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

Why is the Medicaid comparison limited to New York 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. New York (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.

Shaji Poovathoor (NPI 1306872932)

Field	Value
Entity Type	Individual
Organization	Shaji Poovathoor
Address	Health Sciences Center L4 #060
City	Stony Brook
State	NY
ZIP	11794
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 24, 2006

Payer Source	Total Paid
Medicare	$29.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	40	$290	$10K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	20	$280	$4.8K
00537	The provider performs anesthesia services for a patient undergoing cardiac electrophysiologic procedures, such as mapping, pacing, recording, arrhythmia induction, lead testing, and similar services,…	20	$240	$3.8K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	70	$40	$2.9K
01926	The provider performs anesthesia services for a patient undergoing therapeutic interventional radiological procedures involving the arteries that are intracranial, or situated within the skull;…	10	$170	$2.4K
00530	The provider performs anesthesia services for a patient undergoing the procedure of permanent transvenous pacemaker insertion in which another provider inserts a device via a blood vessel in the neck…	20	$110	$2.1K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	20	$70	$1.4K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	20	$80	$1.2K
00410	The provider performs anesthesia services for a patient undergoing a procedure on the skin of the upper and lower limbs, the front aspect of the chest and abdomen, or the perineum. For this code, the…	20	$50	$800

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Shaji Poovathoor — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00537	126	220	20	$290	$7.3K
00811	1,294	1,710	30	$90	$4.3K
01926	54	110	10	$230	$4.1K
00731	1,357	2,240	20	$100	$3.5K
00790	102	420	10	$210	$3.4K
00530	51	170	20	$150	$3K
00840	7	270	10	$180	$2.8K
00410	37	90	20	$60	$1.1K
36620	41	890	20	$40	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Caldwell	NY	Pain Medicine (Anesthesiology) Physician	$788K	$5.1K
Christopher Stoebe	NY	Medical Physician Assistant	$441.6K	$0
Amit Kaushal	NY	Pain Medicine (Anesthesiology) Physician	$210.6K	$2.7K
Adrian Fischl	NY	Anesthesiology Physician	$54.7K	$0
Slawomir Oleszak	NY	Anesthesiology Physician	$46K	$0
Keith Clement	NY	Adult Health Nurse Practitioner	$43.7K	$0
Bharathi Scott	NY	Anesthesiology Physician	$39K	$0
Eman Nada	NY	Anesthesiology Physician	$34.2K	$0
Sofia Geralemou	NY	Anesthesiology Physician	$20.7K	$0
Andrea Voutsas	NY	Anesthesiology Physician	$18.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Hospital At Stony Brook	NY	General Acute Care Hospital	$0	$105.3M
Stony Brook Children's Service, University Faculty Practice Corporatio	NY	Pediatrics Physician	$0	$24.1M
Dinko Franceschi	NY	Nuclear Radiology Physician	$1.8M	$73.6K
Matthew Comito	NY	Diagnostic Radiology Physician	$642.6K	$67K
Jordan Slutsky	NY	MOHS-Micrographic Surgery Physician	$605.1K	$0
Roger Fan	NY	Cardiovascular Disease Physician	$539.3K	$100
Travis Bench	NY	Cardiovascular Disease Physician	$471.2K	$200
Lachlan Smith	NY	Diagnostic Radiology Physician	$416.1K	$46.6K
Jason Kim	NY	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	$418.6K	$5.9K
Abhijeet Singh	NY	Clinical Cardiac Electrophysiology Physician	$393.8K	$0

Shaji Poovathoor — 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