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

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

David Jawahar (NPI 1306828330)

Field	Value
Entity Type	Individual
Organization	David Jawahar
Address	807 S Bradford St
City	Dover
State	DE
ZIP	19904
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	November 16, 2005

Payer Source	Total Paid
Medicare	$786.7K
Medicaid	$0

Key Findings

DAVID JAWAHAR is effectively a Medicare-focused pulmonary specialist with $786.7K in lifetime Medicare revenue and no Medicaid billing on file; this makes the provider effectively single-payer (Medicare) in the available data and suggests referral and reimbursement activity is concentrated in the Medicare population.

Revenue concentration is high: the precomputed top 3 Medicare codes account for 71.9% of this provider's total Medicare revenue, indicating that a small set of services—office E/M visits and pulmonary function testing—drive the vast majority of billed Medicare dollars.

99214 is the dominant revenue driver, accounting for $435.4K (55.3% of Medicare revenue) and ranking #33 of 479517 providers nationally; this 100th-percentile, extreme outlier status indicates unusually high volume of moderate-complexity established patient visits relative to peers and supports a high-volume clinic workflow focused on follow-up and chronic disease management.

The pulmonary diagnostics suite is a clear service-line focus: 94729 ($66.2K, 8.4%), 94726 ($64.6K, 8.2%), and 94060 ($47.4K, 6.0%) together represent substantial billing for diffusing capacity, PFTs, and spirometry. Each of these codes is ranked at or near the top nationally (94729 ranks #2, 94726 ranks #1, 94060 ranks #3) and are labeled extreme outlier or far above typical national volume, underscoring a specialized diagnostic emphasis and likely in-office testing capability.

Several additional respiratory-related codes show above-typical national volume and reinforce the practice profile: 94664 (education on inhaler/nebulizer) is an extreme outlier (rank #2 of 1316) and 94640 (airway management/sputum induction) ranks #47 of 2912 (notably above typical). These procedure-level volumes indicate routine performance of respiratory therapies and patient education as part of the clinical mix.

Although high-volume diagnostic and E/M codes dominate, the provider also bills a range of ancillary services—sleep studies (95800, 95810, 95811), remote monitoring (99454), and lung cancer screening counseling (G0296)—with ranks spanning typical to notably above typical; this mix suggests an integrated outpatient practice that combines ambulatory respiratory care, sleep medicine services, and preventative counseling.

Competitive standing is notable: multiple codes are at the 100th percentile or otherwise described as extreme outliers (e.g., 99214, 94729, 94726, 94664), which positions the provider as a major national outlier in volume for core pulmonary services rather than a modest participant. This implies a strong competitive footprint nationally for those specific services.

Tenure is long: the NPI was enumerated on 2005-11-16 (~21 years ago), indicating sustained presence in the market; combined with the concentrated code mix and high national ranks, this tenure suggests an established practice pattern and operational stability built over two decades.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	4,630	$90	$435.4K
94729	In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.	1,580	$40	$66.2K
94726	The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…	1,580	$40	$64.6K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	1,580	$30	$47.4K
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…	230	$130	$30.7K
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…	260	$120	$30K
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	200	$120	$22.6K
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…	360	$60	$22.1K
94664	The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…	1,570	$10	$20.4K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	200	$40	$7.3K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

David Jawahar — 7 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2	1,830	150	$80	$25.5K
95810	9	20	50	$330	$18.3K
95811	10	20	40	$370	$16.8K
99213	320	1,810	120	$60	$13.6K
99454	12	20	180	$40	$12.7K
99215	45	570	40	$120	$11K
94729	1	10	140	$30	$9.2K
95800	2	10	50	$110	$8.8K
99204	21	950	30	$110	$6.5K
99205	109	230	30	$150	$6.4K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kent Pulmonary Associates	DE	Pulmonary Disease Physician	$0	$2.3M
Aditya Dubey	VA	Pulmonary Disease Physician	$201.7K	$0
Ashish Tikotekar	CA	Pulmonary Disease Physician	$171.8K	$0
Alejandro Sardi	DE	Pulmonary Disease Physician	$54.1K	$0
Brian Walsh	DE	Pulmonary Disease Physician	$14.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$37.9M
At Home Infucare, LLC	DE	Home Health Agency	$0	$28.5M
Amazing Home Care Agency	DE	Home Health Agency	$0	$18.7M
Dedicated To Women Ob-gyn, P.A.	DE	Obstetrics & Gynecology Physician	$0	$11.1M
Help At Home Of Delaware, LLC	DE	In Home Supportive Care Agency	$0	$10.7M
A Center For Mental Wellness, Inc.	DE	Mental Health Counselor	$0	$9.9M
State Of Delaware	DE	Case Management Agency	$0	$9.2M
West Dover Dental, LLC	DE	Dentist	$0	$9M
Americare Home Solutions	DE	In Home Supportive Care Agency	$0	$8.4M
Vicdania Health Services LLC	DE	Home Health Agency	$0	$7.4M

David Jawahar — 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