Roumani, Sami

Roumani, Sami was paid $139K by Medicaid between Jan 2018 and Oct 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoROUMANI, SAMI
MILWAUKEE, WI 53215

33aNPI1306936414assigned 10/13/2006

33bProvider typeFamily Medicine Physician

28Total paid$139K

24GClaims6,085

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Family Medicine Physician providers in Wisconsin

Rank by total paid#63 of 359

Median peer was paid$4K

This provider vs. median36×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	2,629	$59K
2019	2,272	$50K
2020	1,184	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	91%	4,675	4,014	$126K
99309	Subsequent nursing facility care, per day, low to moderate complexity	7.2%	1,314	1,274	$10K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	26	24	$1K
99442		<1%	44	35	$772.01
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	26	25	$542.69

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.