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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAmar Raval
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    Amar Raval — Billing Profile & Reimbursement Data

    NPI 1346530755 · Palm Harbor, FL · Urology Physician

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    Amar Raval is a urology physician provider located in Palm Harbor, Florida. This profile covers 25 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
    OrganizationAmar Raval
    Address35095 Us Highway 19 N Ste 202
    CityPalm Harbor
    StateFL
    ZIP34684
    TaxonomyUrology Physician
    NPI EnumeratedApril 19, 2011

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

    Payer SourceTotal Paid
    Medicare$175K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…760$90$68.7K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…90$190$16.5K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…40$300$12.7K
    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…90$120$10.5K
    99223The 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…80$140$10.4K
    99213The 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…100$70$7K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…140$50$6.8K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$350$6.6K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.40$150$6.2K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…20$250$5.5K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,20332,760140$90$25K
    994906191,200150$50$19.7K
    5200030367080$160$17.4K
    5059010311020$640$15.3K
    517294814030$290$13.2K
    992234,32711,11060$130$12.5K
    9921313,17230,01080$60$12K
    5235610822020$530$11.7K
    992156,3228,55040$130$10.7K
    992043,85419,04040$110$7K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nicholas MaruniakFLAnatomic Pathology & Clinical Pathology Physician$5.5M$0
    Nicolas ZouainFLRadiation Oncology Physician$2.4M$0
    Michael ChancellorFLRadiation Oncology Physician$2.3M$0
    Paul JoFLSpecialist$1.3M$0
    Hasan MurshedFLRadiation Oncology Physician$1.2M$0
    John WilliamsFLCytopathology Physician$1.1M$0
    Andrew SherFLUrology Physician$604.4K$0
    David HarrisFLUrology Physician$582.9K$0
    Denis HealeyFLUrology Physician$559K$0
    Mitchell KlavansFLUrology Physician$546.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Hospice Of The Florida Suncoast, Inc.FLCommunity Based Hospice Care Agency$0$34.5M
    Adt LLCFLEmergency Response System Companies$0$13.4M
    North Pinellas Childrens Medical Center IncFLPediatrics Physician$0$10.9M
    Rohan ChawlaFLRheumatology Physician$1.5M$0
    Karen ZagarFLRheumatology Physician$1.3M$0
    Anjali ShettyFLRheumatology Physician$1.3M$0
    Sultan MirzaFLDermatology Physician$1.2M$0
    Radiance Radiology IncFLPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$412.9K$59.2K
    Vimesh MithaniFLCardiovascular Disease Physician$391K$90
    Allan SpiegelFLNeurology Physician$381.1K$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. Florida Distribution
    Amar Raval — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida