Active NPI 1245771476 Individual Practitioner Male Practitioner

Dr. Arshad Al-Mashhadani , MD

Hospitalist • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Arshad Al-Mashhadani, MD is a certified Hospitalist practicing in Appleton, WI. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Al-Mashhadani delivers high-quality medical care to the local community at 1818 N MEADE ST.

Dr. Al-Mashhadani maintains professional affiliations with Prime Healthcare Illinois Medical Group Llc, Ascension Medical Group-Southeast Wisconsin Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1818 N Meade St

Appleton, WI 549113454

Telephone 9207357645

Associated Practice Facility / Clinic

🏢 Appleton Emergency Services S C Facility NPI 1588666853

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Appleton, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +3.1 yrs vs City Avg

City Avg: 15.9 Yrs

State Avg: 20.1 Yrs

Regional Practice Density

45 Specialists

Practicing in Appleton, WI (896 Statewide)

Telehealth Adoption Rate

2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Al-Mashhadani (19 Years) 19 Yrs

Appleton Specialty Average (15.9 Years) 15.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	265	260	$165.08	$115.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	127	124	$1275.38	$173.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	24	$284.24	$75.28
99291 Critical care, first 30-74 minutes	17	17	$217.68	$185.51
99239 Hospital discharge day management, more than 30 minutes	15	15	$459.52	$110.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	190	188	$126.66	$115.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	92	88	$817.58	$162.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	18	$86.44	$69.76
99291 Critical care, first 30-74 minutes	18	17	$296.23	$189.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99220 Hospital observation care, typically 70 minutes	291	285	$176.04	$159.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	123	69	$103.10	$91.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	104	69	$95.23	$63.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	62	$312.21	$180.43
99239 Hospital discharge day management, more than 30 minutes	53	52	$115.14	$94.37
99291 Critical care, first 30-74 minutes	24	24	$206.25	$194.15
99217 Hospital observation care on day of discharge	21	21	$68.27	$63.93
99226 Subsequent observation care, typically 35 minutes per day	18	12	$96.61	$90.59
99225 Subsequent observation care, typically 25 minutes per day	15	14	$67.80	$63.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$357.79	$126.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99220 Hospital observation care, typically 70 minutes	244	239	$361.45	$167.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	191	188	$480.96	$186.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	59	37	$115.00	$93.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$397.17	$128.07
99219 Hospital observation care, typically 50 minutes	23	23	$423.99	$127.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$76.80	$65.04
99239 Hospital discharge day management, more than 30 minutes	17	17	$171.29	$97.60
99291 Critical care, first 30-74 minutes	16	16	$291.02	$198.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99220 Hospital observation care, typically 70 minutes	99	98	$361.44	$174.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	95	95	$401.52	$190.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	24	$113.51	$96.65

Medical Specialties & State Licenses

CMS Verified: 2023-03-09

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License WI 72920

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospital & Practice Group Affiliations

Ascension Medical Group-Southeast Wisconsin Inc

5000 W Chambers St, Milwaukee, WI 532101650

Phone: 4144472569

Prime Healthcare Illinois Medical Group Llc

201 N Hammes Ave, Joliet, IL 604356611

Phone: 2242736350

Secondary Practice Locations

3400 Ministry Pkwy

Weston, WI 544765220

Phone: 7153931000

1155 Mill St # 11

Reno, NV 895021576

Phone: 7753275174

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Kimberly Romenesko , APNP

Nurse Practitioner

NPI 1023368727

Advanced Practice Nurse Prescriber

Dr. Leigh Mae Provencher , MD

Internal Medicine - Critical Care Medicine

NPI 1063949741

Doctor of Medicine (M.D.)

Matthew Boese

Hospitalist

NPI 1073018180

Hope Mcpeake , APNP

Nurse Practitioner

NPI 1114278934

Advanced Practice Nurse Prescriber

Clarence Calhoun

Hospitalist

NPI 1114504198

Dr. Suranga Dharmaratne , MD

Hospitalist

NPI 1124321658

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

👤

Provider Name / Credentials Updated March 09, 2023

Recorded as ARSHAD AL-MASHHADANI, MD

📍

Updated Practice Location July 30, 2020

Registered at 1818 N MEADE ST, APPLETON, WI 549113454 (Tel: 9207357645)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2020

Hospitalist (License #72920 in WI)

✅

NPI Profile Active March 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 20, 2017

Registered at 1155 MILL ST # 11, RENO, NV 895021576 (Tel: 7753275174)

📍

Updated Business Mailing Address March 20, 2017

Registered at 1155 MILL ST # 11, RENO, NV 895021576 (Tel: 7753275174)

👤

Provider Name / Credentials Updated March 20, 2017

Recorded as ARSHAD AL-MASHHADANI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2017

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 20, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245771476

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 20, 2017

Last Update: March 09, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1155 Mill St # 11

Reno, NV 895021576

Phone: 7753275174

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.