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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSemi Ayub
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    Semi Ayub — Billing Profile & Reimbursement Data

    NPI 1487825071 · Saint Croix Falls, WI · Rheumatology Physician

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    Semi Ayub is a rheumatology physician provider located in Saint Croix Falls, Wisconsin. This profile covers 19 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
    OrganizationSemi Ayub
    Address235 E State St
    CitySaint Croix Falls
    StateWI
    ZIP54024
    TaxonomyRheumatology Physician
    NPI EnumeratedMarch 21, 2008

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

    Payer SourceTotal Paid
    Medicare$25.8K
    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.

    19 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…120$90$11K
    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…30$130$4K
    86235The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,…110$20$1.9K
    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…20$70$1.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.150$10$1.2K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…130$10$1K
    86160The lab analyst performs the technical test to measure levels of complement antigens, such as C1 through C9, that are important in detecting and fighting infection and in evaluating autoimmune…80$10$880
    86140The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.140$10$700
    84460The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.…130$10$630
    82565The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…120$10$600

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    862351020110$20$10.7K
    992143,3589,80080$70$9.2K
    992137,8559,38060$50$4.7K
    992041,3323,39030$100$3.7K
    8616082080$10$2.5K
    G00082,3582,54040$30$2.4K
    8502511687030$10$2.4K
    364155742,30070$10$2.3K
    82550103040$10$2K
    86200102030$10$1.5K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scott PetersonMNOphthalmology Physician$728.2K$0
    Anders KnutzenMABody Imaging Physician$170.9K$0
    Caroline HoMNDiagnostic Radiology Physician$155.5K$0
    Mckinley LawsonMNDiagnostic Radiology Physician$142.7K$0
    George WandlingMNOphthalmology Physician$140.9K$0
    Islam KhanMNNephrology Physician$67.5K$0
    Katie MoriartyMNAdvanced Heart Failure and Transplant Cardiology Physician$66.2K$0
    Jenna MazourMNFamily Nurse Practitioner$38.7K$0
    Jeffrey LassigMNNeuroradiology Physician$37.2K$0
    Collin TorokWINeuroradiology Physician$5.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Croix Regional Medical CenterWICritical Access Hospital$0$7M
    St. Croix Valley Emergency Medical Services, Inc.WILand Ambulance$570.4K$459.4K
    Wal-mart Stores East LPWICommunity/Retail Pharmacy$137.1K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wisconsin Distribution
    Semi Ayub — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin