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NPI 1225119415 · Brick, NJ · Pulmonary Disease Physician
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Sanjay Sikand is a pulmonary disease physician provider located in Brick, New Jersey. This profile covers 15 Medicare and 28 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Sanjay Sikand |
| Address | 1617 Route 88 Ste 202 |
| City | Brick |
| State | NJ |
| ZIP | 08724 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | October 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $505.4K |
| Medicaid | $83K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 2,760 | $70 | $184.6K |
| 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… | 460 | $180 | $83.5K |
| 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… | 610 | $100 | $62.9K |
| 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… | 370 | $100 | $36.6K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 490 | $60 | $31.2K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 490 | $50 | $24.4K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 490 | $50 | $23.8K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 630 | $30 | $20.8K |
| 99304 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider… | 160 | $70 | $11K |
| 94660 | The provider initiates continuous positive airway pressure ventilation, or CPAP, typically for a patient with sleep apnea, or periodic cessation of breathing while asleep. He trains the patient on… | 200 | $50 | $10.4K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99308 | 453 | 1,430 | 230 | $60 | $29.5K |
| 99214 | 1,482 | 13,640 | 130 | $90 | $23.6K |
| 99233 | 804 | 4,270 | 110 | $100 | $22.5K |
| 99232 | 33 | 6,220 | 120 | $70 | $18.4K |
| 99291 | 28 | 1,970 | 50 | $180 | $16.1K |
| 99213 | 10,187 | 14,090 | 100 | $70 | $13.1K |
| 99305 | 459 | 750 | 60 | $100 | $10.6K |
| 99204 | 2,230 | 7,160 | 40 | $130 | $6.5K |
| 99304 | 46 | 270 | 60 | $60 | $6K |
| 94660 | 2 | 10 | 40 | $50 | $4.8K |
Showing 1–10 of 15
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
28 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… | 2,480 | $10 | $24.8K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 790 | $20 | $16.6K |
| 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… | 190 | $50 | $8.7K |
| 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… | 230 | $40 | $8.7K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 440 | $20 | $8.3K |
| 94727 | The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the… | 320 | $20 | $4.7K |
| 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… | 100 | $30 | $3.3K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 20 | $130 | $1.9K |
| 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 | $100 | $1.2K |
| 99203 | The provider sees a new 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 provider… | 20 | $70 | $1K |
Showing 1–10 of 28
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
28 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 3,014 | 4,450 | 740 | $40 | $229.8K |
| 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… | 2,547 | 3,790 | 580 | $60 | $204K |
| 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… | 148 | 230 | 210 | $160 | $189K |
| 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… | 282 | 1,020 | 550 | $30 | $105.3K |
| 99203 | The provider sees a new 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 provider… | 1,269 | 1,460 | 150 | $80 | $97.8K |
| 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… | 589 | 660 | 330 | $40 | $82K |
| 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… | 1,093 | 1,160 | 110 | $110 | $79.7K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 44 | 190 | 160 | $80 | $61K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 228 | 280 | 70 | $180 | $60.5K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 44 | 130 | 180 | $40 | $36.2K |
Showing 1–10 of 28
Other providers in the same ZIP code as Sanjay Sikand, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| White Glove Community Care, Inc. | NJ | Home Health Agency | $0 | $540.7M |
| Ocean Partnership For Children, Inc. | NJ | Case Manager/Care Coordinator | $0 | $66.5M |
| Hmh Hospitals Corporation | NJ | General Acute Care Hospital | $0 | $50M |
| Summit Home Health Care, Inc | NJ | Home Health Agency | $0 | $14.6M |
| Brick Board Of Education | NJ | Local Education Agency (LEA) | $0 | $12.2M |
| White Glove Community Care, Inc. | NJ | Home Health Agency | $0 | $9.4M |
| Monmouth Healthcare Services | NJ | Methadone Clinic | $111K | $4.9M |
| Seashore Surgical Institute, LLC | NJ | Ambulatory Surgical Clinic/Center | $3.6M | $6.4K |
| Mutahir Abidi | NJ | Rheumatology Physician | $1.6M | $0 |
| Aditya Mehra | NJ | Cardiovascular Disease Physician | $1.2M | $0 |
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