Dr. Shama Ali, MD
6345 W 79th St, Burbank, IL 60459 • +1-760-555-3009
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Burbank Percentiles
NPI #1912934043 • CBSA Regional • Internal Medicine
Anchored in Burbank, IL 60459, Dr. Shama Ali, MD (NPI 1912934043) logged 920 annual procedures (upper-quartile active clinical volume (84.21th Burbank percentile), 24.27th IL percentile, -0.21σ) with sub-specialty concentration in 12 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1912934043 highlights 414 annual claims for 99214 (84.21th Burbank percentile; $190–$260 self-pay corridor) plus 239 encounters under 99213 and 120 under 93000.
Self-pay new patient consultations with Dr. Ali (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.51/5 modern protocol openness score across 4 patient logs.
NPI registry verification (#1912934043) confirms Dr. Shama Ali's MD standing serving CBSA 60459 with a 4.93/5 patient scorecard.
Compared against Burbank, IL Internal Medicine peers
920 annual services across 239 beneficiaries
Standard deviations from IL Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 414 | 84.21th | $190 – $260 |
| 99213 | Established Preventive & Chronic Care Visit | 239 | 84.21th | $145 – $199 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 120 | 79.21th | $69 – $95 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 92 | 87.21th | $223 – $305 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 55 | 87.21th | $264 – $362 |
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Dr. Shama Ali, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ali National Provider Identifier | NPI #1912934043 (MD) | CMS NPPES Registry (60459) |
| Dr. Ali Burbank CMS Volume Rank | 84.21th Pct (920 CMS svcs; Z -0.207σ) | CMS Medicare Part B (IL Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Burbank, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 12 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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