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 West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Darshankumar Dave (NPI 1033155437)

Field	Value
Entity Type	Individual
Organization	Darshankumar Dave
Address	3100 Maccorkle Ave Se
City	Charleston
State	WV
ZIP	25304
Taxonomy	Neurology Physician
NPI Enumerated	June 22, 2006

Payer Source	Total Paid
Medicare	$606.6K
Medicaid	$0

Key Findings

This Neurology Physician has $606.6K in lifetime Medicare revenue and no Medicaid billing on file, so the available profile is effectively single‑payer (Medicare) rather than dual‑payer. The absence of any Medicaid claims means Medicaid does not contribute to this provider’s documented revenue mix in the dataset.

Revenue is highly concentrated: the precomputed top‑3 Medicare codes account for 61.3% of the provider’s total Medicare revenue, with 99214 at 27.9%, 99232 at 20.2%, and 99483 at 13.3%. Those three codes together dominate billings and make the practice financially dependent on a small set of outpatient/inpatient E/M and cognitive assessment services.

The code mix indicates a blended service line combining high‑level outpatient E/M, inpatient follow‑up, and cognitive care: 99214 (office established visits) and 99232 (subsequent inpatient visits) are top revenue drivers, while 99483 (comprehensive cognitive assessment) contributes a material share. This pattern is consistent with a neurology practice focused on ongoing management of complex neurologic and cognitive conditions across outpatient and hospital settings.

Several of the highest‑revenue Medicare codes are statistical outliers nationally, implying unusually large volume for those services: 99214 ranks #1552 of 479517 providers (100th percentile; extreme outlier), 99232 ranks #1335 of 177383 (99th percentile; extreme outlier), and 99483 ranks #20 of 1784 (99th percentile; extreme outlier). Those rankings suggest this provider is a major national volume outlier for high‑level E/M and cognitive assessment services.

Neurodiagnostic procedures form a meaningful secondary revenue stream and indicate on‑site or closely integrated testing: 95816 (EEG) generated $45.6K (7.5% of Medicare revenue) and ranks #75 of 3834 providers (98th percentile; typical), while 95886 (EMG) produced $30.9K (5.1%) and ranks #258 of 6525 (96th percentile; notably above typical). The presence of multiple nerve‑conduction codes (95910, 95911, 95913) further supports a diagnostic procedural capability complementary to the E/M workload.

Hospital care codes are prominent in the mix, demonstrating regular inpatient/observation involvement: 99232 produced $122.2K (20.2% of revenue) and is an extreme outlier at the 99th percentile, and other initial/subsequent hospital visit codes (99222, 99223, 99233, 99231) appear with notable volumes and above‑typical ranks. This distribution implies the provider routinely manages hospitalized neurology patients in addition to outpatient continuity care.

Tenure in the Medicare program is long: the NPI was enumerated on 2006-06-22 (≈20 years ago), indicating an established billing history and suggesting these patterns reflect sustained operational focus rather than a short‑term reporting artifact. Analysts can view the combination of long tenure and concentrated code mix as evidence of a stable, specialty‑oriented practice model.

The combination of concentrated revenue (61.3% from three codes) and multiple high‑percentile/"extreme outlier" rankings means utilization shifts, policy changes affecting high‑level E/M or cognitive assessment codes, or referral pattern changes could materially impact this provider’s Medicare revenue. For attribution or network planning, this profile flags a practice that is highly specialized in managing complex neurologic and cognitive cases with integrated diagnostic services.

Medicare: Complete Services Breakdown

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

18 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…	1,920	$90	$168.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,000	$60	$122.2K
99483	The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…	410	$200	$80.4K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	320	$140	$45.6K
99204	The provider sees a new 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 provider…	270	$120	$32.1K
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…	460	$70	$30.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	200	$130	$26.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	250	$100	$25K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	150	$90	$13.6K
95910	In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…	100	$130	$13K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Darshankumar Dave — 6 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95816	2	10	20	$140	$15K
95913	3	10	40	$180	$13.8K
99483	1	10	30	$180	$13.5K
99232	13	1,340	90	$60	$11.9K
99214	2	2,740	100	$70	$11.8K
99233	157	660	60	$90	$11.4K
99291	348	420	40	$160	$9.8K
95720	6	10	50	$150	$8.3K
99223	46	780	30	$130	$7.9K
95886	2	30	80	$60	$7.8K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charleston Area Medical Center Inc	WV	General Acute Care Hospital	$0	$200.1M
Charleston Area Medical Center, Inc.	WV	General Acute Care Hospital	$0	$50.9M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Rainelle Medical Center Inc	WV	Federally Qualified Health Center (FQHC)	$0	$14.3M
Mark Le	FL	Diagnostic Radiology Physician	$10.7M	$0
Neurology & Headache Clinic PLLC	WV	Neurology Physician	$0	$3.8M
Rajiv Khanna	WV	Medical Oncology Physician	$2M	$0
Charleston Area Medical Center, Inc.	WV	Hospitalist Physician	$0	$1.4M
Mayez El-harake	WV	Medical Oncology Physician	$1.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthteam Critical Care Transport LLC	WV	Land Ambulance	$2.5M	$19.8M
Cabin Creek Health Center, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$8.2M
Holistic, Inc	WV	Family Medicine Physician	$0	$8M
Valley Health Systems, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$7.1M
Imad Shammaa	WV	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.2M
Summit Bhc West Virginia LLC	WV	Substance Use Disorder Rehabilitation Hospital Unit	$0	$5.1M
General Anesthesia Services Inc	WV	Anesthesiology Physician	$0	$4.3M
Bioscrip Infusion Services, LLC	WV	Home Infusion Therapy Pharmacy	$0	$3.3M
Don E. Skaff, Dds, Inc.	WV	Pediatric Dentistry	$0	$2M
Summit Bhc West Virginia, LLC	WV	Psychiatry Physician	$0	$1.8M

Darshankumar Dave — Billing Profile & Reimbursement Data

Sign up for Darshankumar Dave — Billing Profile & Reimbursement Data policy alerts

Darshankumar Dave — Billing Profile & Reimbursement Data

Sign up for Darshankumar Dave — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References