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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPawan Rawal
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    Pawan Rawal — Billing Profile & Reimbursement Data

    NPI 1255659009 · Memphis, TN · Neurology Physician

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    Pawan Rawal is a neurology physician provider located in Memphis, Tennessee. This profile covers 21 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
    OrganizationPawan Rawal
    Address6029 Walnut Grove Rd Ste 210
    CityMemphis
    StateTN
    ZIP38120
    TaxonomyNeurology Physician
    NPI EnumeratedMay 4, 2010

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

    Payer SourceTotal Paid
    Medicare$1.3M
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg16,260$30$536.6K
    J1599Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg5,820$50$308.5K
    99232The 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…3,380$60$199.3K
    99223The 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…360$130$47.2K
    95816Electroencephalogram 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…330$90$28.1K
    99214The 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…320$80$25.3K
    95720A 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…130$150$19.4K
    99233The 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…190$90$16.9K
    99222The 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…160$100$15.3K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.280$50$12.8K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J156841012,680$30$391.3K
    J15993106,110$50$346.9K
    992142,54411,370120$80$16.6K
    992336642,63090$90$13.1K
    9923283,990100$60$11.4K
    9572043060$150$10.4K
    96130505050$80$10.1K
    992151,0882,71040$110$8.3K
    99223303,13040$120$8K
    963652628080$40$5.1K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ut Medical Group IncTNMulti-Specialty Clinic/Center$0$53.1M
    Stephen HuddlestonTNRetina Specialist (Ophthalmology) Physician$5.7M$0
    Salar RafieetaryTNRetina Specialist (Ophthalmology) Physician$2.1M$0
    James WangTNNeurology Physician$1.8M$0
    Rada Petrinjac-nenadicTNNeurology Physician$1.3M$0
    Steve CharlesTNRetina Specialist (Ophthalmology) Physician$769.6K$0
    Tulio BertoriniTNNeurology Physician$733K$0
    Rami KhouzamSCInterventional Cardiology Physician$292.1K$0
    Benjamin KingTNOphthalmology Physician$251.4K$0
    Asif KazmiARNephrology Physician$209K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial HospitalTNGeneral Acute Care Hospital$0$51.4M
    East Memphis Neonatology Associates P.CTNNeonatal-Perinatal Medicine Physician$0$20.7M
    Semmes-murphey Clinic PCTNAmbulatory Surgical Clinic/Center$4.1M$11K
    Lebonheur East Surgery Center Ii LPTNAmbulatory Surgical Clinic/Center$0$3M
    Ridge Lake Asc, LLCTNOphthalmologic Surgery Clinic/Center$2.4M$390.5K
    Vrf Eye Specialty Group, PlcTNOphthalmology Physician$0$2.5M
    Gastrointestinal Specialists Foundation, IncTNGastroenterology Physician$0$2.5M
    George WoodmanTNSurgery Physician$1.1K$2.3M
    Otolaryngology Consultants Of Memphis, P.C.TNSpecialist$0$2.1M
    Obgyn Consultants Of MemphisTNObstetrics & Gynecology Physician$0$2.1M

    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. Tennessee Distribution
    Pawan Rawal — 5 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee