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NPI 1629145727 · Elgin, IL · Internal Medicine Physician
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Heena Shyamani is a internal medicine physician provider located in Elgin, Illinois. This profile covers 38 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Heena Shyamani |
| Address | 484 Summit St |
| City | Elgin |
| State | IL |
| ZIP | 60120 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | November 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $313.3K |
| Medicaid | $59.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
38 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99215 | The 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… | 710 | $130 | $94.1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 230 | $130 | $29.6K |
| 99439 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 590 | $40 | $22.9K |
| 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… | 220 | $90 | $21K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 310 | $50 | $15.8K |
| 99454 | The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period. | 360 | $40 | $14.7K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 360 | $40 | $14.5K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 130 | $100 | $13K |
| 99091 | The provider interprets medical information, such as ECG recordings, blood pressure records, and home glucose monitoring results, received in digital form from a patient or his caregiver requiring at… | 290 | $40 | $12.8K |
| 99458 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.… | 380 | $30 | $12.1K |
Showing 1–10 of 38
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
38 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99233 | 2,512 | 5,990 | 100 | $100 | $18.7K |
| 91320 | 766 | 940 | 90 | $130 | $17.2K |
| 99214 | 5,520 | 18,540 | 110 | $80 | $17.1K |
| G0439 | 465 | 4,030 | 70 | $130 | $13.6K |
| 99490 | 191 | 660 | 150 | $50 | $13.2K |
| 99458 | 33 | 100 | 240 | $30 | $12.3K |
| 99457 | 39 | 160 | 130 | $40 | $10.9K |
| 99454 | 31 | 150 | 130 | $40 | $10.8K |
| 99223 | 2,987 | 6,190 | 50 | $140 | $10.4K |
| 99215 | 25 | 6,240 | 40 | $120 | $10.1K |
Showing 1–10 of 38
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,270 | $40 | $44.6K |
| 99215 | The 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… | 330 | $50 | $14.8K |
| 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… | 20 | $20 | $290 |
| 82947 | The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip. | 10 | $1 | $40 |
| 82948 | The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method. | 10 | $1 | $30 |
| 1036F | N/A | 400 | $0 | $0 |
| 1126F | The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain. | 100 | $0 | $0 |
| 3074F | No Summary found for this code | 250 | $0 | $0 |
| 3078F | No Summary found for this code | 40 | $0 | $0 |
| 3079F | No Summary found for this code | 20 | $0 | $0 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 2,864 | 14,680 | 300 | $50 | $48.7K |
| 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… | 12,837 | 14,190 | 280 | $20 | $38.9K |
| 82948 | The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method. | 70 | 70 | 570 | $1 | $17K |
| 99215 | The 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… | 469 | 2,320 | 70 | $50 | $13.8K |
| 82947 | The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip. | 188 | 200 | 230 | $10 | $9.9K |
| 99072 | The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items… | 145 | 260 | 90 | $1 | $130 |
| 1126F | The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain. | 155 | 250 | 220 | $1 | $20 |
| 3078F | No Summary found for this code | 397 | 530 | 170 | $1 | $10 |
| 3074F | No Summary found for this code | 284 | 680 | 160 | $1 | $10 |
| 3079F | No Summary found for this code | 239 | 270 | 250 | $1 | $10 |
Showing 1–10 of 12
Other providers in the same ZIP code as Heena Shyamani, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Greater Family Health | IL | Federally Qualified Health Center (FQHC) | $0 | $82M |
| City Of Elgin | IL | Land Ambulance | $873K | $34.5M |
| Vna Health Care | IL | Federally Qualified Health Center (FQHC) | $0 | $18.5M |
| Greater Family Health | IL | Federally Qualified Health Center (FQHC) | $0 | $10.8M |
| Rapid Healthcare Laboratory LLC | IL | Clinical Medical Laboratory | $2.4M | $7.4M |
| School District U46 | IL | Local Education Agency (LEA) | $0 | $6.5M |
| Amjad Mahairi | IL | Dentist | $0 | $4.6M |
| Gloria Ma | IL | Anatomic Pathology & Clinical Pathology Physician | $87.6K | $3.9M |
| Maurice Binns | IL | Emergency Medicine Physician | $65.5K | $522.5K |
| Alex Sanchez | IL | Geriatric Medicine (Internal Medicine) Physician | $361.7K | $182.9K |
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