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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Monika Pokharel (NPI 1124251541)

Field	Value
Entity Type	Individual
Organization	Monika Pokharel
Address	3000 32nd Ave S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Hospitalist Physician
NPI Enumerated	September 2, 2009

Payer Source	Total Paid
Medicare	$92.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	290	$90	$26.2K
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…	190	$130	$24K
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…	330	$60	$19K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	170	$90	$15.1K
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…	40	$100	$3.6K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	20	$60	$1.4K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	40	$40	$1.3K
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…	10	$60	$770
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	20	$40	$610

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Monika Pokharel — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	35	290	60	$90	$11.9K
99232	86	560	70	$60	$10K
99223	29	330	40	$130	$8.9K
99239	25	210	60	$90	$7.3K
99222	150	440	30	$100	$3.8K
99497	17	20	30	$60	$2.5K
99231	143	260	40	$40	$2.5K
99238	88	180	20	$60	$2K
G0180	13	30	20	$40	$770

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Hospital Inc	VA	General Acute Care Hospital	$0	$136.7M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Riverside Physician Services, Inc.	VA	Family Medicine Physician	$0	$44.7M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
Shore Health Services Inc.	VA	Rural Acute Care Hospital	$0	$24.7M
St Mary's Regional Health Center	MN	Rural Health Clinic/Center	$0	$21.5M
Vcu Health Tappahannock Hospital	VA	General Acute Care Hospital	$0	$20.6M
Riverside Middle Peninsula Hospital Inc	VA	General Acute Care Hospital	$0	$19M
St. Marys Regional Health Center	MN	Rural Acute Care Hospital	$0	$18.7M
Riverside Physician Services Inc	VA	Emergency Medicine Physician	$0	$17.3M

Monika Pokharel — 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