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    OpenPayerNPI Medicare & MedicaidShadi Shahouri
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    Shadi Shahouri — Billing Profile & Reimbursement Data

    NPI 1568457950 · Wichita, KS · Rheumatology Physician

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    Shadi Shahouri is a rheumatology physician provider located in Wichita, Kansas. This profile covers 46 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
    OrganizationShadi Shahouri
    Address1921 N Webb Rd
    CityWichita
    StateKS
    ZIP67206
    TaxonomyRheumatology Physician
    NPI EnumeratedSeptember 13, 2005

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$0

    Key Findings

    This provider bills almost exclusively to Medicare with total Medicare revenue of $1.9M and reported Medicaid revenue of none; the absence of Medicaid billing on file makes this effectively a single-payer Medicare practice in the available data. The lack of Medicaid activity suggests the provider’s patient panel and service lines are concentrated in older adults and fee-for-service Medicare beneficiaries rather than state-covered populations.

    Revenue is highly concentrated in a small set of biologic-injection codes: the precomputed top 3 Medicare codes by revenue account for 54.1% of this provider’s total Medicare revenue, with J1602 contributing $451.2K (23.2%), J3262 contributing $308K (15.9%), and J0129 contributing $290.7K (15.0%). These three codes together drive more than half of the reported Medicare income, indicating the practice’s financial dependence on a narrow set of high-cost drug administrations.

    The mix of top codes indicates an infusion- and biologic-focused rheumatology practice: prominent drug codes J1602, J3262, J0129, J9312, J1745 and administration-related codes such as 96365, 96413 and 96415 point to in-office infusion and parenteral biologic therapy as central services. Additional support services tied to bone health and rheumatology follow-up — including 77080 (DXA), J0897 (denosumab), and J3111 (romosozumab-aqqg) — further suggest a service line that manages inflammatory disease and osteoporosis with clinic-administered biologics and diagnostics.

    Competitive standing by code is mixed: J1602 is sizable for this provider at $451.2K and ranks #74 of 1041 providers nationally (93th percentile) but is labeled as "typical, unremarkable volume for this code," while J3262 ($308K) and J0129 ($290.7K) also appear with labels of "typical, unremarkable volume" at their reported ranks. In short, the practice has meaningful national presence on several biologic products but does not appear to be a dominant outlier across those drug codes.

    E/M activity shows notable concentration in higher-level office visits: 99214 generated $117.2K (6.0%) and is flagged as an "extreme outlier, far above typical national volume for this code," while 99204 ($18.9K, 1.0%) is described as "notably above typical national volume for this code." These patterns indicate a heavier-than-typical throughput of moderate- to high-complexity office encounters, consistent with chronic disease management and frequent follow-up visits.

    Diagnostic and routine lab services are used heavily alongside infusion care: codes such as 80053 (930 claims, $9.3K), 85025 (910 claims, $7.3K), 86140 (830 claims, $4.2K) and 85652 (846 claims, $2.5K) appear at relatively high claim counts and are described as typical volumes for those codes. In addition, 77077 (joint survey) ranks #53 of 487 providers nationally (89th percentile) and supports a workflow that includes imaging and lab monitoring for rheumatologic and musculoskeletal patients.

    The provider’s national ranking profile across many drug and infusion codes is mostly characterized as "typical, unremarkable volume," with a few exceptions in evaluation-and-management codes; this suggests steady, practice-level scale rather than a specialty national center for biologic administration. Operationally, that implies predictable service demand from a Medicare-heavy panel but not a market-leading footprint for most biologic lines.

    The NPI was enumerated on 2005-09-13 (~21 years ago), indicating long tenure in practice. Combined with the concentrated Medicare revenue and established patterns of infusion, diagnostics, and frequent E/M visits, the data point to a mature, stable rheumatology practice whose financial health is closely tied to Medicare reimbursement and the administration of in-office biologic therapies.

    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.

    46 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1602Injection, golimumab, 1 mg, for intravenous use41,020$10$451.2K
    J3262Injection, tocilizumab, 1 mg61,600$10$308K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)8,550$30$290.7K
    J9312Injection, rituximab, 10 mg3,150$60$198.4K
    J0897Injection, denosumab, 1 mg9,660$20$173.9K
    J1745Injection, infliximab, excludes biosimilar, 10 mg6,120$30$159.2K
    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…1,350$90$117.2K
    J3111Injection, romosozumab-aqqg, 1 mg13,440$10$107.5K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.510$50$23.9K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…210$100$20.5K

    Showing 1–10 of 46

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    46 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01299208,000$30$291.5K
    J326241060,820$1$243K
    J311151017,700$10$198.5K
    J93123102,500$60$194.7K
    J160222014,360$10$167.7K
    J17455203,110$30$96.9K
    J0897211802,160$20$81.5K
    86235520280$20$30.8K
    823061816040$30$27.1K
    96413288080$90$26.3K

    Showing 1–10 of 46

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David DyerKSOphthalmology Physician$7.5M$0
    Bassam MattarKSHematology & Oncology Physician$7.2M$0
    Pavan ReddyKSHematology & Oncology Physician$6.7M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Thomas FinleyOKOphthalmology Physician$4.8M$0
    Daniel FeilerKSOphthalmology Physician$4.8M$0
    Travis KoenekeKSHematology & Oncology Physician$4.4M$0
    Christopher DakhilKSHematology & Oncology Physician$4.4M$0
    Stephen WilesMOOphthalmology Physician$4.4M$0
    Shaker DakhilKSHematology & Oncology Physician$4.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Childrens Dentistry Of WichitaKSPediatric Dentistry$0$32.8M
    Trust Homecare, LLCKSHome Health Agency$0$28.4M
    Good Shepherd Hospice Wichita LLCKSCommunity Based Hospice Care Agency$0$17.7M
    Grene Vision Group LLCKSOphthalmology Physician$0$6.3M
    Anthem Wichita Management, LLCKSAlzheimer Center (Dementia Center)$0$4.3M
    Justin GoodenKSUndersea and Hyperbaric Medicine (Preventive Medicine) Physician$4.3M$0
    Timothy ShaverKSRheumatology Physician$3M$0
    Jonas LichtyKSOral and Maxillofacial Surgery (Dentist)$2.6K$2.9M
    Homestead Of Crestview Operations LLCKSAssisted Living Facility$0$2.8M
    Kansas Kids Heart Center, PAKSPediatric Cardiology Physician$0$2.7M

    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. Kansas Distribution
    Shadi Shahouri — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas