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

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

Sandeep Mistry (NPI 1104039916)

Field	Value
Entity Type	Individual
Organization	Sandeep Mistry
Address	970 Hesters Crossing Rd
City	Round Rock
State	TX
ZIP	78681
Taxonomy	Urology Physician
NPI Enumerated	May 8, 2007

Payer Source	Total Paid
Medicare	$269K
Medicaid	$0

Medicare: Complete Services Breakdown

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

27 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…	970	$90	$85.4K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	130	$150	$20.5K
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…	180	$110	$20.2K
51728	In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…	70	$270	$17.7K
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…	290	$60	$17.4K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	860	$20	$17.2K
99215	The provider sees an established 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…	120	$130	$14.7K
91122	N/A	60	$210	$13.6K
51797	Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.	70	$150	$9.8K
55880	The provider uses a high intensity–focused ultrasound (HIFU) device inserted through the rectum to destroy malignant prostate tissue under ultrasound guidance.	10	$750	$9.7K

Showing 1–10 of 27

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Sandeep Mistry — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	833	32,500	110	$80	$17.6K
97530	2,307	2,720	350	$20	$14.3K
97110	3,432	3,610	450	$20	$14K
52601	42	80	20	$680	$12.3K
52000	70	600	60	$160	$12K
97112	462	2,900	300	$20	$10.8K
51728	22	130	30	$230	$9.3K
99215	1,568	8,730	40	$120	$9.2K
55880	1	10	10	$760	$9.1K
99213	4,012	29,790	70	$60	$8.4K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preston Smith	TX	Vascular & Interventional Radiology Physician	$236.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Magella Medical Associates Billing, Inc.	TX	Neonatal-Perinatal Medicine Physician	$0	$69.1M
Kenmar Residential Hcs Services Inc.	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$37.7M
Sedadent Anesthesia Services	TX	Dental Anesthesiology	$0	$11.1M
Darren Kocs	TX	Hematology & Oncology Physician	$2.5M	$0
Oakwood Surgery Center, Ltd., LLP	TX	Ambulatory Surgical Clinic/Center	$2.3M	$85.4K
Beth Hellerstedt	TX	Hematology & Oncology Physician	$2.1M	$0
Michael Herman	TX	Radiation Oncology Physician	$1.6M	$0
Usa Goodman	TX	Family Nurse Practitioner	$1.5M	$0
Darush Rahmani	TX	Rheumatology Physician	$1.4M	$0
Amanda Cantu	TX	Family Nurse Practitioner	$1.3M	$0

Sandeep Mistry — 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