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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Sameer Pandeya (NPI 1275770760)

Field	Value
Entity Type	Individual
Organization	Sameer Pandeya
Address	900 E Broadway Ave
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 21, 2009

Payer Source	Total Paid
Medicare	$228.3K
Medicaid	$0

Key Findings

This provider’s Medicare activity is concentrated in dialysis-related services: codes 90960, 90961, and 90966 are among the top billers and, per the precomputed summary, the top three Medicare codes account for 69.1% of total Medicare revenue. That concentration, combined with high revenue for 90960 ($101.5K, 44.5% of Medicare revenue), indicates the practice’s primary service line is management of patients with end-stage renal disease rather than general primary care or broad outpatient medicine.

Total lifetime Medicare revenue on file is $228.3K while there is no Medicaid billing on file, so this provider functions effectively as a single-payer (Medicare) biller in the available dataset. The absence of any Medicaid claims suggests limited or no engagement with Medicaid populations during the reporting period, which has implications for payer mix and contracting strategy.

Code-level ranks show this provider is a modest to regionally relevant participant for several dialysis codes: 90960 ranks #535 of 6549 providers nationally (92nd percentile) and 90961 ranks #743 of 6091 providers nationally (88th percentile), both described as typical, unremarkable volume but positioned well above the median national provider for those ESRD management services. In contrast, 90966 ranks #1629 of 2039 (19th percentile), indicating lower relative volume nationally for home dialysis monthly management compared with peers.

Beyond ESRD care, the provider bills inpatient E/M services at meaningful volume: 99232 generated $29.2K (12.8% of Medicare revenue) with 486 claims and ranks in the 91st percentile nationally, reflecting routine involvement in moderate-complexity subsequent inpatient care. Additional inpatient initial care codes 99222 and 99223 together contribute notable but smaller shares ($12.3K and $1.5K respectively), supporting a mixed practice that includes inpatient evaluation and management alongside dialysis management.

Certain procedure volumes stand out relative to national peers: hemodialysis procedure 90935 has $16.3K revenue from 302 claims and is flagged as notably above typical national volume (97th percentile), suggesting the provider performs a comparatively high number of direct dialysis procedures. This aligns with the ESRD-focused revenue mix and reinforces that dialysis procedures are a major operational focus, not just oversight E/M services.

The provider has a long NPI tenure, enumerated on 2009-01-21 (~17 years ago), which suggests established billing presence and experience with Medicare workflows over an extended period. That tenure, combined with concentrated ESRD billing, implies an established clinical focus rather than a recent shift or pilot in service lines.

Office/outpatient high-complexity E/M 99215 and 99214 together account for a non-negligible portion of revenue ($13.4K and $4.8K respectively), indicating the provider also conducts higher-acuity outpatient visits in addition to inpatient and dialysis services. However these outpatient E/M codes are smaller contributors relative to ESRD codes, consistent with the overall revenue concentration in dialysis care.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	380	$270	$101.5K
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…	490	$60	$29.2K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	120	$230	$27K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	300	$50	$16.3K
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…	110	$120	$13.4K
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…	130	$100	$12.3K
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	50	$220	$11.3K
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	80	$70	$5.3K
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…	60	$90	$4.8K
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	$160	$3.3K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Sameer Pandeya — 2 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	2	10	210	$270	$57.3K
90961	7	20	80	$220	$21.5K
90966	6	10	70	$220	$21K
99214	946	1,470	90	$60	$10.4K
99232	48	560	70	$60	$10K
99223	316	330	40	$130	$8.9K
99215	78	480	40	$100	$6.9K
90935	1	20	90	$50	$5.7K
99205	102	160	30	$140	$5.1K
99222	17	440	30	$100	$3.8K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Guerra Rodas	WI	Nephrology Physician	$147.6K	$462.1K
Gloria Song	WI	Nephrology Physician	$223.1K	$0
Christoph Eggert	WI	Nephrology Physician	$222K	$0
Imran Baloch	WI	Nephrology Physician	$123K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M

Sameer Pandeya — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References