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

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

Michel Shami (NPI 1780683227)

Field	Value
Entity Type	Individual
Organization	Michel Shami
Address	4517 98th Street
City	Lubbock
State	TX
ZIP	79424
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 18, 2005

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,000	$690	$683.6K
J2777	Injection, faricimab‑svoa, 0.1 mg	19,860	$30	$575.9K
J3490	Unclassified drugs	80	$1,750	$130.9K
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.	1,150	$90	$101.1K
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.	2,700	$30	$78.2K
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…	760	$90	$65.2K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	480	$120	$57.7K
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…	560	$60	$35K
J2778	Injection, ranibizumab, 0.1 mg	180	$180	$33.9K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	320	$110	$33.6K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Michel Shami — 3 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	78	210	610	$690	$694.9K
J2777	28	140	7,470	$30	$479.2K
J2778	81	80	630	$180	$345.3K
J2781	33	50	720	$120	$131.9K
67028	79	290	510	$90	$73K
J3490	108	350	60	$480	$54.4K
67042	26	90	20	$1,150	$41.3K
67113	20	30	20	$1,230	$29.4K
92235	72	160	60	$100	$21.3K
92014	229	2,700	100	$80	$21K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jason Ysasaga	TX	Ophthalmology Physician	$9.9M	$0
Ryan Rush	TX	Ophthalmology Physician	$9.7M	$0
Christopher Fisher	OK	Internal Medicine Physician	$7.6M	$0
Antonio Aragon	TX	Ophthalmology Physician	$7.3M	$0
Ashkan Abbey	TX	Ophthalmology Physician	$6.4M	$0
Aqeel Khan	IL	Psychiatry Physician	$2.2M	$3.5M
Lori Coors	TX	Ophthalmology Physician	$5.2M	$0
Ivan Castillo-salazar	TX	Ophthalmology Physician	$4.7M	$0
Andrew Mcclellan	TX	Ophthalmology Physician	$4.5M	$0
Brian Phelps	OK	Retina Specialist (Ophthalmology) Physician	$4.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services, Inc.	TX	Home Health Agency	$0	$23.4M
Higher Expectations, LLC	TX	Home Health Agency	$0	$14.1M
Christopher Fuller	TX	Ophthalmology Physician	$3.6M	$0
Cataract & Surgical Center Of Lubbock LLC	TX	Ambulatory Surgical Clinic/Center	$2M	$34.7K
Naga Bushan	TX	Rheumatology Physician	$1.9M	$0
Theerapol Prasertsuntarasai	TX	Rheumatology Physician	$1.1M	$0
James Calmes	TX	Rheumatology Physician	$733.9K	$0
Girish Vallabhan	TX	Urology Physician	$521.6K	$0
Timothy Khater	TX	Ophthalmology Physician	$481.9K	$0
Howard Beck	TX	Urology Physician	$465.8K	$0

Michel Shami — Billing Profile & Reimbursement Data

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Michel Shami — 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