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

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

Shamsuddin Virani (NPI 1821209768)

Field	Value
Entity Type	Individual
Organization	Shamsuddin Virani
Address	709 Spring Valley Rd
City	Burlington
State	WI
ZIP	53105
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	May 24, 2007

Payer Source	Total Paid
Medicare	$205.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,140	$70	$149.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	320	$100	$32.8K
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…	220	$50	$10.1K
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…	70	$90	$6.9K
99203	The provider sees a new 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 provider…	90	$60	$4.8K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$60	$1.6K
99441	N/A	60	$20	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Shamsuddin Virani — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3	9,800	80	$70	$9.2K
99215	59	3,320	30	$110	$6.3K
99213	735	9,380	60	$50	$4.7K
99204	319	3,390	30	$100	$3.7K
99203	245	2,820	30	$60	$2.4K
99221	101	440	20	$60	$1.4K
99441	15	160	20	$30	$720

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aurora Health Care Metro, Inc.	WI	General Acute Care Hospital	$0	$181.9M
Aurora Medical Group, Inc.	WI	Certified Registered Nurse Anesthetist	$2.2K	$139.2M
Aurora Advanced Healthcare, Inc.	WI	Family Medicine Physician	$0	$28.3M
Aurora Medical Center Of Oshkosh, Inc	WI	General Acute Care Hospital	$0	$16.4M
Lakeshore Medical Clinic, LLC	WI	Family Medicine Physician	$0	$8.4M
Aurora Health Care North, Inc.	WI	General Acute Care Hospital	$0	$6.8M
Aurora Health Care Southern Lakes, Inc.	WI	General Acute Care Hospital	$0	$4.5M
Jeffrey Bahr	WI	Internal Medicine Physician	$3.1M	$356.4K
Aurora Medical Group, Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.2M
Aurora Health Care Metro, Inc.	WI	Clinic/Center	$0	$2.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aurora Health Care Southern Lakes, Inc.	WI	General Acute Care Hospital	$0	$5.2M
Robert Garretto	WI	Emergency Medicine Physician	$52.3K	$400.7K
Tri Nguyen	WI	Dermatology Physician	$320.3K	$0
City Of Burlington	WI	Land Ambulance	$174.8K	$64.5K
Nathan Mathews	WI	Ophthalmology Physician	$194.2K	$0
Paul Webber	WI	Family Medicine Physician	$183.7K	$0
Stephen Welka	WI	Cardiovascular Disease Physician	$177.4K	$0
Randy Folker	WI	Otolaryngology Physician	$146.4K	$25.3K
Jolanta Twardy	WI	Geriatric Medicine (Internal Medicine) Physician	$164.4K	$0
Elton Mustafaraj	WI	Neuroradiology Physician	$101.3K	$56.3K

Shamsuddin Virani — Billing Profile & Reimbursement Data

Sign up for Shamsuddin Virani — Billing Profile & Reimbursement Data policy alerts

Shamsuddin Virani — Billing Profile & Reimbursement Data

Sign up for Shamsuddin Virani — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References