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 California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California 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. California (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.

Lily Naz Shamsnia (NPI 1598080772)

Field	Value
Entity Type	Individual
Organization	Lily Naz Shamsnia
Address	10 Woodland Rd
City	Saint Helena
State	CA
ZIP	94574
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	March 31, 2010

Payer Source	Total Paid
Medicare	$15.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	70	$70	$4.6K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	30	$120	$3K
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…	20	$100	$2.1K
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…	10	$150	$1.9K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	40	$50	$1.6K
99203	The 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…	20	$70	$1.5K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	20	$50	$970

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Lily Naz Shamsnia — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,942	37,970	120	$90	$23.2K
99213	3,120	34,660	80	$70	$13.2K
99204	2,805	19,360	40	$120	$7.2K
99203	1,300	12,740	30	$80	$4.6K
76830	8	990	20	$80	$2.6K
Q0091	109	570	20	$50	$1.9K
G0101	132	1,000	30	$40	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adventist Health Clearlake Hospital Inc.	CA	Rural Health Clinic/Center	$0	$78.8M
Adventist Health Clearlake Hospital Inc.	CA	Rural Health Clinic/Center	$0	$74.6M
Adventist Health Clearlake Hospital Inc.	CA	Critical Access Hospital	$0	$35.2M
Boris Bagdasarian	CA	Hematology & Oncology Physician	$1.7M	$380
Tigalat Shalita	CA	Family Medicine Physician	$1.5M	$1.3K
Keith Gross	CA	Dermatology Physician	$1.4M	$0
Richard Roe	CA	Ophthalmology Physician	$1.4M	$2.4K
Douglas Hughes	CA	Vascular & Interventional Radiology Physician	$1M	$0
Craig Letner	CA	Diagnostic Radiology Physician	$879.2K	$0
Maheep Birdi	CA	Neurology Physician	$875.8K	$0

Nearby Providers

Other providers in the same ZIP code as Lily Naz Shamsnia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Martin Paukert	CA	Plastic and Reconstructive Surgery Physician	$472.5K	$0
Ryan Moore	CA	Adult Reconstructive Orthopaedic Surgery Physician	$358.5K	$0
Matthew Cain	CA	Clinical Cardiac Electrophysiology Physician	$329.9K	$0
Monica Divakaruni	CA	Cardiovascular Disease Physician	$260.1K	$0
Susan Eisenberg	CA	Clinical Cardiac Electrophysiology Physician	$257.9K	$0
Marie Hughes	CA	Family Medicine Physician	$244.9K	$20
Gansevoort Dunnington	CA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$198.4K	$0
Tegpal Atwal	CA	Gastroenterology Physician	$172.1K	$0
Mary Dylla	CA	Specialist	$162.4K	$0
Stephen Banks	CA	Radiation Oncology Physician	$152.8K	$0

Lily Naz Shamsnia — Billing Profile & Reimbursement Data

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Lily Naz Shamsnia — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References