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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Jwalant Vadalia Md PC (NPI 1346329133)

Jwalant Vadalia Md PC is a psychiatry physician provider located in Manchester, New Hampshire. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Jwalant Vadalia Md PC
Address	138 Webster Street
City	Manchester
State	NH
ZIP	03104
Taxonomy	Psychiatry Physician
NPI Enumerated	November 3, 2006

Payer Source	Total Paid
Medicaid	$157.3K
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	28,860	$1	$115.4K
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…	2,560	$10	$15.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,220	$10	$11.1K
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…	1,820	$1	$7.3K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	1,800	$1	$3.6K
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…	230	$20	$3.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	20	$20	$270
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$10	$240
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	30	$10	$230
99222	The 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…	20	$10	$230

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Hampshire Distribution

Jwalant Vadalia Md PC — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	115	130	520	$50	$338.8K
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…	248	420	480	$50	$223.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	352	400	350	$30	$140.6K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	27	100	610	$30	$93.8K
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…	19	50	490	$20	$65.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	78	100	170	$70	$51.3K
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…	12	40	870	$10	$23.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1	40	890	$10	$20K
99222	The 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…	10	20	70	$50	$4.3K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	4	20	200	$1	$1.8K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Akash Vadalia	NH	Psychiatry Physician	$328.5K	$0
Michael Spatcher	NH	Psychiatry Physician	$251K	$0
Bryan Fisher	NH	Psychiatric/Mental Health Nurse Practitioner	$151.7K	$0
Reinhard Viehoff	NH	Geriatric Psychiatry Physician	$144.6K	$0
Meagan Lentz	NH	Clinical Neuropsychologist	$105.1K	$0
Katherine Gorman	NH	Clinical Neuropsychologist	$87.9K	$0
Lauren Gelinas	NH	Physician Assistant	$84.2K	$0
Benjamin Fernandes	NH	Geriatric Psychiatry Physician	$84K	$0
Jwalant Vadalia	NH	Geriatric Psychiatry Physician	$80.4K	$0
Deborah Moser	NH	Psychiatric/Mental Health Nurse Practitioner	$68.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Interim Healthcare Of The Neast, LLC	NH	Home Health Agency	$0	$32.6M
Carepoint Plus LLC	NH	Home Health Agency	$0	$19.2M
Home Base Collaborative Family Counseling	NH	Clinical Social Worker	$0	$18.2M
Summit New Hampshire LLC	NH	Physical Disabilities Residential Treatment Facility	$0	$11.8M
Interim Healthcare Of The Neast, LLC	NH	Home Health Agency	$0	$4.5M
Ofemz Home Healthcare Agency, LLC	NH	Home Health Agency	$0	$2.5M
Masonic Home	NH	Assisted Living Facility	$0	$2.4M
Maxwell Elia	NH	Ophthalmology Physician	$2.3M	$0
Bio-medical Applications Of Manchester, Inc.	NH	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.3M
Ahad Fazelat	NH	Ophthalmology Physician	$2.1M	$0

Jwalant Vadalia Md PC — Billing Profile & Reimbursement Data

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Jwalant Vadalia Md PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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