
    Ali SobhMIDentist$0$6.3M
    Patterns Behavioral Services Michigan, Inc.MIBehavior Analyst$0$6.2M

    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. Michigan Distribution
    Ali Achira — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan