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 Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan 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. Michigan (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.

Nikesh Ardeshna (NPI 1255541363)

Field	Value
Entity Type	Individual
Organization	Nikesh Ardeshna
Address	1000 Harrington St
City	Mount Clemens
State	MI
ZIP	48043
Taxonomy	Neurology Physician
NPI Enumerated	May 23, 2007

Payer Source	Total Paid
Medicare	$26.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	70	$160	$11.3K
95718	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. The EEG recording…	40	$100	$3.5K
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…	50	$70	$3.1K
99215	The provider sees an established 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…	30	$90	$2.6K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	50	$50	$2.1K
95813	An electroencephalogram is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring refers to a study that runs longer…	30	$70	$1.7K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	30	$40	$1.5K
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…	20	$50	$820

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Nikesh Ardeshna — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	10,517	15,470	80	$80	$11.4K
95720	24	60	60	$160	$10.1K
95819	65	130	30	$160	$9.5K
95816	40	130	30	$150	$6.7K
99213	13,601	14,810	60	$60	$6.6K
99215	2,302	4,420	30	$110	$6K
95813	6	10	20	$120	$3.8K
95718	12	40	30	$100	$3.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mclaren Macomb	MI	General Acute Care Hospital	$0	$56.7M
Macomb Residential Opportunities, Inc.	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$39.8M
Svs Vision Inc	MI	Optometrist	$0	$30.9M
Life Skills Centers, Inc.	MI	Developmentally Disabled Services Day Training Agency	$0	$28M
Mclaren Macomb	MI	Internal Medicine Physician	$0	$19.2M
Macomb Emergency Physicians PLLC	MI	Emergency Medicine Physician	$0	$8.5M
Allergy And Asthma Physicians Of Commerce Township	MI	Allergy & Immunology Physician	$0	$5.4M
County Of Macomb	MI	Public Health or Welfare Agency	$207.7K	$1.8M
Thomas Giancarlo	MI	Neurology Physician	$458.1K	$0
Henry Ford Macomb Ancillary Services	MI	Clinical Medical Laboratory	$147.1K	$66K

Nikesh Ardeshna — Billing Profile & Reimbursement Data

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Nikesh Ardeshna — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References