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    OpenPayerNPI Medicare & MedicaidSamir Ale
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    Samir Ale — Billing Profile & Reimbursement Data

    NPI 1447538533 · Coos Bay, OR · Family Medicine Physician

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    Samir Ale is a family medicine physician provider located in Coos Bay, Oregon. This profile covers 16 Medicare and 4 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
    OrganizationSamir Ale
    Address1900 Woodland Dr
    CityCoos Bay
    StateOR
    ZIP97420
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 24, 2011

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

    Payer SourceTotal Paid
    Medicare$60.2K
    Medicaid$10.4K

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…410$60$22.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit130$130$16.8K
    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…90$70$6.3K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…60$70$4.1K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…20$160$3K
    90670This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…10$200$2.2K
    G0008Administration of influenza virus vaccine70$30$2.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$40$850
    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…20$30$590
    G0009Administration of pneumococcal vaccine20$30$430

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,7546,07080$70$10.3K
    G04391241,11040$90$5.9K
    992132085,48060$50$5.7K
    9066224164040$70$5K
    2061030341040$50$3.5K
    9067061020$200$3.2K
    7708017822080$20$2.1K
    G00083941,22030$30$2K
    994954815020$110$2K
    7104633853040$10$1K

    Showing 1–10 of 16

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…360$10$5K
    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…160$30$4.6K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…30$20$540
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.30$1$30

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Oregon median

    4 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…1,0691,500650$70$312.4K
    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…9081,590590$50$236.5K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…333420160$20$19K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.324400100$20$17.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    PeacehealthORCritical Access Hospital$0$20.2M
    North Bend Medical Center IncORMulti-Specialty Clinic/Center$0$12.4M
    PeacehealthORHospitalist Physician$0$5.5M
    North Bend Medical Center IncORClinical Medical Laboratory$898.1K$587.8K
    Mark LawtonSCCardiovascular Disease Physician$400.7K$0
    James MurrayORDermatology Physician$252K$0
    Leo KusudaORUrology Physician$229K$3.4K
    Basil PittengerORInternal Medicine Physician$219.6K$8.7K
    Misael MarquezORInternal Medicine Physician$223.5K$0
    Steven ShimotakaharaOROtolaryngology Physician$165.6K$50.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bay Cities AmbulanceORLand Ambulance$1.7M$9.5M
    Bay Area Hospital DistrictORGeneral Acute Care Hospital$0$8.7M
    Coos County OregonORClinic/Center$0$8.5M
    Cep America LLCOREmergency Medicine Physician$0$5.7M
    Lincare Inc.ORDurable Medical Equipment & Medical Supplies$0$3.4M
    Coos County OregonORPublic Health or Welfare Agency$15.8K$3.2M
    Coquille Indian TribeORClinic/Center$0$2.1M
    Bay ClinicORSpecialist$0$2M
    Nbmc Day Surgery IncORAmbulatory Surgical Clinic/Center$1.1M$830.1K
    Coastal Center, LLC.ORMental Health Counselor$0$1.7M

    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. Oregon Distribution
    Samir Ale — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon
    Medicaid Revenue by Year vs. Oregon Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oregon Distribution
    Samir Ale — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon