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    OpenPayerNPI Medicare & MedicaidPhilip Shaheen
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    Philip Shaheen — Billing Profile & Reimbursement Data

    NPI 1639551880 · Warren, MI · Orthopaedic Surgery Physician

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    Philip Shaheen is a orthopaedic surgery physician provider located in Warren, Michigan. This profile covers 10 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
    OrganizationPhilip Shaheen
    Address11900 E 12 Mile Rd Ste 300
    CityWarren
    StateMI
    ZIP48093
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 24, 2015

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

    Payer SourceTotal Paid
    Medicare$10.8K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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$110$3.1K
    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$80$2.8K
    27687The provider releases the tendon of the gastrocnemius muscle, or outer calf muscle, to treat stiffness, tightness, or pain that prevents normal ankle movement.20$70$1.2K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.40$20$780
    20680Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…20$40$680
    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…10$50$630
    28750In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first…10$60$630
    28122In this procedure, the provider removes the infected portion of the tarsal or metatarsal bone, not including the talus or calcaneus, using craterization, saucerization, or diaphysectomy.10$40$530
    20902A bone graft restores structural integrity and natural osseous, or bony, tissue to the site of a bony defect, which increases its strength so it will last over a period of time. The provider…10$20$220
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.30$10$200

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2875031010$2,500$35K
    9921411,78015,47080$80$11.4K
    2068072020$550$9.3K
    9921314,04314,81060$60$6.6K
    2768761020$270$4.8K
    992043,1426,28030$110$4.2K
    736305681,06040$20$1.2K
    2090231020$60$970
    2812211010$40$540
    7361027968020$10$470

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Henry Ford Health St. John HospitalILGeneral Acute Care Hospital$0$159.7M
    Henry Ford Health Providence HospitalMIGeneral Acute Care Hospital$0$72.8M
    Henry Ford Health Macomb Oakland HospitalMIGeneral Acute Care Hospital$0$59.2M
    Henry Ford Health Macomb Oakland HospitalMIGeneral Acute Care Hospital$0$24.8M
    Henry Ford Macomb Hospital CorporationMIFamily Medicine Physician$0$9.2M
    Henry Ford Health Providence HospitalMIObstetrics & Gynecology Physician$0$9M
    Martin BelkinMINeurology Physician$4.7M$0
    Sumeer ThindaCAOphthalmology Physician$2.7M$0
    Julian DavisCAHematology & Oncology Physician$2.7M$0
    John CanzanoCAOphthalmology Physician$2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michigan Surgery Specialists, P.C.MISurgery Physician$0$6.8M
    Macomb Pediatric Associatea P.CMIPediatrics Physician$0$6M
    Consortiums Laboratory Services LLCMIClinical Medical Laboratory$767.1K$489.3K
    Siraj PanchbhaiyaMIFoot & Ankle Surgery Podiatrist$1.2M$0
    Mylab IncMIClinical Medical Laboratory$268.1K$857K
    Alan ParentMIOphthalmology Physician$968.9K$0
    Jessie AlperinMIRheumatology Physician$788.9K$0
    Anthony BaronMIRheumatology Physician$745.6K$0
    Harjot GroverMIInternal Medicine Physician$467.6K$0
    Sudhir LingnurkarMIPsychiatry Physician$461.7K$0

    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
    Philip Shaheen — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan