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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Manish Rawat (NPI 1306071816)

Field	Value
Entity Type	Individual
Organization	Manish Rawat
Address	173rd Stb
City	Bamberg
State	XX (Unspecified Location)
ZIP	09139
Taxonomy	Medical Physician Assistant
NPI Enumerated	May 28, 2009

Payer Source	Total Paid
Medicare	$15.5K
Medicaid	$0

Key Findings

Provider snapshot: MANISH RAWAT is listed as a Medical Physician Assistant in BAMBERG with an NPI enumerated (registered) on 2009-05-28 (~17 years ago). Lifetime Medicare revenue on file is $15.5K and there is no Medicaid billing on file (Total Medicaid revenue: none (no Medicaid billing on file)), indicating a Medicare-dominant practice footprint in the available data.

Revenue concentration is high: the top 3 Medicare codes by revenue — 87636 ($5.8K, 37.3% of Medicare revenue), 99214 ($4.5K, 29.3%), and 99204 ($3.2K, 21.0%) — together account for 87.6% of this provider's total Medicare revenue, signaling that a very small set of services drives the vast majority of reported Medicare receipts. This narrow mix implies that changes in reimbursement or utilization of any one of these codes would materially affect the provider's Medicare revenue.

Business and service-line implications: the code mix is centered on outpatient evaluation & management and multiplex respiratory testing, with 99214 and 99204 representing office E/M for established and new patients and 87636 representing multiplex NAAT for SARS–CoV–2 and influenza (87636 – The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic acid probe technique.). The prominence of 87636 ($5.8K) alongside E/M codes suggests the practice likely combines clinic visits with point-of-care or on-site respiratory infectious disease testing.

Competitive standing for the top lab test (87636): this provider reports 42 claims and $5.8K revenue for 87636 and ranks #643 of 2192 providers nationally (70th percentile; typical, unremarkable volume for this code), which places them above the median national volume but not among dominant national performers for this test. For payers evaluating lab utilization, this indicates meaningful but not unusually high use of multiplex respiratory testing relative to peers.

Competitive standing for office E/M: 99214 shows 55 claims and $4.5K revenue and ranks #327144 of 479517 providers nationally (31th percentile; typical, unremarkable volume for this code), while 99204 shows 33 claims and $3.2K revenue and ranks #110260 of 227068 providers nationally (50th percentile; typical, unremarkable volume for this code). These percentiles describe a modest participant in E/M services — active but generally within typical national patterns rather than concentrated high-volume specialty practice.

High-claim but zero-paid drug codes appear in the record: J1100 (582 claims), J0696 (144 claims), and J1885 (64 claims) each report $0 avg paid/claim and $0 revenue while still ranking in mid-to-upper percentiles nationally (for example J1100 ranks #6535 of 23460 providers nationally (72th percentile; typical, unremarkable volume for this code)). This pattern of many reported claims with $0 payment suggests administration or reporting activity that does not translate into Medicare payment on the claim lines shown and should be interpreted cautiously by payers and auditors.

Procedure mix includes frequent minor injections: 96372 shows 142 claims and $1.3K revenue (8.3% of Medicare revenue) and ranks #10153 of 58224 providers nationally (82th percentile; typical, unremarkable volume for this code), indicating above-median national use of therapeutic or diagnostic injections performed in the office setting. Combined with the E/M and lab activity, the profile is consistent with a general outpatient primary-care or urgent-care style practice that performs on-site injections and point-of-care testing.

Payer mix and operational implication for analysts: this provider is effectively single-payer in the available dataset, with Medicare revenue of $15.5K and no Medicaid billing on file, concentrating operational and financial exposure to Medicare reimbursement patterns. Given the small total Medicare footprint and the heavy reliance on the three top codes (87.6% concentration), payers and network managers should view MANISH RAWAT as a modest-volume, Medicare-focused clinician whose reimbursement volatility is concentrated in a few services.

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	40	$140	$5.8K
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	$80	$4.5K
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…	30	$100	$3.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	140	$10	$1.3K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	20	$20	$420
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	10	$20	$180
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	10	$1	$40
J0696	Injection, ceftriaxone sodium, per 250 mg	140	$0	$0
J1100	Injection, dexamethasone sodium phosphate, 1 mg	580	$0	$0
J1885	Injection, ketorolac tromethamine, per 15 mg	60	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Manish Rawat — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6	10	80	$90	$15.8K
96372	1	10	400	$10	$4.1K
99204	4	10	20	$120	$2.8K
71046	2	10	170	$10	$1.2K
J1100	1	10	1,110	$1	$110
82962	1	0	N/A	$N/A	$N/A
87636	1	0	N/A	$N/A	$N/A
87880	1	0	N/A	$N/A	$N/A
J0696	1	0	N/A	$N/A	$N/A
J1885	1	0	N/A	$N/A	$N/A

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Randolph Knox	AE (Armed Forces Europe)	Physician Assistant	$28.1K	$0

Manish Rawat — 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

Nearby Providers

Frequently Asked Questions

References