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    v1.0.28
    OpenPayerNPI Medicare & MedicaidVandana Soni
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    Vandana Soni — Billing Profile & Reimbursement Data

    NPI 1316038730 · Plainview, NY · Neurology Physician

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    Vandana Soni is a neurology physician provider located in Plainview, New York. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

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    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationVandana Soni
    Address700 Old Country Rd
    CityPlainview
    StateNY
    ZIP11803
    TaxonomyNeurology Physician
    NPI EnumeratedSeptember 28, 2006

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

    Payer SourceTotal Paid
    Medicare$299.2K
    Medicaid$0

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…590$120$68.3K
    96116A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…600$80$49.3K
    95819Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…100$430$42.5K
    99204The 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…230$150$35.8K
    95912In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…120$230$26.9K
    95957In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.100$260$26K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…270$90$24.7K
    95887The provider performs needle electromyography in muscles supplied, or stimulated, by cranial nerves at the same session as a separately reportable nerve conduction studies.140$80$10.7K
    95992The provider moves the patient through a series of positions to treat benign paroxysmal positional vertigo. The position changes move canalith particles from parts of the inner ear where they cause…220$40$8.7K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…10$200$2.7K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9595764040$250$19.7K
    992142,16930,45090$100$19K
    958192217030$250$14.1K
    958867356080$80$12.5K
    992157,3988,28040$140$10.1K
    959121719030$210$9.7K
    9591129735030$180$9.2K
    9920417514,17030$130$6.6K
    96116115040$80$4.8K
    9588732020$70$3.3K

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mid Island Therapy Associates, LLC D/b/a All About KidsNYDevelopmentally Disabled Services Day Training Agency$0$26.9M
    Central Nassau Guidance & Counseling Services, Inc.NYMental Illness Community Based Residential Treatment Facility$0$26M
    Acupath Laboratories, Inc.NYClinical Medical Laboratory$6.5M$14.8M
    Renal Focus Asc LLCNYAmbulatory Surgical Clinic/Center$4.2M$79.6K
    Bijan Setareh-shenasNYDermatology Physician$1.4M$2.8M
    Peter BrennenNYRetina Specialist (Ophthalmology) Physician$3M$339.3K
    Mehran SabooriNYRadiation Oncology Physician$1.5M$0
    Shawn ZimbergNYRadiation Oncology Physician$1.1M$0
    Mohsen PahlavanNYNephrology Physician$768.8K$305K
    Prem ChatparNYRheumatology Physician$939.3K$5.3K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Vandana Soni — 3 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York