Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sena Sumathisena (NPI 1013951227)

Field	Value
Entity Type	Individual
Organization	Sena Sumathisena
Address	200 Trenton Rd
City	Browns Mills
State	NJ
ZIP	08015
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	June 16, 2006

Payer Source	Total Paid
Medicare	$64.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	530	$40	$23.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	3,440	$10	$20.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	220	$70	$15.7K
93248	After a patient has worn an electrocardiographic, or ECG recorder, for more than seven days, up to 15 days, to detect abnormal heart rates and rhythm, the provider completes a review and…	80	$20	$1.7K
93244	After a patient has worn an electrocardiographic, or ECG recorder, for more than 48 hours, up to seven days, to detect abnormal heart rates and rhythm, the provider completes a review and…	80	$20	$1.5K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	10	$50	$610
93227	In this procedure, the provider reviews and interprets the data from an external electrocardiographic, or ECG recorder, worn by a patient for 48 hours to detect abnormal heart rates and rhythms. He…	30	$10	$360

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Sena Sumathisena — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,925	13,640	130	$90	$23.6K
99213	1,209	14,090	100	$70	$13.1K
99203	5,252	5,660	40	$80	$4.8K
93010	8	1,020	230	$10	$2.9K
93248	10	180	20	$20	$620
93244	11	220	20	$20	$550
93227	35	120	20	$10	$390

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Deborah Heart And Lung Center	NJ	General Acute Care Hospital	$0	$9.5M
Karabi Sinha	NJ	Anatomic Pathology & Clinical Pathology Physician	$1.9M	$0
Noah Lindenberg	NJ	Hematology & Oncology Physician	$1.8M	$0
Edmund Karam	NJ	Clinical Cardiac Electrophysiology Physician	$1M	$0
Hieu Huynh	VA	Clinical Cardiac Electrophysiology Physician	$642.5K	$0
Matthew Samra	NJ	Vascular Surgery Physician	$598.5K	$0
Brian Bianco	PA	Vascular & Interventional Radiology Physician	$561.2K	$0
Jatinchandra Patel	NJ	Cardiovascular Disease Physician	$528.9K	$0
Faisal Shah	NY	Diagnostic Radiology Physician	$245.2K	$259.8K
Vijay Marwaha	NJ	Cardiovascular Disease Physician	$445.5K	$80

Nearby Providers

Other providers in the same ZIP code as Sena Sumathisena, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raffaele Corbisiero	NJ	Clinical Cardiac Electrophysiology Physician	$428.1K	$0
Pedram Kazemian	NJ	Clinical Cardiac Electrophysiology Physician	$287.9K	$0
Mark Moshiyakhov	NJ	Cardiovascular Disease Physician	$285.7K	$0
Vijay Kamath	NJ	Vascular Surgery Physician	$226.4K	$0
Ryan Mandell	NJ	Clinical Cardiac Electrophysiology Physician	$216.5K	$0
Saman Safadjou	NJ	Vascular Surgery Physician	$110.6K	$0
Michael Nolledo	NJ	Pulmonary Disease Physician	$105.2K	$0
Paul Burns	NJ	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$102.5K	$0
Muhammad Raza	NJ	Interventional Cardiology Physician	$100.6K	$0
Renee Bullock-palmer	NJ	Cardiovascular Disease Physician	$91.3K	$0

Sena Sumathisena — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References