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    OpenPayerNPI Medicare & MedicaidBinod Sinha
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    Binod Sinha — Billing Profile & Reimbursement Data

    NPI 1134293723 · Orange City, FL · Urology Physician

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    Binod Sinha is a urology physician provider located in Orange City, Florida. This profile covers 8 Medicare and 7 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)

    FieldValue
    Entity TypeIndividual
    OrganizationBinod Sinha
    Address1061 Medical Center Dr Ste 310
    CityOrange City
    StateFL
    ZIP32763
    TaxonomyUrology Physician
    NPI EnumeratedNovember 17, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$46.6K
    Medicaid$4.6K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…200$70$14.7K
    99214The 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…120$90$11.2K
    76857A pelvic ultrasound is a noninvasive procedure used to assess one or more pelvic structures, such as bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland,…190$40$6.8K
    99204The 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…60$120$6.7K
    76775A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…110$50$5.3K
    51741Uroflowmetry (UFR) is the process of measuring how much liquid the patient excretes from the bladder. It is measured in cubic centimeters per second. The rate is the ratio of volume over time.70$10$810
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…180$1$530
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.60$10$460

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921410,54232,760140$90$25K
    992134,22030,01080$60$12K
    992042,52519,04040$110$7K
    364151,3446,02080$10$5K
    767753562030$30$2K
    76857327020$30$1.8K
    517414841040$10$670
    81002972,44030$1$270

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…180$20$2.7K
    76857A pelvic ultrasound is a noninvasive procedure used to assess one or more pelvic structures, such as bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland,…160$10$790
    99204The 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…20$50$750
    76775A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…70$1$210
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…140$1$140
    51741Uroflowmetry (UFR) is the process of measuring how much liquid the patient excretes from the bladder. It is measured in cubic centimeters per second. The rate is the ratio of volume over time.30$1$50
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.30$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Florida median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…4,0816,380430$50$139.3K
    99204The 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…1,5421,85090$110$71.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,1731,330340$10$54.3K
    76775A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…6190140$50$36K
    76857A pelvic ultrasound is a noninvasive procedure used to assess one or more pelvic structures, such as bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland,…246080$10$3.4K
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…380670210$1$2.2K
    51741Uroflowmetry (UFR) is the process of measuring how much liquid the patient excretes from the bladder. It is measured in cubic centimeters per second. The rate is the ratio of volume over time.142070$1$1.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hazleton Professional ServicesPAInternal Medicine Physician$0$8.3M
    Wing Yi LiuFLCardiovascular Disease Physician$1.6M$0
    Ravi RaoFLCardiovascular Disease Physician$1.6M$0
    Prabhakara KunamneniFLCardiovascular Disease Physician$1.4M$0
    Dinesh ArabFLCardiovascular Disease Physician$1.3M$0
    Huijian WangFLCardiovascular Disease Physician$1.3M$0
    Ratan AhujaFLCardiovascular Disease Physician$1M$0
    Ahmad ShamsinFLCardiovascular Disease Physician$984.1K$0
    Laeeq ButtVAInternal Medicine Physician$942.5K$0
    Nathaniel ValinFLCardiovascular Disease Physician$703.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Neil SandhuFLDermatology Physician$18.3M$0
    Southwest Volusia Healthcare CorporationFLGeneral Acute Care Hospital$0$17.2M
    John CrokerFLFamily Nurse Practitioner$6M$0
    Douglas LiebFLOphthalmology Physician$2.7M$0
    Rene CabezaFLHematology & Oncology Physician$957.1K$0
    Orange City Surgery Center LLCFLAmbulatory Surgical Clinic/Center$716.9K$204K
    Cypress Ambulatory Surgery Center, LLCFLAmbulatory Surgical Clinic/Center$529.6K$41.1K
    Godson OguchiFLInfectious Disease Physician$497.3K$0
    Jordan FabrikantFLMOHS-Micrographic Surgery Physician$418.2K$0
    Syed KhurshidFLInternal Medicine Physician$378.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Binod Sinha — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Binod Sinha — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida