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

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

Shareef Ahmed (NPI 1770789646)

Field	Value
Entity Type	Individual
Organization	Shareef Ahmed
Address	24241 Michigan Ave
City	Dearborn
State	MI
ZIP	48124
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 26, 2007

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: Total Medicare revenue is $1.5M while Total Medicaid revenue is none (no Medicaid billing on file). That concentration means observed service mix and volumes reflect Medicare demand rather than a mix of public payers.

Revenue is highly concentrated in a very small set of Medicare codes: the precomputed top 3 codes account for 83.1% of this provider’s total Medicare revenue, driven primarily by J0178 ($1.1M, 72.3%), 67028 ($104K, 6.9%), and 99213 ($58.4K, 3.9%). This degree of concentration indicates that a single drug/procedure and its associated follow‑up visits dominate the practice’s Medicare economics.

The code mix points to a medical retina/intravitreal injection operation: J0178 (1.6K claims, $676 avg paid/claim, $1.1M revenue) is the largest revenue driver and 67028 (1K claims, $100 avg paid/claim, $104K revenue) also represents intravitreal procedures. High utilization of diagnostic imaging codes such as 92134 and 92235 supports ongoing retinal monitoring tied to those injection treatments.

Day‑to‑day outpatient workload appears clinic‑centered with frequent E/M and ophthalmology exams: 99213 (800 claims, $73 avg paid/claim, $58.4K revenue), 99214 (587 claims, $93 avg paid/claim, $54.6K revenue), and 92014 (588 claims, $92 avg paid/claim, $54.1K revenue) together reflect recurring follow‑up visits at low to moderate complexity levels. This pattern is consistent with chronic, visit‑intensive management rather than episodic surgery‑only practice.

Competitive standing by code is mixed: for the primary drug J0178 this provider ranks #748 of 3204 (77th percentile; typical, unremarkable volume), and for the intravitreal procedure 67028 the provider ranks #1332 of 4255 (69th percentile; typical, unremarkable volume), indicating a modest national presence in injections. By contrast, 99213 ranks #10752 of 457151 (98th percentile; notably above typical national volume), signaling unusually high E/M volume relative to peers and suggesting a comparatively large established patient panel or heavier visit cadence.

Diagnostic imaging is a meaningful adjunct to the injection practice: 92134 (1.6K claims, $31 avg paid/claim, $51.1K revenue) ranks #1379 of 26868 (95th percentile; notably above typical national volume), and 92235 (412 claims, $106 avg paid/claim, $43.7K revenue) ranks #116 of 2192 (95th percentile; typical, unremarkable volume). These placements indicate above‑typical use of OCT and angiography for retina disease monitoring, aligning with the intravitreal treatment pattern.

Absence of Medicaid billing creates payer concentration and network considerations: with no Medicaid claims on file the provider lacks exposure to state Medicaid revenue and would be effectively single‑payer with Medicare dominating reimbursement. That profile may affect contracting leverage and patient access dynamics for dual‑eligibles or Medicaid populations in the local market.

The provider has been enumerated on the NPI since 2007-06-26 (~19 years ago), indicating an established practice tenure. Combined with the focused high‑revenue service lines and repeated follow‑up visit volume, this tenure supports the interpretation of a sustained, service‑line specialization in medical retina and injection therapy over time.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,610	$680	$1.1M
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	1,040	$100	$104K
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…	800	$70	$58.4K
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…	590	$90	$54.6K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	590	$90	$54.1K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	1,650	$30	$51.1K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	410	$110	$43.7K
J3590	Unclassified biologics	470	$70	$32.4K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	400	$30	$11.2K
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…	40	$110	$4.8K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Shareef Ahmed — 5 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	22	110	680	$690	$630.2K
67028	35	160	440	$90	$57.6K
J3590	9	80	140	$80	$19.6K
92014	77	1,080	100	$80	$14.8K
99214	532	15,470	80	$80	$11.4K
92235	2	100	40	$100	$7.8K
92134	32	820	60	$30	$7.1K
92012	267	460	50	$60	$6.8K
99213	155	14,810	60	$60	$6.6K
99204	1,835	6,280	30	$110	$4.2K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health System	MI	General Acute Care Hospital	$0	$335M
Henry Ford Macomb Hospital Corporation	MI	General Acute Care Hospital	$0	$40.9M
Henry Ford Health System	MI	Emergency Medicine Physician	$0	$30.4M
Henry Ford Health System	MI	Pediatrics Physician	$0	$25.7M
Henry Ford Health System	MI	Internal Medicine Physician	$0	$24.4M
Henry Ford Health System	MI	Diagnostic Radiology Physician	$0	$23M
Henry Ford Health System	MI	General Acute Care Hospital	$0	$19.3M
Henry Ford Health System	MI	Obstetrics & Gynecology Physician	$0	$17M
Michigan Ophthalmology Specialists, PLLC	MI	Ophthalmology Physician	$0	$12.1M
Henr Y Ford Health System	MI	Family Medicine Physician	$0	$11.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oakwood Healthcare, Inc.	MI	General Acute Care Hospital	$0	$165.3M
Services To Enhance Potential	MI	Developmentally Disabled Services Day Training Agency	$0	$72.8M
Oakwood Ambulatory LLC	MI	Internal Medicine Physician	$0	$66.9M
Chitter Chatter P.C.	MI	Behavior Analyst	$0	$59.5M
Emergency Professionals Of Michigan, P.C.	MI	Emergency Medicine Physician	$0	$35.2M
Drs Harris Birkhill Wang Songe & Assoc PC	MI	Diagnostic Radiology Physician	$0	$27.8M
Futures Healthcore, LLC	MI	Community Health Clinic/Center	$0	$15.6M
First Choice Urgent Care PC	MI	Urgent Care Clinic/Center	$0	$13.5M
David K. Vazquez D.d.s. Plc	MI	Pediatric Dentistry	$0	$8M
Asheesh Tewari	MI	Retina Specialist (Ophthalmology) Physician	$2.8M	$0

Shareef Ahmed — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References