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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Kalpana Hari Hall (NPI 1366414609)

Field	Value
Entity Type	Individual
Organization	Kalpana Hari Hall
Address	2141 K St Nw
City	Washington
State	DC
ZIP	20037
Taxonomy	Sleep Medicine (Psychiatry & Neurology) Physician
NPI Enumerated	February 2, 2006

Payer Source	Total Paid
Medicare	$306K
Medicaid	$0

Key Findings

This provider is a long-tenured Sleep Medicine (Psychiatry & Neurology) physician with an NPI enumerated since 2006-02-02, indicating roughly 20 years of Medicare participation and an established practice footprint in the Washington, DC market. The long enrollment window supports interpretation of current billing patterns as stemming from an experienced, ongoing clinical practice rather than a new entrant or transient provider.

Medicare is effectively the sole public payer for this clinician: lifetime Medicare revenue is $306K while there is no Medicaid billing on file, so the provider functions as a de facto single-payer (Medicare-focused) practitioner in available claims data. This payer concentration implies limited exposure to Medicaid patient panels or state-based programs.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicare codes by revenue account for 82.0% of this provider's total Medicare revenue. Those top codes are 99214, 95810, and 95811, which together dominate the revenue mix and indicate the practice depends on a narrow set of visit- and sleep-study–related services.

The services mix signals a combined clinical focus on outpatient evaluation/management and sleep diagnostics. 99214 (office/outpatient E/M for an established patient) accounts for $123.2K (40.3% of Medicare revenue) and, together with 99204, 99215, and other E/M codes, suggests substantial office-based continuity care. High-revenue sleep study codes 95810 and 95811 (together representing 41.7% of Medicare revenue by their individual shares of 27.5% and 14.2%) indicate the provider performs or interprets overnight polysomnography as a principal service line.

The provider’s competitive standing varies by code: for 99214 they rank #7381 of 479517 nationally (98th percentile) and are labeled an "extreme outlier," indicating exceptionally high national volume for this E/M code relative to peers; this suggests a major national-level intensity in providing established-patient office visits. For the sleep-study codes, 95810 ranks #142 of 3514 (96th percentile; "notably above typical national volume") showing a strong, above-average role in supplying polysomnography services, while 95811 ranks #735 of 3427 (78th percentile; "typical, unremarkable volume") indicating a more ordinary footprint for that monitoring/interpretation code.

Beyond the top three, additional codes represent smaller revenue slices but reinforce the clinical profile: 99204 contributes $18.9K (6.2% of Medicare revenue) indicating new-patient evaluations are a meaningful secondary activity, and J0585 (onabotulinumtoxina injections) appears as a nontrivial revenue line ($15.3K, 5.0% of Medicare revenue) though its national rank (18th percentile) suggests this injection service is not a specialty outlier. These secondary codes imply some procedural or therapeutic breadth beyond sleep testing and routine E/M care.

Operationally, the combination of very high-volume established-patient E/M (99214) and high-volume polysomnography (95810) suggests a practice model that blends ongoing management of chronic sleep/neurologic issues with in-house or closely affiliated diagnostic sleep testing. The revenue concentration (82.0% in top three codes) heightens sensitivity to changes in reimbursement, utilization patterns, or referral flows for those specific services.

From a payer/competitive analysis perspective, the provider is a dominant outlier on one core office-visit code and a strong performer on one polysomnography code, which together position them as a high-capacity Medicare sleep-medicine clinician relative to national peers. However, the absence of any Medicaid billing limits assessment of state-level market share in DC Medicaid populations and indicates the provider’s public payer exposure is narrowly Medicare-weighted.

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,190	$100	$123.2K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	150	$570	$84.2K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	80	$570	$43.4K
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…	140	$130	$18.9K
J0585	Injection, onabotulinumtoxina, 1 unit	3,050	$10	$15.3K
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	80	$130	$10.1K
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…	60	$150	$9.3K
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	$70	$1.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Kalpana Hari Hall — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	17	20	5,400	$1	$46.5K
95810	1	10	30	$410	$21.2K
95811	2	10	20	$390	$15.5K
99214	6	1,400	90	$100	$15.3K
99215	262	660	50	$130	$12.3K
99213	913	1,200	50	$70	$8.5K
99204	35	670	30	$130	$6.4K
95800	2	10	50	$100	$5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nabil Altememi	MD	Sleep Medicine (Psychiatry & Neurology) Physician	$566.3K	$0
Rhanni Herzfeld	DC	Neurology Physician	$399.1K	$0
Nadia Yusuf	MD	Neurology Physician	$389.2K	$0
Ezra Cohen	MD	Neurology Physician	$377.4K	$0
Jay Bronder	MD	Psychiatry Physician	$355.5K	$0
Stephanie Block	MD	Neurology Physician	$312.1K	$0
Jueyang Wei	FL	Neurology Physician	$306.9K	$0
David Taragin	MD	Neurology Physician	$299.7K	$0
Chang Ching Lin	MD	Neurology Physician	$286K	$0
Eric Jeffries	MD	Neurology Physician	$270.2K	$0

Nearby Providers

Other providers in the same ZIP code as Kalpana Hari Hall, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
District Hospital Partners L P	DC	General Acute Care Hospital	$0	$136.3M
Medical Faculty Associates, Inc	DC	Anesthesiology Physician	$0	$75.7M
Baymark Health Services Of West Virginia, Inc.	DC	Substance Use Disorder Rehabilitation Clinic/Center	$571.6K	$6.4M
Medical Home Development Group	DC	Family Medicine Physician	$0	$6.7M
The Foundation For Contemporary Mental Health	DC	Public Health or Welfare Agency	$0	$5.4M
Dva Renal Healthcare Inc	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Miriam's Kitchen	DC	Case Management Agency	$0	$3.1M
Faysal Haroun	DC	Hematology & Oncology Physician	$2.4M	$0
Rishi Sood	DC	Vascular & Interventional Radiology Physician	$2.2M	$0
Matthew Forsthoefel	DC	Radiation Oncology Physician	$1.1M	$0

Kalpana Hari Hall — Billing Profile & Reimbursement Data

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Kalpana Hari Hall — Billing Profile & Reimbursement Data

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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