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NPI 1932107224 · Woonsocket, RI · Cardiovascular Disease Physician
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Sajid Siddiq is a cardiovascular disease physician provider located in Woonsocket, Rhode Island. This profile covers 27 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Sajid Siddiq |
| Address | 68 Cumberland St |
| City | Woonsocket |
| State | RI |
| ZIP | 02895 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | July 11, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $300.6K |
| Medicaid | $19.3K |
This provider is Medicare-dominant in scale: lifetime Medicare revenue is $300.6K compared with $19.3K in Medicaid, so Medicare is the clear primary payer for this clinician’s billed services. The much larger Medicare dollar volume suggests the provider’s practice and referral base are oriented toward Medicare-aged patients rather than Medicaid populations.
Medicare revenue is concentrated in a small set of services: the top 3 Medicare codes account for 56.7% of this provider’s total Medicare revenue. The three leading codes are 99214 ($81.1K, 27.0%), 93306 ($52.9K, 17.6%), and 78452 ($36.3K, 12.1%), indicating that a majority of Medicare dollars come from office E/M visits plus diagnostic and nuclear cardiac imaging.
The code mix points to an outpatient cardiology practice with a strong emphasis on cardiac imaging and stress testing. High-revenue imaging and pharmacologic stress items — 93306 (2D echocardiography), 78452 (SPECT myocardial perfusion), A9500 (technetium tc-99m sestamibi), and J2785 (regadenoson) — together show the practice performs both transthoracic and nuclear cardiac evaluations alongside clinic visits.
99214 is a major driver of Medicare volume and the provider’s competitive standing for office cardiology: that code shows 943 claims, $86 avg paid/claim, $81.1K revenue and ranks #13222 of 479517 providers nationally (97th percentile) — characterized in the source as notably above typical national volume. This placement indicates the provider is a high-volume national outlier for established outpatient cardiology E/M services.
Specialized echocardiography procedures are another distinctive feature: 93356 (speckle tracking myocardial strain) accounts for $8.5K and 302 claims and ranks in the 96th percentile nationally, described as notably above typical national volume. That elevated percentile for 93356 suggests more frequent use of advanced echo techniques than most peers, consistent with a practice offering detailed myocardial function assessment.
The provider also bills inpatient E/M and device/remote-monitoring services, but these are smaller contributors to revenue. Medicare inpatient codes 99233 ($16.2K, 5.4%) and 99223 ($12.4K, 4.1%) are present, and monitoring codes such as 93224 and 93268 appear at modest revenue levels; the ranks for many device- and monitoring-related codes are mid- to lower-percentile, indicating these lines are operational but not dominant.
Medicaid activity is highly concentrated and modest in scale: the top 3 Medicaid codes account for 93.1% of the provider’s total Medicaid revenue. Those codes are 99214 ($8.4K, 42.3%), 93010 ($6.4K, 32.0%), and 99213 ($3.8K, 18.9%), which reflects a Medicaid case mix centered on E/M visits and routine ECG interpretation rather than higher-cost imaging or stress services.
State-level competitiveness in Medicaid is modestly below peer leaders: 99214 ranks #962 of 1731 in-state (44th percentile) and 99213 ranks #1526 of 2046 (25th percentile), while 93010 is comparatively stronger at #58 of 151 (62nd percentile). Collectively this suggests the provider is a regular but not dominant Medicaid performer in Rhode Island, with the strongest relative footing in routine ECG interpretation rather than high-volume office E/M for Medicaid patients.
The provider has long-tenure NPI enumeration dating to 2005-07-11 (~21 years ago), which signals an established practice history. That longevity, combined with the concentration of Medicare imaging and office visits, is consistent with a sustained outpatient cardiology operation that has developed a stable referral and procedural mix over time.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 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… | 940 | $90 | $81.1K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 430 | $120 | $52.9K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 110 | $330 | $36.3K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 230 | $90 | $20.9K |
| J2785 | Injection, regadenoson, 0.1 mg | 400 | $40 | $17K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 180 | $90 | $16.2K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 100 | $130 | $12.4K |
| 93356 | The provider performs speckle tracking of myocardial mechanics to assess myocardial strain in addition to standard echocardiography. | 300 | $30 | $8.5K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 110 | $60 | $6.7K |
| 93015 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 120 | $50 | $6K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 6 | 70 | 220 | $80 | $17.5K |
| 78452 | 5 | 30 | 60 | $190 | $12.6K |
| A9500 | 2 | 10 | 130 | $90 | $11.9K |
| 99214 | 7 | 1,950 | 100 | $80 | $11.7K |
| 99233 | 60 | 470 | 60 | $90 | $9.1K |
| J2785 | 1 | 10 | 200 | $40 | $8.8K |
| 99232 | 223 | 650 | 70 | $60 | $7.7K |
| 99213 | 874 | 1,950 | 70 | $60 | $7.4K |
| 99223 | 56 | 540 | 30 | $130 | $6.4K |
| 99215 | 175 | 460 | 30 | $110 | $5.7K |
Showing 1–10 of 27
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 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… | 160 | $50 | $8.4K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 1,060 | $10 | $6.4K |
| 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… | 70 | $60 | $3.8K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 10 | $110 | $1.4K |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 68 | 70 | 150 | $250 | $147K |
| 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… | 962 | 1,730 | 220 | $70 | $75.2K |
| 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… | 1,526 | 2,050 | 300 | $50 | $72.3K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 58 | 150 | 470 | $10 | $19.2K |
Other providers in the same ZIP code as Sajid Siddiq, ranked by combined Medicare and Medicaid revenue.
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