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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSanjay Tomar
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    Sanjay Tomar — Billing Profile & Reimbursement Data

    NPI 1215106836 · Clayton, NC · Dermatology Physician

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    Sanjay Tomar is a dermatology physician provider located in Clayton, North Carolina. This profile covers 20 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSanjay Tomar
    Address244 Medspring Dr
    CityClayton
    StateNC
    ZIP27520
    TaxonomyDermatology Physician
    NPI EnumeratedFebruary 28, 2008

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

    Payer SourceTotal Paid
    Medicare$245.1K
    Medicaid$0

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs 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…280$440$122.2K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.100$310$30K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.30$580$18.4K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…70$210$14.1K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.10$760$9.9K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.40$240$9.2K
    12052This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.60$130$8.2K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…10$570$6.8K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.20$220$5K
    13101This is for a complex repair of a wound to the trunk.  This wound should be 2.6 to 7.5 cm in size.20$270$4.4K

    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

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173115480340$430$180.3K
    173126480170$310$74.4K
    15260415020$720$24.4K
    14060277030$560$19.5K
    13132459060$210$19K
    14040394020$540$16.8K
    13121479050$230$13.6K
    13101294020$270$10.6K
    11102652710120$60$9.4K
    17000738790190$30$9K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of North Carolina At Chapel HillNCAnesthesiology Physician$0$87.6M
    University Of North Carolina Hospitals At Chapel HillNCGeneral Acute Care Hospital$0$50.7M
    Unc Physicians Network LLCNCGeneral Practice Physician$0$47M
    Caldwell Memorial Hospital, Inc.NCGeneral Acute Care Hospital$0$28.8M
    Rex Hospital Inc.NCGeneral Acute Care Hospital$0$25.3M
    Unc Rockingham Health Care, Inc.NCGeneral Acute Care Hospital$0$10.3M
    University Of North Carolina Hospitals At Chapel HillNCDurable Medical Equipment & Medical Supplies$0$7.8M
    Caldwell Memorial Hospital, IncNCPediatrics Physician$0$7.3M
    John DeansNCOphthalmology Physician$2.4M$0
    Rex Hospital, Inc.NCLand Ambulance$1M$204K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hhdm, Inc.NCMethadone Clinic$0$7.2M
    Benjamin AtkesonNCCardiovascular Disease Physician$477.1K$0
    Debra HarrNCRadiation Oncology Physician$414.3K$0
    Mazen KhusayemNCInternal Medicine Physician$188K$14K
    Christian GringNCCardiovascular Disease Physician$193.5K$0
    Joan MeehanNCFamily Medicine Physician$193.4K$0
    Mir-omar AliNCPulmonary Disease Physician$181.6K$0
    Digestive Asc LLCNCAmbulatory Surgical Clinic/Center$159.6K$0
    Joseph AllenNCUrology Physician$121.9K$0
    Martha IngramNCPhysician Assistant$104.4K$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. North Carolina Distribution
    Sanjay Tomar — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina