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NPI 1306846035 · Erie, PA · Plastic and Reconstructive Surgery Physician
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Ajaipal Kang is a plastic and reconstructive surgery physician provider located in Erie, Pennsylvania. This profile covers 14 Medicare and 4 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Ajaipal Kang |
| Address | 100 Peach St |
| City | Erie |
| State | PA |
| ZIP | 16507 |
| Taxonomy | Plastic and Reconstructive Surgery Physician |
| NPI Enumerated | July 22, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $197.6K |
| Medicaid | $47.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 14040 | The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code… | 70 | $560 | $37.9K |
| 14301 | The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2. | 40 | $730 | $29.9K |
| 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… | 240 | $120 | $29.4K |
| 14060 | The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less. | 40 | $580 | $21.9K |
| 14020 | The provider repairs the defects in the patient’s scalp, arms, and/or legs by using healthy tissues from an adjacent site. This code represents services for defects of 10 cm2 or less. | 40 | $530 | $20.8K |
| 14000 | In an adjacent tissue transfer (ATT) of the trunk, the provider transfers a skin part to another skin segment on the trunk. This code is for an ATT 10 cm2 in size or less. | 30 | $470 | $11.8K |
| 14041 | The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a… | 10 | $700 | $9.7K |
| 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… | 100 | $90 | $9.2K |
| 14001 | The provider repairs defects in the patient’s trunk by using healthy tissues from an adjacent body part. This code represents transfer of adjacent tissue for defects that equal 10.1 cm2 and up to… | 10 | $610 | $7.9K |
| 11104 | The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions. | 60 | $90 | $5.8K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 14020 | 8 | 20 | 40 | $530 | $32.5K |
| 14040 | 7 | 40 | 20 | $570 | $27K |
| 14041 | 34 | 40 | 20 | $720 | $23.7K |
| 14060 | 31 | 90 | 20 | $580 | $20.9K |
| 14301 | 5 | 40 | 20 | $780 | $17.3K |
| 14000 | 5 | 10 | 30 | $470 | $16.8K |
| 99214 | 11,756 | 23,230 | 100 | $80 | $14.5K |
| 14001 | 5 | 10 | 10 | $620 | $14.2K |
| 99213 | 12,141 | 22,370 | 70 | $60 | $7.7K |
| 99204 | 69 | 10,290 | 30 | $110 | $5K |
Showing 1–10 of 14
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99244 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider… | 270 | $120 | $33.3K |
| 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… | 200 | $60 | $13K |
| 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… | 10 | $60 | $660 |
| 11104 | The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions. | 10 | $30 | $400 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 7,812 | 8,160 | 210 | $60 | $68.4K |
| 11104 | The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions. | 8 | 10 | 120 | $140 | $58.4K |
| 99244 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider… | 79 | 310 | 70 | $160 | $53.9K |
| 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… | 376 | 1,410 | 60 | $90 | $30.5K |
Other providers in the same ZIP code as Ajaipal Kang, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Gaudenzia Inc | PA | Community/Behavioral Health Agency | $0 | $40M |
| Dr Gertrude A Barber Center Inc | PA | Clinic/Center | $0 | $18.7M |
| Robert Baldwin | PA | Ophthalmology Physician | $2.3M | $145.9K |
| Laboratory Associates Of Erie LLC | PA | Clinical Medical Laboratory | $60.1K | $2.2M |
| Ryan Constantine | PA | Retina Specialist (Ophthalmology) Physician | $2M | $0 |
| David Almeida | PA | Ophthalmology Physician | $1.3M | $520.5K |
| Upmc Hamot Surgery Center, LLC | PA | Ambulatory Surgical Clinic/Center | $871.5K | $719.9K |
| Douglas Babel | PA | Ophthalmology Physician | $742.6K | $63.8K |
| Edward Zimm | PA | Ophthalmology Physician | $422.7K | $380 |
| Ellen Dailey | PA | Obstetrics & Gynecology Physician | $72.4K | $276.7K |
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