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    OpenPayerNPI Medicare & MedicaidSandeep Gurbuxani
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    Sandeep Gurbuxani — Billing Profile & Reimbursement Data

    NPI 1003093535 · Chicago, IL · Hematology (Pathology) Physician

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    Sandeep Gurbuxani is a hematology (pathology) physician provider located in Chicago, Illinois. This profile covers 22 Medicare and 6 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)

    FieldValue
    Entity TypeIndividual
    OrganizationSandeep Gurbuxani
    Address5841 S Maryland Ave
    CityChicago
    StateIL
    ZIP60637
    TaxonomyHematology (Pathology) Physician
    NPI EnumeratedJanuary 28, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$50.7K
    Medicaid$18.1K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…240$30$6.9K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.90$60$5.5K
    85097The clinician, typically a pathologist, interprets a smear prepared from a sample of bone marrow.130$40$5K
    88188The clinician, typically a pathologist, interprets flow cytometry results of nine to 15 markers.80$50$4.3K
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…240$10$3.3K
    88321A qualified provider, typically a pathologist, provides consultation and a report on slides prepared elsewhere. A unit of service is the surgical case regardless of the number of slides received.50$70$3.1K
    88108The analyst prepares smears of cytopathology fluids, washings, or brushings, except for cervical or vaginal fluid, using a concentration technique and interprets his findings. Cytopathology is the…170$20$3K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…130$20$2.9K
    G0452Molecular pathology procedure; physician interpretation and report70$40$2.6K
    88313The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…260$10$2.6K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305435580610$30$38.2K
    88341321450210$30$11.9K
    88342369490120$40$9K
    8836014126060$60$7.7K
    8502546485090$10$6.6K
    G0452154040$40$6.1K
    88189297070$70$5.8K
    8416538130110$10$4.1K
    8633440110100$20$4K
    883132128060$30$3.8K

    Showing 1–10 of 22

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88108The analyst prepares smears of cytopathology fluids, washings, or brushings, except for cervical or vaginal fluid, using a concentration technique and interprets his findings. Cytopathology is the…1,360$10$14.9K
    86334The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor.130$10$1.2K
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…230$1$920
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.20$20$320
    86335The lab analyst performs immunofixation electrophoresis to evaluate fluids other than serum, such as the patient’s urine or cerebrospinal fluid, to diagnose and or monitor monoclonal gammopathies or…10$10$110
    84166The lab analyst performs a test to separate and evaluate the level of various protein fractions in any specimen other than serum by electrophoresis.10$1$60

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    86334The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor.3370130$10$6.1K
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.83100150$10$5.8K
    86335The lab analyst performs immunofixation electrophoresis to evaluate fluids other than serum, such as the patient’s urine or cerebrospinal fluid, to diagnose and or monitor monoclonal gammopathies or…121040$10$5.3K
    88108The analyst prepares smears of cytopathology fluids, washings, or brushings, except for cervical or vaginal fluid, using a concentration technique and interprets his findings. Cytopathology is the…340100$10$4.4K
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…3990200$1$3.7K
    84166The lab analyst performs a test to separate and evaluate the level of various protein fractions in any specimen other than serum by electrophoresis.172050$10$2.4K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sandeep Gurbuxani, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ayman RawdaILPediatrics Physician$0$15M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Mazen RachidILPediatrics Physician$0$5.1M
    Anna MackinVARetina Specialist (Ophthalmology) Physician$3.1M$0
    Daniel GinatNYDiagnostic Radiology Physician$202.7K$867.5K
    Osmanuddin AhmedILVascular & Interventional Radiology Physician$1M$38.8K
    Noemi BrunnerWIDiagnostic Radiology Physician$35.1K$739.2K
    Monther QandeelWIDiagnostic Radiology Physician$29.6K$645.7K
    Saad AliWIDiagnostic Radiology Physician$42.9K$628.5K
    R WardILCardiovascular Disease Physician$389.6K$279.4K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    Sandeep Gurbuxani — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Sandeep Gurbuxani — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois