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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSheeja Francis
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    Sheeja Francis — Billing Profile & Reimbursement Data

    NPI 1578680195 · Ann Arbor, MI · Rheumatology Physician

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    Sheeja Francis is a rheumatology physician provider located in Ann Arbor, Michigan. This profile covers 22 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
    OrganizationSheeja Francis
    Address1500 E Medical Center Dr
    CityAnn Arbor
    StateMI
    ZIP48109
    TaxonomyRheumatology Physician
    NPI EnumeratedMarch 26, 2007

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

    Payer SourceTotal Paid
    Medicare$156.5K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The 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…310$140$43.2K
    J0897Injection, denosumab, 1 mg2,400$20$43.2K
    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…300$100$30.4K
    99205The provider sees a new 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 provider…50$160$8.6K
    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…90$70$6.7K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…150$30$4.4K
    99443N/A40$90$3.5K
    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…20$150$3.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.260$10$2.1K
    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…200$10$1.6K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0897871702,460$20$69.1K
    992141,95715,47080$80$11.4K
    823063418040$30$8.9K
    992135,41114,81060$60$6.6K
    8444314630070$20$6.2K
    99215494,42030$110$6K
    8260712915040$10$5.4K
    80061302330100$10$4.6K
    992051681,68020$150$4.3K
    992043,7466,28030$110$4.2K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeffrey LiebermanFLDiagnostic Radiology Physician$1.4M$0
    Michael ShriverOHDiagnostic Radiology Physician$1.1M$0
    Stephen PomeranzOHDiagnostic Radiology Physician$642.3K$0
    Daniel ZakharyNYCardiovascular Disease Physician$445K$133.2K
    Michael PereiraNJRadiation Oncology Physician$559.6K$0
    William FieldNYAnatomic Pathology & Clinical Pathology Physician$514.4K$0
    Nirav ShahNYCardiovascular Disease Physician$372.6K$69.7K
    Scott KahnNYUrology Physician$410.9K$10.3K
    Mehul PatelNYCardiovascular Disease Physician$345.1K$60.1K
    Daniel KatzNYUrology Physician$375.1K$6.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Regents Of The University Of MichiganMIGeneral Acute Care Hospital$0$317.9M
    Regents Of The University Of MichiganMIDiagnostic Radiology Physician$0$13.8M
    Regents Of The University Of MichiganMINeonatal-Perinatal Medicine Physician$0$12.9M
    Regents Of The University Of MichiganMIEmergency Medicine Physician$0$12.7M
    Regents Of The University Of MichiganMIObstetrics & Gynecology Physician$0$12.5M
    Regents Of The University Of MichiganMIFamily Medicine Physician$0$11.2M
    Regents Of The University Of Michigan School Of DentistryMIGeneral Practice Dentistry$0$8.9M
    Regents Of The University Of MichiganMIPediatrics Physician$0$8.3M
    Regents Of The University Of MichiganMIAnesthesiology Physician$0$7M
    Regents Of The University Of MichiganMIPediatric Critical Care Medicine Physician$0$6.6M

    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. Michigan Distribution
    Sheeja Francis — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan