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

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

Sivani Pathmarajah (NPI 1336257666)

Field	Value
Entity Type	Individual
Organization	Sivani Pathmarajah
Address	8050 Beckett Center Dr
City	West Chester
State	OH
ZIP	45069
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 27, 2006

Payer Source	Total Paid
Medicare	$117K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	690	$60	$42K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	300	$90	$25.7K
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…	180	$130	$23.3K
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…	240	$90	$21.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	30	$150	$4.3K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	40	$20	$890

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Sivani Pathmarajah — 3 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	828	5,570	70	$90	$11.2K
99291	2,018	3,080	40	$170	$10.4K
99232	240	8,050	70	$60	$8.7K
99223	272	5,590	40	$130	$7.6K
99239	27	2,740	50	$90	$6.2K
99407	4	10	20	$20	$690

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mahender Yellu	FL	Medical Oncology Physician	$2.6M	$0
Motaz Hossein	OH	Internal Medicine Physician	$405.4K	$2.1K
Lotfi Mamlouk	OH	Internal Medicine Physician	$304.2K	$0
Ranjit Katneni	OH	Internal Medicine Physician	$301.2K	$0
Ashok Poluri	OH	Physical Medicine & Rehabilitation Physician	$243.5K	$0
Husam Hamed	OH	Family Medicine Physician	$168.8K	$2.5K
Rajaratnam Pathmarajah	OH	Internal Medicine Physician	$139.7K	$0
Mohammad Tulimat	KY	Internal Medicine Physician	$139.6K	$0
Desiree Davis	OH	Gerontology Nurse Practitioner	$90.2K	$0
Megan Boyd	KY	Nurse Practitioner	$77.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abc Pediatric Therapy LLC	OH	Physical Therapist	$0	$30.4M
Healthy Living Treatment, LLC	OH	Substance Abuse Rehabilitation Facility	$0	$20.5M
West Chester Hospital LLC	OH	General Acute Care Hospital	$0	$19.5M
Industry Lab Diagnostic Partners LLC	OH	Clinical Medical Laboratory	$912.3K	$15.9M
Byram Healthcare Centers, Inc.	OH	Durable Medical Equipment & Medical Supplies	$0	$11.5M
A Haven For Kids, Inc.	OH	Community/Behavioral Health Agency	$0	$10.4M
Catalyst Counseling LLC	OH	Community/Behavioral Health Agency	$0	$7.3M
West Chester Township Trustee	OH	Ambulance	$390K	$695.3K
Soha Mousa	OH	Rheumatology Physician	$979.7K	$0
West Chester Surgical Suites, LLC	OH	Ambulatory Surgical Clinic/Center	$565.2K	$0

Sivani Pathmarajah — Billing Profile & Reimbursement Data

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Sivani Pathmarajah — 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