Medicare Enrolled

Dr. Shaikh Ali, MD PA

Rheumatology · Tomball, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
455 SCHOOL ST, Tomball, TX 77375
2813570666
Registered in NPPES since 2006
NPI: 1629026273 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Ali from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Ali

Dr. Shaikh Ali is a rheumatology specialist in Tomball, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Ali performed 109,729 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Ali received a total of $25,230 from 43 pharmaceutical and/or device companies across 1171 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Ali is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ Top 14% volume in TX $25,230 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
109,729
Medicare services
Top 14% in TX for rheumatology
Not available
Unique patients (not deduplicated)
$5
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Certolizumab injection (Cimzia)
An injection of certolizumab pegol administered under the direct supervision of a physician.
102,400 $4 $10
Denosumab injection (Prolia/Xgeva) 3,060 $18 $30
Joint lubricant injection (GenVisc)
An injection of hyaluronan or its derivative into a joint space to provide lubrication and cushioning.
1,950 $5 $20
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
665 $61 $100
Non-hormonal chemotherapy injection
This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue.
563 $59 $150
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
172 $69 $252
Viscosupplementation injection for joint
An injection of hyaluronic acid or a derivative into a joint to provide lubrication and cushioning.
151 $56 $100
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
138 $38 $95
Intravenous infusion, 1 hour or less
Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less.
131 $52 $250
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
124 $8 $10
Methylprednisolone acetate injection, 80 mg
An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication.
81 $8 $35
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
63 $10 $30
Bone density scan (DEXA)
A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures.
56 $38 $100
Influenza vaccine, quadrivalent, 0.5 ml dosage 56 $20 $50
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
56 $31 $50
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
26 $81 $250
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
22 $135 $300
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
15 $55 $200
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
0.1% high complexity
98.8% medium
1.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$25,230
Total received (2018-2024)
Avg $3,604/year across 7 years
Top 16% in TX for rheumatology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
1,171
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,973
2023
$3,427
2022
$2,627
2021
$2,329
2020
$2,877
2019
$5,036
2018
$5,961

Payments by company (2024)

Amgen Inc.
$840
ABBVIE INC.
$525
UCB, Inc.
$447
PFIZER INC.
$254
Novartis Pharmaceuticals Corporation
$193
GlaxoSmithKline, LLC.
$157
Janssen Biotech, Inc.
$96
E.R. Squibb & Sons, L.L.C.
$62
Radius Health, Inc.
$61
AstraZeneca Pharmaceuticals LP
$57
ANI Pharmaceuticals, Inc.
$49
Aurinia Pharma U.S., Inc.
$43
Sandoz Inc.
$34
TerSera Therapeutics LLC
$30
GENZYME CORPORATION
$26
Alvogen Inc
$24
Alexion Pharmaceuticals, Inc.
$23
Mallinckrodt Hospital Products Inc.
$21
Fidia Pharma USA Inc.
$19
SCILEX PHARMACEUTICALS INC.
$14
Top 3 companies account for 60.9% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$7,109
Horizon Therapeutics plc
$4,956
UCB, Inc.
$2,279
Novartis Pharmaceuticals Corporation
$1,423
AbbVie Inc.
$1,344
PFIZER INC.
$1,333
Janssen Biotech, Inc.
$1,042
ABBVIE INC.
$1,018
E.R. Squibb & Sons, L.L.C.
$575
AbbVie, Inc.
$505
GlaxoSmithKline, LLC.
$483
Alexion Pharmaceuticals, Inc.
$349
West-Ward Pharmaceuticals
$309
Hikma Pharmaceuticals USA
$294
Horizon Pharma plc
$278
Lilly USA, LLC
$278
Genentech USA, Inc.
$227
Radius Health, Inc.
$226
GENZYME CORPORATION
$177
AstraZeneca Pharmaceuticals LP
$143
TerSera Therapeutics LLC
$122
Aurinia Pharma U.S., Inc.
$110
Boehringer Ingelheim Pharmaceuticals, Inc.
$99
ANI Pharmaceuticals, Inc.
$68
Antares Pharma, Inc.
$61
Sandoz Inc.
$50
Mallinckrodt Hospital Products Inc.
$42
Celgene Corporation
$35
Nalpropion Pharmaceuticals, Inc.
$27
Takeda Pharmaceuticals U.S.A., Inc.
$24
Alvogen Inc
$24
Kiniksa Pharmaceuticals, Ltd.
$24
Fresenius Kabi USA, LLC
$24
MEDAC PHARMA, INC.
$23
Mallinckrodt LLC
$21
Ultragenyx Pharmaceutical Inc.
$19
Fidia Pharma USA Inc.
$19
Eisai Inc.
$18
Nalpropion Pharmaceuticals LLC
$15
SANOFI-AVENTIS U.S. LLC
$15
SCILEX PHARMACEUTICALS INC.
$14
IDORSIA PHARMACEUTICALS US INC
$14
Bioventus LLC
$13
Top 3 companies account for 56.9% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AMJEVITA · AVSOLA · Actemra · Arcalyst · BENLYSTA · Bimzelx · CONTRAVE · COSENTYX · CYLTEZO · Cimzia · Dayvigo · EVENITY · EVUSHELD · Enbrel · FORTEO · HUMIRA · HYALGAN · HYRIMOZ · Humira · IDACIO · KEVZARA · KRYSTEXXA · LUPKYNIS · LYRICA · Mitigare · OFEV · ORENCIA · OTREXUP · Otezla · Otrexup · PENNSAID · PURIFIED CORTROPHIN GEL · Prolia · QUVIVIQ · Quzyttir · RAYOS · REMICADE · RINVOQ · Rasuvo · Rinvoq · Rituxan · SAPHNELO · SIMPONI ARIA · SKYRIZI · STELARA · STRENSIQ · Strensiq · Supartz FX Sodium Hyaluronate · TALTZ · TAVNEOS · TERIPARATIDE · TREMFYA · Tavneos · Tymlos · Uloric · XELJANZ · ZTLido
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a rheumatology specialist in Tomball?
Compare rheumatologists in the Tomball area by procedure volume, costs, and industry payment transparency.
Browse rheumatologists nearby

Geographic Context

Rheumatologists in nearby ZIP areas
36
County median income
$73,104
Nearest hospital to ZIP centroid (approximate)
HCA HOUSTON HEALTHCARE TOMBALL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Ali is a mixed practice specialist, with above-average Medicare volume (top 14% in TX), with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Ali experienced with certolizumab injection (cimzia)?
Based on Medicare claims data, Dr. Ali performed 102,400 certolizumab injection (cimzia) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Ali receive payments from pharmaceutical companies?
Yes. Dr. Ali received a total of $25,230 from 43 companies across 1,171 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Ali's costs compare to other rheumatologists in Tomball?
Dr. Ali's average Medicare payment per service is $5. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Ali) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →