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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Robin Arora (NPI 1144481565)

Field	Value
Entity Type	Individual
Organization	Robin Arora
Address	2828 1st Ave Ste 204
City	Huntington
State	WV
ZIP	25702
Taxonomy	Nephrology Physician
NPI Enumerated	June 18, 2008

Payer Source	Total Paid
Medicare	$392.5K
Medicaid	$0

Key Findings

This provider’s Medicare business is highly concentrated: total Medicare revenue is $392.5K and the precomputed top 3 Medicare codes by revenue account for 59.2% of that total. The three codes driving that concentration are 99232 ($173.9K, 44.1%), G0480 ($30.9K, 7.8%), and 90961 ($28.7K, 7.3%), so a single hospital subsequent care code (99232) represents nearly half of all Medicare dollars.

The code mix indicates an operation centered on hospital-based nephrology and dialysis care with on-site laboratory testing. High-revenue inpatient E/M codes (99232, 99233, 99223, 99222, 99239) and ESRD management codes (90961, 90962, 90960) dominate the list, and the presence of definitive drug testing codes (G0480 and 80307) suggests integrated lab services or routine toxicology screening tied to the renal/dialysis population.

Despite the nephrology taxonomy, the provider also bills a notable set of behavioral-health and testing codes not typical for a pure nephrology-only practice. Psychotherapy and group therapy codes (90832 $16.4K/4.2%, 90853 $3.2K/0.8%, 90834 $2.6K/0.7%, 90837 $1.7K/0.4%, 90791 $2.4K/0.6%) and a behavioral assessment code 97151 ($3.8K/1.0%) appear on the top-revenue list, indicating either ancillary mental-health services or billing for cross-disciplinary services in addition to renal care.

One code stands out as a national-volume outlier: 99232 ranks #608 of 177383 providers nationally (100th percentile; extreme outlier), meaning this provider’s volume for hospital subsequent care is far above typical national volume. By contrast, the ESRD monthly management code 90961 ranks #631 of 6091 (90th percentile) and the definitive drug test G0480 ranks #303 of 1590 (81th percentile), indicating strong but more typical high-volume positions for those services.

On payer mix the profile is effectively single-payer: Medicare accounts for $392.5K of lifetime revenue while there is no Medicaid billing on file. This reliance on Medicare suggests limited exposure to Medicaid populations and potential vulnerability if payer mix shifts or if expansion into Medicaid is a strategic goal for the entity.

Operational throughput is reflected in claim volumes and per-claim payments: 99232 shows 2.9K claims at $61 avg paid/claim (yielding $173.9K), while other high-volume E/M codes include 99233 (269 claims, $91 avg, $24.5K) and 99223 (169 claims, $132 avg, $22.3K). These claim counts reinforce that inpatient hospital follow-up visits are the day-to-day volume driver embedded in the provider’s revenue stream.

The provider has an established enrollment history, with the NPI enumerated on 2008-06-18 (~18 years ago), indicating long-tenured participation in Medicare. That tenure, combined with the concentrated revenue mix, suggests an entrenched clinical role—particularly for inpatient nephrology services—rather than a recent entrant or transient billing pattern.

There are several statistical peculiarities worth noting for analysts: 97151 appears as a top-25 code and ranks #1 of 2 providers nationally (100th percentile; typical, unremarkable volume), while multiple behavioral-health CPTs (90832, 90834, 90853) and some ESRD visit codes sit in middle-to-high percentiles described as "typical, unremarkable volume." Together these labels and ranks show a mix of one clear volume outlier (99232) alongside a broader set of typically ranked services, underscoring a concentrated specialty footprint with ancillary breadth rather than uniformly high volumes across the board.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,850	$60	$173.8K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	280	$110	$30.9K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	130	$220	$28.7K
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…	270	$90	$24.5K
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…	170	$130	$22.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	360	$60	$21.8K
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…	240	$80	$19.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	380	$40	$16.4K
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…	170	$60	$10.6K
90962	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	70	$150	$10.5K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Robin Arora — 2 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	30	30	110	$270	$37.2K
G0480	4	10	110	$110	$22K
90961	5	30	40	$220	$15K
90837	76	80	130	$90	$14.4K
99232	7	1,340	90	$60	$11.9K
99214	610	2,740	100	$70	$11.8K
90832	4	30	50	$50	$11.5K
99233	75	660	60	$90	$11.4K
90962	4	10	50	$150	$11.2K
80307	4	30	70	$60	$9.4K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Pediatric Associates, Inc.	IN	Pediatrics Physician	$0	$98.3M
University Physicians & Surgeons, Inc	WV	Internal Medicine Physician	$0	$58.3M
Huntington Hospitalist Group Inc	WV	Hospitalist Physician	$0	$26M
University Physicians & Surgeons, Inc.	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.4M
Huntington Hospitalist Group Inc	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.5M
William Myer	WV	Oral and Maxillofacial Surgery (Dentist)	$0	$774.1K
Vishal Verma	WV	Ophthalmology Physician	$419.8K	$0
Jonathan Cuda	TN	Anatomic Pathology Physician	$326.7K	$0
Rabah Boukhemis	WV	Physical Medicine & Rehabilitation Physician	$210.6K	$0
Matthew Bullock	WV	Adult Reconstructive Orthopaedic Surgery Physician	$207.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Mary's Medical Center Inc	WV	General Acute Care Hospital	$0	$47.5M
Allied West Virginia Emergency Physicians PLLC	WV	Emergency Medicine Physician	$0	$8.2M
St. Mary's Medical Management, LLC	WV	Family Medicine Physician	$0	$7.6M
Valley Health Systems Inc	WV	Clinical Medical Laboratory	$299.4K	$7M
St Mary's Hospitalist Services, LLC	WV	Internal Medicine Physician	$0	$2.5M
Wecare Medical, LLC	WV	Oxygen Equipment & Supplies (DME)	$0	$1.9M
Abbe Education And Staffing, LLC	WV	In Home Supportive Care Agency	$0	$1.2M
Rudy Malayil	WV	Interventional Pain Medicine Physician	$295.1K	$0
Sanjeev Sharma	WV	Radiation Oncology Physician	$269K	$0
Aamir Cheema	WV	Clinical Cardiac Electrophysiology Physician	$261.6K	$0

Robin Arora — 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