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NPI 1023098902 · Dunmore, PA · Neurology Physician
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Vithalbhai Dhaduk is a neurology physician provider located in Dunmore, Pennsylvania. This profile covers 16 Medicare and 11 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Vithalbhai Dhaduk |
| Address | 121 S Apple St |
| City | Dunmore |
| State | PA |
| ZIP | 18512 |
| Taxonomy | Neurology Physician |
| NPI Enumerated | January 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $519.3K |
| Medicaid | $1.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,880 | $90 | $159.6K |
| 93923 | Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.… | 740 | $90 | $66.9K |
| 95924 | In this procedure, the provider jointly tests the parasympathetic and sympathetic functions of the autonomic nervous system to check the nature and severity of autonomic disorders. The autonomic… | 360 | $120 | $41.6K |
| 95913 | In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of… | 180 | $220 | $38K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 220 | $160 | $35.5K |
| 95923 | In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the… | 360 | $90 | $33.7K |
| 95886 | The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more… | 370 | $70 | $25.6K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 130 | $200 | $25.1K |
| 64494 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that… | 220 | $100 | $23K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 110 | $150 | $16.2K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 19 | 23,230 | 100 | $80 | $14.5K |
| 95924 | 1 | 10 | 20 | $110 | $12.2K |
| 64493 | 13 | 330 | 40 | $170 | $11K |
| 99215 | 2,070 | 7,170 | 40 | $120 | $8.6K |
| 95886 | 8 | 320 | 90 | $60 | $7.4K |
| 64490 | 4 | 120 | 30 | $190 | $6.5K |
| 95913 | 1 | 60 | 20 | $200 | $5.9K |
| 95923 | 1 | 20 | 20 | $90 | $5.2K |
| 99204 | 1,969 | 10,290 | 30 | $110 | $5K |
| 99205 | 71 | 3,090 | 20 | $150 | $4.9K |
Showing 1–10 of 16
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 210 | $10 | $1.5K |
| 0518F | No Summary found for this code | 20 | $0 | $0 |
| 1036F | N/A | 80 | $0 | $0 |
| 1100F | No Summary found for this code | 20 | $0 | $0 |
| 3288F | No Summary found for this code | 20 | $0 | $0 |
| 4004F | The provider screens a patient of 18 years of age or older for the use of tobacco. If he identifies the patient as a tobacco user, the provider offers cessation counseling or drugs or a combination… | 30 | $0 | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 120 | $0 | $0 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 10 | $0 | $0 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 30 | $0 | $0 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 80 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 4,055 | 8,160 | 210 | $60 | $68.4K |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 56 | 60 | 150 | $1 | $400 |
| 4004F | The provider screens a patient of 18 years of age or older for the use of tobacco. If he identifies the patient as a tobacco user, the provider offers cessation counseling or drugs or a combination… | 48 | 80 | 50 | $1 | $70 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 174 | 350 | 110 | $1 | $50 |
| 1036F | N/A | 208 | 440 | 80 | $1 | $20 |
| 0518F | No Summary found for this code | 18 | 20 | 60 | $0 | $0 |
| 1100F | No Summary found for this code | 14 | 20 | 80 | $0 | $0 |
| 3288F | No Summary found for this code | 94 | 130 | 40 | $0 | $0 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 23 | 40 | 40 | $0 | $0 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 46 | 110 | 50 | $0 | $0 |
Showing 1–10 of 11
Other providers in the same ZIP code as Vithalbhai Dhaduk, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Traditional Home Health And Hospice LLC | PA | Home Health Agency | $0 | $20.8M |
| Pennsylvania Ambulance LLC | PA | Ambulance | $2.9M | $9.3M |
| Padmaja Bojanapally | PA | Hematology & Oncology Physician | $2M | $0 |
| Carl Barsigian | PA | Hematology & Oncology Physician | $1.4M | $0 |
| Christopher Peters | PA | Radiation Oncology Physician | $1.2M | $0 |
| Thomas Churilla | PA | Radiation Oncology Physician | $1M | $0 |
| Kishori Veerabhadrappa | PA | Hematology & Oncology Physician | $996.1K | $1 |
| Lisa Thomas | PA | Hematology & Oncology Physician | $922.4K | $0 |
| Meghan Haggerty | PA | Radiation Oncology Physician | $793.3K | $0 |
| Kristin Liptock | PA | Hematology & Oncology Physician | $739.1K | $0 |
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