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    v1.0.28
    OpenPayerNPI Medicare & MedicaidVipulkumar Bhalodiya
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    Vipulkumar Bhalodiya — Billing Profile & Reimbursement Data

    NPI 1386701639 · Stamford, CT · Internal Medicine Physician

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    Vipulkumar Bhalodiya is a internal medicine physician provider located in Stamford, Connecticut. This profile covers 12 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
    OrganizationVipulkumar Bhalodiya
    Address555 Newfield Ave
    CityStamford
    StateCT
    ZIP06905
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 3, 2007

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

    Payer SourceTotal Paid
    Medicare$171.8K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…740$150$108.8K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…230$100$23.7K
    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…180$70$12K
    99215The 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…50$120$6.3K
    99443N/A70$90$6.3K
    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$100$3.5K
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…100$30$3.5K
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…20$170$3.2K
    36410In this procedure, the provider inserts a needle into a vein to withdraw blood or infuse a drug for a patient who is three years old or older.190$10$2.4K
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…20$60$1.3K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993493315090$90$14.6K
    992144,9396,48090$90$14.2K
    9935018040$130$11.5K
    992131,3326,44070$60$8.1K
    992155551,84030$130$6.7K
    99345173030$140$5.9K
    994431919020$90$4.5K
    930159712050$50$2.7K
    G017969030$30$1.6K
    930006731,55040$10$1.3K

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dental Care KidsCTPediatric Dentistry$0$9.7M
    Center For Vein Restoration Ct LLCCTVascular Surgery Physician$0$7.9M
    Summer Pediatrics LLCCTPediatrics Physician$0$7.4M
    Pediatric Practice Associates, P.C.CTPediatric Adolescent Medicine Physician$0$7.4M
    Cornerstone PediatricsCTPediatrics Physician$0$3.4M
    All Ages Medical Care IncCTPediatrics Physician$0$3M
    Stamford Eye Care PCCTOptometrist$0$2.9M
    Lifestyle Medicine Center LLCCTPediatrics Physician$0$2.6M
    Stamford Pediatric Associates, P.C.CTPediatrics Physician$0$2.2M
    Stamford Uc PCCTFamily Medicine Physician$0$1.8M

    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. Connecticut Distribution
    Vipulkumar Bhalodiya — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut