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    OpenPayerNPI Medicare & MedicaidAkbar Ali
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    Akbar Ali — Billing Profile & Reimbursement Data

    NPI 1578558219 · Roswell, NM · Surgery Physician

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    Akbar Ali is a surgery physician provider located in Roswell, New Mexico. This profile covers 12 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
    OrganizationAkbar Ali
    Address601 W Country Club Rd
    CityRoswell
    StateNM
    ZIP88201
    TaxonomySurgery Physician
    NPI EnumeratedSeptember 20, 2005

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

    Payer SourceTotal Paid
    Medicare$45.7K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99203The provider sees a new 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 provider…130$70$9.1K
    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…130$60$7.5K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…50$100$5K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…20$230$4.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…100$40$4.2K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…20$190$4.1K
    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$120$3.7K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$170$3.3K
    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…30$70$2.1K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.30$60$1.6K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    45385506060$280$26.1K
    45380367060$180$17.3K
    992142,2042,70090$70$12.9K
    43239587060$110$10.7K
    G0121204020$250$8.9K
    992137632,44060$50$7.3K
    3656162020$390$7K
    992045881,21030$100$4.5K
    992037887030$60$3.3K
    992128957030$30$2.2K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Roswell Hospital CorporationNMGeneral Acute Care Hospital$0$41.3M
    Roswell Clinic CorpNMFamily Medicine Physician$0$14.7M
    Fundador AdajarNMCardiovascular Disease Physician$317.9K$0
    Hamid FerozeNMCardiovascular Disease Physician$242.9K$0
    Brandon ComettiNMFamily Medicine Physician$207.8K$0
    Robert SchwartzNMOrthopaedic Surgery Physician$140.7K$0
    Virgle HerrinNMGeneral Practice Physician$121.8K$0
    Omar OsmaniNMOrthopaedic Surgery Physician$120.4K$0
    Daniel RidoutNMGastroenterology Physician$108.6K$0
    Richard PinonNMFamily Medicine Physician$108.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aspire Developmental Services, LLCNMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$45.5M
    Bca Medical Associates, PANMPediatrics Physician$0$41.2M
    Lovelace Health System LLCNMGeneral Acute Care Hospital$0$20.1M
    Pathology Consultants Of New MexicoNMAnatomic Pathology Physician$376.7K$18M
    La Casa De Buena Salud IncNMFederally Qualified Health Center (FQHC)$0$11M
    Masoud Khorsand- Sahbaie Md P ANMHematology & Oncology Physician$0$8.1M
    Agape Home Care LLCNMSupports Brokerage Agency$0$7.4M
    Roswell Family Care, LLCNMFamily Nurse Practitioner$0$6.3M
    Home Medical Equipment Specialists LLCNMDurable Medical Equipment & Medical Supplies$0$6M
    Familia Dental Ros LLCNMDental Clinic/Center$0$5.6M

    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. New Mexico Distribution
    Akbar Ali — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico