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NPI 1255527008 · Middletown, NY · Sports Medicine (Internal Medicine) Physician
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Pankaj Kaw is a sports medicine (internal medicine) physician provider located in Middletown, New York. This profile covers 13 Medicare and 6 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 | Pankaj Kaw |
| Address | 95 Crystal Run Rd |
| City | Middletown |
| State | NY |
| ZIP | 10941 |
| Taxonomy | Sports Medicine (Internal Medicine) Physician |
| NPI Enumerated | September 14, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $319.6K |
| Medicaid | $211.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 1,290 | $60 | $78.4K |
| 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… | 470 | $130 | $61K |
| 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… | 490 | $100 | $48.9K |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 5,310 | $10 | $37.2K |
| 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… | 500 | $70 | $35.6K |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 260 | $90 | $22.9K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 11,600 | $1 | $11.6K |
| 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… | 120 | $80 | $9.5K |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 60 | $100 | $5.8K |
| 23600 | In this procedure, the provider performs a closed treatment of a surgical or anatomical neck fracture of the upper end of the humerus. Treatment does not include manipulation, or adjustment, of the… | 10 | $310 | $3.4K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 3,025 | 30,450 | 90 | $100 | $19K |
| J7324 | 121 | 150 | 100 | $100 | $16.6K |
| 20611 | 142 | 740 | 80 | $90 | $15.9K |
| J7325 | 8 | 130 | 1,260 | $10 | $14.3K |
| 99213 | 2,432 | 31,440 | 80 | $70 | $12.1K |
| 99215 | 7,398 | 8,280 | 40 | $140 | $10.1K |
| 20610 | 9 | 1,870 | 60 | $60 | $7K |
| 99204 | 17 | 14,170 | 30 | $130 | $6.6K |
| 23600 | 18 | 20 | 20 | $330 | $4.9K |
| 99203 | 1,159 | 11,360 | 30 | $90 | $4.7K |
Showing 1–10 of 13
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 460 | $140 | $65.2K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 1,320 | $40 | $47.4K |
| 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… | 390 | $90 | $34.2K |
| 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… | 300 | $100 | $31.1K |
| 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… | 330 | $60 | $18.3K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,680 | $10 | $15.1K |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
6 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… | 9,819 | 19,110 | 360 | $70 | $321K |
| 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… | 7,356 | 16,550 | 220 | $90 | $186.8K |
| 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… | 1,531 | 4,700 | 130 | $100 | $136.6K |
| 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… | 897 | 3,820 | 100 | $130 | $99.7K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 46 | 380 | 100 | $70 | $45.1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 93 | 660 | 170 | $1 | $3.2K |
Other providers in the same ZIP code as Pankaj Kaw, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Access: Supports For Living Inc | NY | Community/Behavioral Health Agency | $0 | $35M |
| Access: Supports For Living Inc | NY | Case Management Agency | $0 | $19.8M |
| Mdinr, LLC | NY | Physiological Laboratory | $2.7M | $464.1K |
| Crystal Run Ambulatory Surgery Center Of Middletown, LLC | NY | Ambulatory Surgical Clinic/Center | $1.3M | $661.1K |
| Victor Wu | NY | Diagnostic Radiology Physician | $527.2K | $428.1K |
| Balaji Pratap | NY | Cardiovascular Disease Physician | $834.5K | $26.2K |
| Anthony Caramico | NY | Diagnostic Radiology Physician | $468.8K | $334.3K |
| Ronen Harel | NY | Hematology & Oncology Physician | $681.5K | $89.8K |
| Jeffrey Stewart | NY | Hematology & Oncology Physician | $478.2K | $115K |
| John Fiorianti | NY | Vascular Surgery Physician | $443K | $147.4K |
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