Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAli Saberi
    Ask Trek AI about this page

    Ali Saberi — Billing Profile & Reimbursement Data

    NPI 1649495276 · St Petersburg, FL · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Ali Saberi — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Ali Saberi is a internal medicine physician provider located in St Petersburg, Florida. This profile covers 21 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAli Saberi
    Address5880 49th St N Ste 203
    CitySt Petersburg
    StateFL
    ZIP33709
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 17, 2007

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

    Payer SourceTotal Paid
    Medicare$5.7M
    Medicaid$0

    Key Findings

    ALI SABERI (Internal Medicine Physician, ST PETERSBURG, FL) has an NPI enumeration date of 2007-04-17 (~19 years ago) and shows $5.7M in total Medicare revenue with no Medicaid billing on file; the available data therefore describe an effectively single-payer Medicare practice rather than a mixed Medicare/Medicaid operation. This tenure and revenue scale indicate an established, Medicare-focused clinical operation.

    Medicare revenue is extremely concentrated: the precomputed top three Medicare codes account for 95.5% of this provider's Medicare revenue, driven by Q4205 ($5.1M, 89.3%), A2001 ($266.6K, 4.7%), and 0598T ($84.3K, 1.5%). That concentration means the provider’s Medicare financial performance is heavily dependent on a very small set of procedure-addons and wound-care–related services.

    The mix of high-revenue codes points to an advanced wound care and skin-substitute service line rather than routine primary-care E/M: Q4205 (membrane graft/wrap), A2001 (Innovamatrix skin substitute), and 0598T (real-time fluorescence wound imaging) together dominate the billing picture, supported by frequent debridement CPTs such as 11042. These codes and adjunctive therapies (e.g., 97610/97605) suggest the practice operates as a procedure-oriented wound care center providing grafting, imaging-guided infection assessment, debridement, and negative-pressure wound therapy.

    Competitive standing is mixed by code: for the flagship code Q4205 the provider ranks #5 of 63 nationally (94th percentile) and the dataset labels the volume for this code as "typical, unremarkable volume," but the absolute revenue share ($5.1M, 89.3% of Medicare revenue) places the provider among the top national billers for membrane-graft add-on services. By contrast, A2001 ranks #29 of 37 (22nd percentile) and is described as "typical, unremarkable volume," indicating a more modest national position for Innovamatrix billing despite its contribution to revenue.

    Several other codes show notable national volume signals: 0598T ranks #16 of 152 (90th percentile) and is labeled "typical, unremarkable volume," showing a strong presence in fluorescence wound imaging; 11042 (debridement to subcutaneous layer) ranks #239 of 10,712 (98th percentile) and is explicitly labeled "notably above typical national volume," indicating disproportionately high debridement activity relative to most peers even though it contributes a smaller share ($76.8K, 1.4%) of total Medicare revenue. These mixed signals point to a practice that is a national outlier for some procedure volumes while remaining routine for others.

    The provider’s claim mix also includes home-visit E/M codes and multiple adjunct therapies: examples include 99344 (102 claims, $11K), 99348 (173 claims, $10K), and 99349 (47 claims, $4.6K), alongside therapy codes 97610 ($48.7K) and 97605 (72 claims, $2.4K). This pattern supports an operational model that combines clinic-based wound procedures with home-based follow-up or in-home wound-management services, implying broader care pathways (procedure → home therapy) rather than isolated office visits.

    From a business-risk perspective, the combination of single-payer dependence (Medicare-only billing on file) and extreme revenue concentration in a few codes creates vulnerability to reimbursement or policy changes affecting membrane graft/add-on and skin-substitute coding. Any Medicare coverage changes, coding edits, or payment-rate adjustments for Q4205, A2001, or related wound-care codes could materially impact the provider’s revenue, so payer-contracting teams and analysts should prioritize monitoring those codes.

    Taken together, the ~19-year tenure and the high absolute Medicare revenue concentrated in wound care and grafting services suggest a mature niche practice likely embedded in regional wound-care referral patterns. The provider shows top-tier national billing for certain specialized codes (e.g., Q4205 and high-volume debridement by percentile) while maintaining more modest positions on other product lines, which is consistent with a focused specialty operator rather than a broad-based internal medicine practice.

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4205Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)4,380$1,160$5.1M
    A2001Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)330$810$266.6K
    0598TThe provider uses real–time fluorescence imaging in a darkened clinical setting to examine a wound. The provider uses this imaging to identify and locate bacterial infection in the wound and to…770$110$84.3K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.850$90$76.8K
    97610The provider uses a low–frequency ultrasound device to try to improve wound healing.150$330$48.7K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.220$120$25.7K
    0599TIn this add–on service, the provider uses real–time fluorescence imaging in a darkened clinical setting to examine a wound. The provider uses this imaging to identify and locate bacterial infection…200$80$14.8K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…80$180$13.5K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…180$70$11.6K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…100$110$11K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q4205210410$1,150$1.6M
    A20012101,110$810$895.1K
    11043217310200$160$60.7K
    97610930100$310$51.4K
    993491,1781,570140$90$27.4K
    0598T230100$110$22.7K
    11042591,000100$70$17.4K
    1104689130120$50$14K
    9921311,81930,01080$60$12K
    993484321,32090$50$12K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baycare Medical Group, Inc.FLGeneral Practice Physician$0$14.9M
    Jaffar HilliMOHematology & Oncology Physician$1.6M$0
    Julio Gonzalez-paoliFLRheumatology Physician$1.4M$0
    Marcos ValerioFLInterventional Cardiology Physician$1M$0
    Georgia ShapiroFLMedical Oncology Physician$980.2K$0
    Nora VeraFLDermatology Physician$849.9K$0
    James ConnorsFLMOHS-Micrographic Surgery Physician$735.7K$0
    Vikas DesaiNYInternal Medicine Physician$608.7K$106.2K
    Muhammad MustafaFLCardiovascular Disease Physician$629.4K$0
    Jennifer FrangosCAFamily Medicine Physician$570.6K$30

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Martin OrlickFLOphthalmology Physician$2.2M$0
    Ashok MittalFLPulmonary Disease Physician$659.5K$70
    Joseph FinleyFLFamily Nurse Practitioner$593.1K$0
    Malay GandhiFLClinical Cardiac Electrophysiology Physician$287.9K$0
    Ricky LockettFLPain Medicine (Physical Medicine & Rehabilitation) Physician$153.4K$0
    Ali Abdul JabbarFLInterventional Cardiology Physician$79K$0
    Harsh PatelFLGastroenterology Physician$76.3K$0
    Robert ButtsFLClinical Psychologist$23.6K$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. Florida Distribution
    Ali Saberi — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida