Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Shamsa Ali (NPI 1487780755)

Field	Value
Entity Type	Individual
Organization	Shamsa Ali
Address	28001 Schoenherr Rd Ste 1
City	Warren
State	MI
ZIP	48088
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	February 23, 2007

Payer Source	Total Paid
Medicare	$101.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

10 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…	900	$90	$76.2K
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…	90	$110	$9.6K
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…	30	$120	$3.2K
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…	40	$60	$2.7K
95251	A 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…	90	$30	$2.3K
82947	The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.	540	$1	$2.1K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	220	$10	$2K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	40	$50	$1.7K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	80	$10	$750
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	50	$1	$50

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Shamsa Ali — 3 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	179	15,470	80	$80	$11.4K
99490	372	450	100	$50	$10.4K
99213	9,289	14,810	60	$60	$6.6K
99215	2,517	4,420	30	$110	$6K
99204	450	6,280	30	$110	$4.2K
95251	63	190	60	$20	$2.3K
83036	59	1,380	40	$10	$1K
96372	520	1,710	40	$10	$830
82947	4	140	50	$1	$420
J3420	198	380	50	$1	$80

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charlotte Caligiuri	MI	Urology Physician	$325.1K	$0
Michael Romanelli	MI	Cardiovascular Disease Physician	$262.3K	$0
Jareer Hmoud	MI	Infectious Disease Physician	$248K	$0
Daniel Ryan	MI	Physical Medicine & Rehabilitation Physician	$242.3K	$0
Oscar Parodi Ortiz De Villate	MI	Pulmonary Disease Physician	$204.6K	$0
Daniel Lin	MI	Ophthalmology Physician	$197.7K	$1.2K
Vilma Frangaj	MI	Physical Therapist	$187.7K	$0
Chakrapani Ranganathan	MI	Neurology Physician	$184.8K	$0
Martin Quiroga	MI	Surgery Physician	$180.6K	$0
Sam Hamade	MI	Pulmonary Disease Physician	$177.1K	$0

Shamsa Ali — Billing Profile & Reimbursement Data

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Shamsa Ali — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References