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    OpenPayerNPI Medicare & MedicaidSomali Gavane
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    Somali Gavane — Billing Profile & Reimbursement Data

    NPI 1306283155 · New York, NY · Nuclear Imaging & Therapy Physician

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    Somali Gavane is a nuclear imaging & therapy physician provider located in New York, New York. This profile covers 11 Medicare and 2 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)

    FieldValue
    Entity TypeIndividual
    OrganizationSomali Gavane
    Address1 Gustave L Levy Pl
    CityNew York
    StateNY
    ZIP10029
    TaxonomyNuclear Imaging & Therapy Physician
    NPI EnumeratedJune 3, 2013

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

    Payer SourceTotal Paid
    Medicare$395.1K
    Medicaid$20.7K

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…290$650$187.6K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…110$770$82.7K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie100$470$46.6K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries140$240$33.5K
    A9587Gallium ga-68, dotatate, diagnostic, 0.1 millicurie700$40$30.9K
    78830The provider uses a nuclear imaging test called SPECT with concurrent CT imaging to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging…40$200$7.9K
    78306The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of…10$210$2.3K
    79445In this procedure, the provider injects a liquid containing radioactive particles into the artery supplying blood to a tumor. The aim is to block the blood supply to the cancer cells.20$100$1.7K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.10$120$1.3K
    78195In this procedure, the provider uses a gamma–emitting radioactive tracer to diagnose and localize diseases of the lymphatics and lymph nodes.10$50$600

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A95954550190$470$251.1K
    788155233080$690$116.6K
    A9587810910$50$57.3K
    A95524520060$350$42.8K
    788161914040$590$31.8K
    712601,0991,12060$50$5K
    78830184040$70$3.4K
    7830615717020$70$3.2K
    7944531020$100$2K
    A9503384020$40$1.5K

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…120$120$14.2K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries170$40$6.5K

    Medicaid: Competitive Analysis & Benchmarks

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…4411080$570$236.2K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries297090$150$72.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parcare Community Health Network IncNYMulti-Specialty Clinic/Center$0$88.5M
    Fpa Hospital BasedNYEmergency Medicine Physician$0$71M
    Ron RosenNYNuclear Medicine Physician$2.4M$8.9K
    Sherif HeibaNYNuclear Medicine Physician$1.7M$18.5K
    Joshua HarrisNYHematology & Oncology Physician$1.6M$62.3K
    Jahan AghalarNYInternal Medicine Physician$1.6M$26.8K
    Sunil MehraNYPulmonary Disease Physician$393.1K$1.1M
    Todd CovenNYMOHS-Micrographic Surgery Physician$1.5M$0
    Elizabeth SmallNYOphthalmology Physician$1.2M$0
    Alyssa RehmNYNeurology Physician$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mount Sinai HospitalNYGeneral Acute Care Hospital$0$278.8M
    Helping U Homecare, Inc.NYHome Health Agency$0$143.8M
    New York City Health And Hospitals CorporationNYGeneral Acute Care Hospital$0$100.7M
    Icahn School Of Medicine At Mount SinaiNYCardiovascular Disease Physician$0$21.7M
    Center For Comprehensive Health Practice IncNYMulti-Specialty Clinic/Center$125.5K$11.9M
    Carnegie Hill Endoscopy LLCNYAmbulatory Surgical Clinic/Center$1.6M$177.4K
    Windsor TingNYVascular Surgery Physician$36.3K$1.6M
    Joseph ShamsNYVascular & Interventional Radiology Physician$1.5M$142.3K
    Su Jung LeeNYFamily Nurse Practitioner$931.2K$0
    Ignatius LauNYVascular Surgery Physician$853.5K$0

    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. New York Distribution
    Somali Gavane — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Somali Gavane — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York