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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Nayan Desai (NPI 1316368236)

Field	Value
Entity Type	Individual
Organization	Nayan Desai
Address	300 N 7th St
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	December 18, 2013

Payer Source	Total Paid
Medicare	$332.7K
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the available data: Total Medicare revenue is $332.7K while Total Medicaid revenue is none (no Medicaid billing on file), indicating no recorded Medicaid activity and a reliance on Medicare for billed volume and revenue. Analysts should treat Medicare as the primary commercial signal when evaluating this clinician’s patient mix and market footprint.

Revenue is concentrated in a narrow set of high-value cardiology services: the precomputed top 3 Medicare codes by revenue account for 34.1% of this provider's total Medicare revenue, driven by 92928 ($35.8K, 11.7%), 99214 ($35.2K, 11.5%), and 93458 ($33.8K, 11.0%). This concentration signals that a relatively small group of PCI, E/M, and angiography supervision codes produce a large share of billed Medicare dollars.

The code mix points to an interventional cardiology and structural heart practice rather than primary care: high-volume procedure and imaging codes such as 92928 (PCI with stent), 93458 (angiography imaging supervision), 33361 (TAVR insertion), 33340 (left atrial appendage closure), and 93306 (transthoracic echo) together indicate substantial cath‑lab and structural intervention activity with associated diagnostic imaging. The presence of both complex procedures and routine cardiac imaging suggests the clinician performs both index interventions and peri‑/post‑procedural imaging and follow‑up.

This provider shows above‑typical to extreme national standing on several cath‑lab items, reflecting outsized procedural volume in specific services: 93458 ranks #57 of 7990 providers nationally (99th percentile; extreme outlier) and 92928 ranks #130 of 5112 providers nationally (97th percentile; notably above typical national volume), indicating unusually high volumes of coronary angiography imaging supervision and PCI respectively. Additional procedural outliers — for example 93571 at #10 of 1953 (99th percentile; extreme outlier) and 76937 at #43 of 12234 (100th percentile; extreme outlier) — reinforce that this clinician is a major national performer on several invasive and procedure‑support services.

The outpatient E/M mix shows both routine and unusually high consult activity: 99214 contributes $35.2K (11.5%) and ranks #45114 of 479517 providers nationally (91th percentile; typical, unremarkable volume), while 99204 contributes $22.8K (7.4%) and ranks #3211 of 227068 providers nationally (99th percentile; extreme outlier). This combination suggests steady established‑patient follow‑up work alongside a strong influx of new or complex outpatient consults, consistent with a referral‑driven interventional practice that also bills significant office-based evaluation time.

Procedure support, monitoring, and sedation codes are prominent and concentrated, consistent with high throughput in an interventional setting: 76937 (ultrasound guidance) has 288 claims and ranks #43 of 12234 (100th percentile; extreme outlier), 99152 (moderate sedation initial 15 min) has 283 claims and ranks #320 of 19266 (98th percentile; extreme outlier), and 93298 (remote monitoring of implanted rhythm monitor) has 192 claims and ranks #1618 of 4699 (66th percentile; typical, unremarkable volume). These patterns point to frequent use of image guidance, monitored procedures, and device follow‑up as routine parts of the workflow.

The provider has an established national billing presence with sustained tenure: NPI enumerated 2013-12-18 (~13 years ago), which, combined with the concentration of high‑complexity procedure claims and multiple national percentile outliers, suggests an experienced operator who has built a referral and procedural base over more than a decade. For analysts assessing network capacity or competitive positioning, this tenure plus the procedural footprint argues for an entrenched interventional cardiology role in the regional market.

Medicare: Complete Services Breakdown

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

48 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	100	$370	$35.8K
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…	530	$70	$35.2K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	200	$170	$33.8K
33361	The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…	60	$550	$32.1K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	640	$50	$32K
33340	The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…	50	$580	$30.2K
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…	230	$100	$22.8K
92933	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They use atherectomy, which is removal of plaque from the artery wall, followed by…	20	$430	$9.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	1,420	$10	$8.5K
93460	The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…	40	$230	$7.9K

Showing 1–10 of 48

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Nayan Desai — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

48 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
33340	2	10	40	$550	$20.9K
92928	1	20	50	$390	$19.4K
33361	2	20	30	$540	$19K
93306	16	60	180	$50	$19K
93458	1	20	70	$180	$13.5K
99291	111	140	50	$160	$12.9K
99214	81	1,470	90	$60	$10.4K
99232	393	560	70	$60	$10K
92933	1	10	20	$430	$9.8K
99223	253	330	40	$130	$8.9K

Showing 1–10 of 48

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Sanford Medical Center Fargo	ND	General Acute Care Hospital	$0	$50.2M
Sanford Bismarck	ND	Multi-Specialty Clinic/Center	$0	$43.9M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M
Sanford Clinic North	ND	Clinical Medical Laboratory	$1.4M	$7M
Sanford Health Network North	MN	Multi-Specialty Clinic/Center	$0	$5.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M
St. Alexius Medical Center	ND	General Acute Care Hospital	$0	$3.5M

Nayan Desai — Billing Profile & Reimbursement Data

Sign up for Nayan Desai — Billing Profile & Reimbursement Data policy alerts

Nayan Desai — Billing Profile & Reimbursement Data

Sign up for Nayan Desai — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References