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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSeema Sharma
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    Seema Sharma — Billing Profile & Reimbursement Data

    NPI 1801053541 · Springfield, VA · Internal Medicine Physician

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    Seema Sharma is a internal medicine physician provider located in Springfield, Virginia. This profile covers 60 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
    OrganizationSeema Sharma
    Address5510 Alma Lane
    CitySpringfield
    StateVA
    ZIP22151
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 20, 2008

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

    Payer SourceTotal Paid
    Medicare$683.6K
    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.

    60 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99490The 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…3,810$50$205.8K
    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…1,430$100$147.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit540$150$79.6K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.190$130$24.3K
    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…260$70$17.9K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…70$250$16.1K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…210$80$16.1K
    87636The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…90$140$12.6K
    G0444Annual depression screening, 5 to 15 minutes540$20$11.8K
    83021The lab analyst measures and calculates the hemoglobin fractions in a whole blood sample demonstrated by this hemoglobin fractionation test by chromatography.640$20$11.5K

    Showing 1–10 of 60

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 60 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    60 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921412212,890140$80$21K
    994902510130$50$15.5K
    9132018391070$130$15K
    G0439272,96080$120$14.7K
    99483334050$170$11K
    992132,34612,44090$60$10K
    992153,1734,03040$120$9.5K
    8680382030$10$8.3K
    80053624750210$10$8.1K
    8006181630180$10$8.1K

    Showing 1–10 of 60

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stacy OshryVAInternal Medicine Physician$492.4K$0
    Victoria CurrallVAInternal Medicine Physician$463.6K$0
    Bong KimVAAnatomic Pathology & Clinical Pathology Physician$359.7K$0
    Marc EllerVAFamily Medicine Physician$248.1K$0
    Walter ImmelVAGastroenterology Physician$211.5K$0
    Dennis NguyenVAHospitalist Physician$141K$0
    Audrey KeenVAPhysician Assistant$103.8K$0
    Tripta SinghVAInternal Medicine Physician$18.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hartwood Foundation, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$52.4M
    Central Fairfax Services IncVADevelopmentally Disabled Services Day Training Agency$0$35.1M
    Fassity Home Care LLCVAHome Health Agency$0$11.4M
    Multicultural Clinical CenterVACounselor$0$9.4M
    Jacqueline K. Hoang Md PCVAPediatrics Physician$0$8.6M
    Global Healthcare Services, LLCVASpeech-Language Pathologist$0$8.3M
    Anita BanerjeeVACardiovascular Disease Physician$837.8K$740
    Charles TonerVAMOHS-Micrographic Surgery Physician$666.1K$0
    Missale MesfinVAMOHS-Micrographic Surgery Physician$661.4K$0
    Tammy LambVADiagnostic Radiology Physician$610.2K$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. Virginia Distribution
    Seema Sharma — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia