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

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

Rijesh Shrestha (NPI 1316261670)

Field	Value
Entity Type	Individual
Organization	Rijesh Shrestha
Address	815 S Vassault St
City	Tacoma
State	WA
ZIP	98465
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 16, 2010

Payer Source	Total Paid
Medicare	$129.3K
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
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	170	$140	$24K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	280	$80	$21.4K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	160	$120	$18.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	190	$90	$17.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	100	$140	$13.9K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	210	$60	$12.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	200	$60	$12.5K
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	200	$20	$4.7K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	50	$100	$4.6K

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. Washington Distribution

Rijesh Shrestha — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	130	370	160	$70	$25.3K
99310	79	260	80	$110	$18.4K
99306	36	150	60	$140	$16.2K
99233	427	2,420	60	$90	$10.4K
99232	561	3,100	70	$60	$7.5K
99223	251	2,570	30	$130	$6.4K
99316	52	130	40	$90	$4.8K
99497	30	570	30	$60	$4.2K
G0317	10	60	80	$20	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daiya Healthcare PLLC	WA	Internal Medicine Physician	$0	$8.7M
St. Joseph Medical Group	PA	Family Medicine Physician	$0	$7.2M
Pejman Rohani	MD	Vascular Surgery Physician	$1M	$0
Jasmit Minhas	WA	Internal Medicine Physician	$965.4K	$0
Sumana Ketha	TX	Internal Medicine Physician	$605.1K	$500
Haramandeep Singh	CA	Sleep Medicine (Psychiatry & Neurology) Physician	$592.2K	$0
Stanley Flemming	WA	Adolescent Medicine (Family Medicine) Physician	$585.6K	$0
Jacques Sainvil	NY	Adult Health Nurse Practitioner	$242.5K	$260.8K
Valerie Reed	WA	Nurse Practitioner	$267.3K	$33.5K
Hammad Raza	PA	Hospitalist Physician	$238.3K	$60.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas F Gessel PLLC	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$6.9M
Zhiyu Wang	WA	Endocrinology, Diabetes & Metabolism Physician	$98.9K	$0
Mary Bates	WA	Family Nurse Practitioner	$42.4K	$0

Rijesh Shrestha — Billing Profile & Reimbursement Data

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Rijesh Shrestha — 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