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

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

Afshan Nanji (NPI 1134381718)

Afshan Nanji is a cornea and external diseases specialist physician provider located in Portland, Oregon. This profile covers 14 Medicare and 0 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)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Afshan Nanji
Address	3375 Sw Terwilliger Blvd
City	Portland
State	OR
ZIP	97239
Taxonomy	Cornea and External Diseases Specialist Physician
NPI Enumerated	June 25, 2008

Payer Source	Total Paid
Medicare	$36.2K
Medicaid	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	30	$420	$12.1K
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…	150	$50	$7.4K
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…	110	$70	$7.2K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	40	$50	$1.9K
68115	During this procedure, the provider excises a lesion on the conjunctiva larger than 1 cm in size to alleviate pain and pressure and often to improve vision.	10	$130	$1.7K
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…	10	$110	$1.3K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	30	$40	$1.1K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	30	$30	$830
92025	The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.	60	$10	$780
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	10	$70	$740

Showing 1–10 of 14

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	206	260	70	$540	$82.7K
92014	333	440	110	$80	$16K
99214	2,434	6,070	80	$70	$10.3K
92134	297	390	80	$30	$8.1K
92012	111	170	50	$60	$7.2K
99213	1,026	5,480	60	$50	$5.7K
92004	320	330	40	$90	$4.8K
99204	2,485	2,750	30	$110	$4.4K
92136	121	150	100	$30	$3.5K
68115	1	10	10	$130	$1.7K

Afshan Nanji — Billing Profile & Reimbursement Data

Sign up for Afshan Nanji — Billing Profile & Reimbursement Data policy alerts

Afshan Nanji — Billing Profile & Reimbursement Data

Sign up for Afshan Nanji — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References