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NPI 1992767966 · Milton, MA · Nephrology Physician
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Ali Emami is a nephrology physician provider located in Milton, Massachusetts. This profile covers 4 Medicare and 3 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 | Ali Emami |
| Address | 100 Highland St |
| City | Milton |
| State | MA |
| ZIP | 02186 |
| Taxonomy | Nephrology Physician |
| NPI Enumerated | April 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $285.1K |
| Medicaid | $47.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,280 | $100 | $129.7K |
| 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… | 800 | $140 | $114.4K |
| 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… | 260 | $150 | $38.2K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 60 | $50 | $2.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 650 | $70 | $45.6K |
| 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… | 50 | $40 | $1.6K |
| 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… | 10 | $60 | $720 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 207 | 260 | 330 | $40 | $187.5K |
| 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… | 154 | 670 | 120 | $100 | $169.2K |
| 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… | 244 | 280 | 110 | $80 | $100.6K |
Other providers in the same ZIP code as Ali Emami, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Beth Israel Deaconess Hospital Milton Inc | MA | General Acute Care Hospital | $0 | $21.8M |
| Beneficence Home Healthcare Inc. | MA | Home Health Agency | $0 | $9.5M |
| Jan Urkevic | MA | Psychiatry Physician | $277.5K | $344.8K |
| Wing Kin Fung | MA | Cardiovascular Disease Physician | $438.6K | $1.6K |
| Scott Lutch | MA | Cardiovascular Disease Physician | $402.1K | $2.1K |
| James Lin | MA | Urology Physician | $308.6K | $0 |
| Justin Gould | MA | Urology Physician | $300.2K | $0 |
| Saraswathi Devi Muppana | MA | Pulmonary Disease Physician | $202.9K | $26.7K |
| Russell Fullerton | MA | Diagnostic Radiology Physician | $188.5K | $3K |
| Mark Lipsky | MA | Diagnostic Radiology Physician | $170.1K | $12.3K |
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