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

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

Anil Rai (NPI 1306830658)

Field	Value
Entity Type	Individual
Organization	Anil Rai
Address	676 Wyoming Ave
City	Kingston
State	PA
ZIP	18704
Taxonomy	Psychiatry Physician
NPI Enumerated	September 1, 2005

Payer Source	Total Paid
Medicare	$107K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	2,280	$40	$93.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	60	$140	$8.4K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	50	$60	$3.3K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	40	$70	$2.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Anil Rai — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90792	51	360	20	$130	$5.5K
99231	4	3,010	40	$40	$3.1K
99238	476	1,980	20	$60	$2.4K
99221	129	1,500	20	$60	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raymond Nwaneri	PA	Psychiatric/Mental Health Nurse Practitioner	$183.2K	$480
Brigid Bautista	PA	Psychiatry Physician	$178.1K	$0
Abayomi Ige	PA	Psychiatry Physician	$145.7K	$0
Mahrukh Khan	PA	Psychiatry Physician	$95.2K	$0
David Gaines	DE	Nurse Practitioner	$0	$69.5K
Salman Salaria	DE	Psychiatry Physician	$60.7K	$0
Shobha Sem	—	Family Medicine Physician	$5.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beyond Behavior Consulting	PA	Behavior Analyst	$0	$10.3M
Keystone Behavior Services, LLC	PA	Community/Behavioral Health Agency	$0	$6.1M
Luzerne Intermediate Unit #18	PA	Community/Behavioral Health Agency	$0	$5.7M
Bruce Saidman	PA	Hematology & Oncology Physician	$3.4M	$1
David Greenwald	PA	Hematology & Oncology Physician	$2.7M	$590
Erik Kruger	PA	Ophthalmology Physician	$2.4M	$11.8K
Surgical Specialty Center Of Northeastern Pennsylvania, LLC	PA	Ambulatory Surgical Clinic/Center	$1.5M	$124.1K
Anthony Andrews	PA	Ophthalmology Physician	$1.3M	$100
Radu Pacurariu	PA	Ophthalmology Physician	$1M	$0
Mark Grohol	PA	Optometrist	$221.5K	$697.4K

Anil Rai — Billing Profile & Reimbursement Data

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Anil Rai — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References