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

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

Neil Sandhu (NPI 1134389364)

Field	Value
Entity Type	Individual
Organization	Neil Sandhu
Address	258 Treemonte Dr Ste 258
City	Orange City
State	FL
ZIP	32763
Taxonomy	Dermatology Physician
NPI Enumerated	June 11, 2008

Payer Source	Total Paid
Medicare	$18.3M
Medicaid	$0

Key Findings

This provider bills almost exclusively to Medicare with Total Medicare revenue of $18.3M and no Medicaid billing on file, making it effectively a single-payer (Medicare) operation in the available data. That concentration means analyses of commercial or Medicaid exposure will not be informative from this record and payers should treat Medicare trends as the primary revenue driver.

Revenue is highly concentrated in three add-on biologic/product codes: Q4262 (47.7% of Medicare revenue), Q4276 (21.7% of Medicare revenue), and Q4253 (19.3% of Medicare revenue); the precomputed top-3 codes account for 88.8% of this provider's total Medicare revenue. This degree of concentration indicates the practice’s Medicare economics are driven overwhelmingly by per-square-centimeter amniotic/biologic membrane products rather than a broad mix of unrelated procedure revenue streams.

Operationally, the top revenue codes (Q4262: 8.3K claims, $8.7M revenue; Q4276: 3.5K claims, $4M revenue; Q4253: 4.8K claims, $3.5M revenue) are per-square-centimeter add-on products, suggesting the provider’s service model relies on frequent, area-based application of amniotic or membrane products during procedures. Given the Dermatology Physician taxonomy, the code mix implies a high-volume procedural practice focused on tissue-substitute or biologic adjuncts applied across many treated areas.

Although the Q-codes drive the bulk of revenue, the provider also reports substantial Mohs surgery activity by claim volume (17315: 3.4K claims, $210.7K revenue) and multiple Mohs codes across the file, with 17315 ranked #1 of 122 providers nationally (100th percentile; extreme outlier). Those Mohs volumes, while a smaller share of total Medicare dollars, indicate a meaningful surgical caseload that complements the add-on biologic usage.

The billing profile includes notable radiation therapy planning and device construction services: 77285 (796 claims, $262.7K revenue) ranks #1 of 67 providers nationally (100th percentile; extreme outlier), 77280 (898 claims, $179.6K revenue) ranks in the 97th percentile, and 77334 (784 claims, $75.3K revenue) ranks #15 of 4463 providers nationally (100th percentile; extreme outlier). These high-percentile radiation-related codes reflect a sizable reported role in simulation/planning and device fabrication services relative to national peers.

Visit-level E/M activity is also concentrated at higher complexity levels, with 99214 showing 1.5K claims and $142.5K revenue and ranking #3591 of 479517 providers nationally (99th percentile; extreme outlier), and 99213 showing similarly high claim volumes and a 100th-percentile rank. This pattern supports a high clinic throughput of established-patient encounters, consistent with a procedural dermatology practice that combines office visits with product-based adjuncts.

Competitive standing is mixed: for the primary revenue-generating Q-codes the provider generally ranks in the upper national tiers but not universally dominant (Q4262 at the 89th percentile, Q4276 at the 78th percentile, Q4253 at the 83rd percentile), meaning the provider is a high-volume but not sole national leader for those product lines. At the same time, several codes are flagged as extreme outliers or notably above typical national volume (for example 77285, 17315, 77334, 99214, 11103), indicating pockets of national-level dominance in specific services despite the concentrated product-driven revenue base.

The provider has an established NPI tenure (enumerated 2008-06-11 (~18 years ago)), which combined with a concentrated Medicare revenue base and repeated high-percentile rankings for several specific codes suggests an entrenched specialty practice model. For payer or competitor analysis this implies predictable Medicare exposure centered on amniotic/biologic add-ons, Mohs surgery throughput, and significant reporting of radiation planning/device services when assessing referral patterns or contracting leverage.

Medicare: Complete Services Breakdown

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	8,290	$1,050	$8.7M
Q4276	Orion, per square centimeter (add-on, list separately in addition to primary procedure)	3,510	$1,130	$4M
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	4,790	$740	$3.5M
G6001	Ultrasonic guidance for placement of radiation therapy fields	2,190	$140	$297.6K
77285	In this procedure, the provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy.	800	$330	$262.7K
17315	Mohs surgery is a multistaged method of excising a malignant lesion layer by layer, along with histopathological assessment, to ensure negative malignancy of the margins.	3,400	$60	$210.7K
77280	The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.	900	$200	$179.6K
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…	1,500	$100	$142.5K
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	250	$510	$125K
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…	1,480	$70	$102K

Showing 1–10 of 43

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Neil Sandhu — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

43 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4276	1	10	1,990	$1,150	$2.3M
Q4262	1	40	1,120	$1,000	$1.7M
Q4253	2	20	1,070	$720	$1.3M
17311	170	350	240	$470	$152.3K
G6001	3	20	440	$140	$115.6K
17312	64	330	120	$330	$61.8K
77285	1	10	50	$320	$58.3K
17313	69	280	60	$460	$45.9K
17315	1	10	110	$60	$34.1K
77280	14	310	50	$190	$27.4K

Showing 1–10 of 43

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kenneth Wallace	FL	MOHS-Micrographic Surgery Physician	$5.3M	$0
Michael Stickler	FL	MOHS-Micrographic Surgery Physician	$3.9M	$0
Jon Ward	FL	MOHS-Micrographic Surgery Physician	$2.1M	$0
Seema Apichai	IL	Anatomic Pathology Physician	$1.5M	$105K
Joseph Dai	AL	Dermatology Physician	$1.6M	$0
Jeffrey Stricker	AL	MOHS-Micrographic Surgery Physician	$1.3M	$0
David Kosiorek	FL	Physician Assistant	$852.2K	$0
Alan Gardner	GA	Dermatology Physician	$800.1K	$0
Ross Wheeler	FL	Dermatology Physician	$760.3K	$0
Cynthia Rogers	FL	Dermatology Physician	$737.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Volusia Healthcare Corporation	FL	General Acute Care Hospital	$0	$17.2M
John Croker	FL	Family Nurse Practitioner	$6M	$0
Douglas Lieb	FL	Ophthalmology Physician	$2.7M	$0
Ratan Ahuja	FL	Cardiovascular Disease Physician	$1M	$0
Rene Cabeza	FL	Hematology & Oncology Physician	$957.1K	$0
Orange City Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$716.9K	$204K
Cypress Ambulatory Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$529.6K	$41.1K
Godson Oguchi	FL	Infectious Disease Physician	$497.3K	$0
Jordan Fabrikant	FL	MOHS-Micrographic Surgery Physician	$418.2K	$0
Syed Khurshid	FL	Internal Medicine Physician	$378.5K	$0

Neil Sandhu — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References