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

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

Vivek Sambhara (NPI 1093005852)

Field	Value
Entity Type	Individual
Organization	Vivek Sambhara
Address	1240 Jesse Jewell Pkwy Se Ste 500
City	Gainesville
State	GA
ZIP	30501
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	April 13, 2011

Payer Source	Total Paid
Medicare	$141K
Medicaid	$0

Medicare: Complete Services Breakdown

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

19 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…	670	$90	$60K
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…	130	$150	$20.5K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	140	$60	$8.6K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	130	$60	$7.7K
94726	The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…	210	$40	$7.6K
94729	In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.	210	$40	$7.5K
94664	The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…	480	$10	$5.8K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	210	$30	$5.3K
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…	30	$120	$3.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	220	$10	$2.2K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Vivek Sambhara — 4 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	875	13,640	120	$80	$17.8K
80053	359	770	190	$10	$9.7K
99213	11,147	13,360	80	$60	$9.2K
99215	3,186	3,270	30	$120	$7.7K
99497	139	860	50	$60	$5.7K
99205	27	1,580	30	$150	$5.4K
85025	408	1,030	140	$10	$5.2K
99204	3,839	7,260	30	$110	$5.1K
71250	144	640	70	$40	$4.1K
94729	32	310	70	$30	$3.2K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gwinnett Physician Group, LLC	GA	Internal Medicine Physician	$0	$8.3M
Tracy Lovell	GA	Rheumatology Physician	$997.2K	$0
Salman Ashfaq	GA	Interventional Cardiology Physician	$747.9K	$0
Markus Porkert	GA	Cardiovascular Disease Physician	$493.3K	$0
Guna Sekar	GA	Pediatrics Physician	$0	$472.5K
Sreenivasulu Gangasani	GA	Cardiovascular Disease Physician	$425.1K	$0
Jean Song	GA	Pediatrics Physician	$0	$404.7K
Divya Joshi	GA	Pediatrics Physician	$0	$366.3K
Searle Videlefsky	GA	Cardiovascular Disease Physician	$363K	$0
Kashyap Patel	GA	Cardiovascular Disease Physician	$352.3K	$0

Vivek Sambhara — Billing Profile & Reimbursement Data

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Vivek Sambhara — 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

Frequently Asked Questions

References