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    v1.0.28
    OpenPayerNPI Medicare & MedicaidVikas Sangwan
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    Vikas Sangwan — Billing Profile & Reimbursement Data

    NPI 1326270356 · Athens, GA · Gastroenterology Physician

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    Vikas Sangwan is a gastroenterology physician provider located in Athens, Georgia. This profile covers 13 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationVikas Sangwan
    Address658 N Chase St Ste 201
    CityAthens
    StateGA
    ZIP30601
    TaxonomyGastroenterology Physician
    NPI EnumeratedAugust 9, 2009

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

    Payer SourceTotal Paid
    Medicare$28.7K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…20$290$4.9K
    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…40$120$4.4K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…20$180$4.3K
    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…40$70$2.6K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$90$2.5K
    43238The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he carries out an ultrasound–guided, intramural or transmural fine needle…20$140$2.1K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.30$60$1.7K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…20$90$1.4K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…10$120$1.4K
    99232The 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…20$60$1.3K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538536247060$290$26.6K
    9921410,91513,640120$80$17.8K
    4538043547040$200$14.8K
    4323938149070$120$11.9K
    992324,4515,01080$60$10.9K
    43274112020$310$7.2K
    4537826128020$190$5.6K
    992043,1877,26030$110$5.1K
    4323841030$150$4.1K
    992221,4783,08030$100$3.9K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Petros NikolinakosGAHematology & Oncology Physician$4.6M$0
    University Cancer & Blood Center LLCGAHematology & Oncology Physician$0$3.2M
    Charles BodineGAHematology & Oncology Physician$2.3M$0
    Gustavo WestinFLMedical Oncology Physician$2M$0
    James SplichalGAHematology & Oncology Physician$1.9M$0
    Kuang ChangGAHematology & Oncology Physician$1.8M$0
    Jeffrey ThomasGAHematology & Oncology Physician$1.7M$0
    Cynthia ShepherdGAHematology & Oncology Physician$1.6M$0
    Barry CharnickFLNuclear Radiology Physician$1.3M$0
    Frederick FlyntGAHematology & Oncology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clarke County Endoscopy Center LLCGAEndoscopy Clinic/Center$429.8K$0
    Advantage Behavioral Health SystemsGAMental Health Clinic/Center (Including Community Mental Health Center)$0$287K
    Gregory SmithGAGastroenterology Physician$126.8K$0
    Erik PersonGAGastroenterology Physician$125.1K$0
    Minesh MehtaGAGastroenterology Physician$115.7K$0
    Lance McleroyGAGastroenterology Physician$99.3K$0
    Blake KimbrellGAOtolaryngology Physician$89.9K$0
    Charles OgburnGAOrthopaedic Surgery Physician$82.5K$0
    Thomas WeinerGAFamily Medicine Physician$27.9K$0
    Harlee DanielGAAudiologist$22.1K$0

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Vikas Sangwan — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia