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.

Sunil Bali (NPI 1164841235)

Field	Value
Entity Type	Individual
Organization	Sunil Bali
Address	5301 S Congress Ave
City	Atlantis
State	FL
ZIP	33462
Taxonomy	Critical Care Medicine (Internal Medicine) Physician
NPI Enumerated	April 15, 2014

Payer Source	Total Paid
Medicare	$64.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	290	$180	$50.6K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	100	$90	$8.9K
92950	In this procedure, the provider attempts to restart the heart and lungs of the patient with cardiopulmonary arrest to ensure oxygen supply to the lungs.	20	$140	$2.9K
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…	20	$100	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Sunil Bali — 1 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	9,135	9,970	100	$90	$20.1K
99291	267	4,770	50	$170	$15.7K
99292	60	390	30	$90	$5.8K
92950	1	10	10	$150	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jonathan Wiesen	VA	Internal Medicine Physician	$2.4M	$0
Pawanjit Sarna	VA	Pulmonary Disease Physician	$848K	$0
John Sentz	VA	Pulmonary Disease Physician	$766.1K	$0
Drew Jones	VA	Pulmonary Disease Physician	$757.3K	$0
Cecilia Bergh	VA	Pulmonary Disease Physician	$542.8K	$0
Davis Mellick	GA	Medical Physician Assistant	$0	$539.3K
Kenneth Haft	VA	Pulmonary Disease Physician	$498.9K	$0
Muhammad Athar	VA	Pulmonary Disease Physician	$472.9K	$0
Abbas Omais	MD	Pulmonary Disease Physician	$454.3K	$9K
Anil Gogineni	FL	Pulmonary Disease Physician	$428.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integrated Regional Laboratories Pathology Services, LLC	FL	Anatomic Pathology & Clinical Pathology Physician	$0	$23.4M
Jfk Medical Center Limited Partnership	FL	General Acute Care Hospital	$0	$18.2M
Steven Louie	FL	Allergy & Immunology Physician	$838.4K	$0
Matthew Kolek	FL	Clinical Cardiac Electrophysiology Physician	$599.8K	$0
Robert Fishel	FL	Clinical Cardiac Electrophysiology Physician	$571.7K	$0
Aaron Cohen	FL	Internal Medicine Physician	$567.8K	$0
Marcelo Jimenez	FL	Clinical Cardiac Electrophysiology Physician	$517.2K	$0
Eduardo Garcia	FL	Hematology & Oncology Physician	$471.3K	$0
Jason Appelbaum	FL	Clinical Cardiac Electrophysiology Physician	$415.2K	$0
Humberto Caldera	FL	Hematology & Oncology Physician	$411.6K	$0

Sunil Bali — Billing Profile & Reimbursement Data

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Sunil Bali — 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

Nearby Providers

Frequently Asked Questions

References