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.

Raj Shrestha (NPI 1245532548)

Field	Value
Entity Type	Individual
Organization	Raj Shrestha
Address	213 Logan St
City	Williamson
State	WV
ZIP	25661
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 19, 2010

Payer Source	Total Paid
Medicare	$98.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	$90	$34.9K
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…	420	$60	$26.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	160	$90	$14.6K
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…	110	$130	$14.2K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	150	$40	$6.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$90	$2.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Raj Shrestha — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	156	1,340	90	$60	$11.9K
99233	37	660	60	$90	$11.4K
99223	110	780	30	$130	$7.9K
99239	38	370	70	$90	$7K
99222	545	1,080	30	$100	$4.5K
99231	47	460	40	$40	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Apogee Medical Group, Delaware, Inc	DE	Internal Medicine Physician	$0	$7.9M
Abbas Omais	MD	Pulmonary Disease Physician	$454.3K	$9K
Angad Singh	PA	Internal Medicine Physician	$416K	$0
Edris Meda	DC	Internal Medicine Physician	$225.8K	$0
Alvaro Toledo Rivera	PA	Internal Medicine Physician	$201.4K	$0
Curtis Smith	DE	Family Medicine Physician	$188K	$0
Sambhab Kumar	DE	Internal Medicine Physician	$170.3K	$830
John Basarich	WI	Family Medicine Physician	$159K	$0
Naveed Hasan	DE	Pulmonary Disease Physician	$153.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Williamson Health & Wellness Center Inc	WV	Federally Qualified Health Center (FQHC)	$0	$12.8M
Lighthouse Community Investment Agency Inc	WV	Substance Use Disorder Rehabilitation Clinic/Center	$0	$9.8M
Williamson Treatment Center, LLC	WV	Methadone Clinic	$446.4K	$8.9M
Williamson Health & Wellness Center Inc	WV	Federally Qualified Health Center (FQHC)	$0	$5.5M
Aurora Project Associates LLC	WV	Substance Abuse Rehabilitation Facility	$0	$5.1M
Ohio Valley Physicians Inc	WV	Rural Health Clinic/Center	$0	$4.2M
Williamson Memorial Hospital LLC	WV	General Acute Care Hospital	$0	$3.7M
Coalfield Community Action Partners	WV	Personal Care Attendant	$0	$1.9M
Williamson Treatment Center, LLC	WV	Methadone Clinic	$0	$1.6M
Tug Valley Wellness Center, LLC	WV	Family Medicine Physician	$0	$1.3M

Raj Shrestha — Billing Profile & Reimbursement Data

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Raj Shrestha — 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