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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPawan Arora
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    Pawan Arora — Billing Profile & Reimbursement Data

    NPI 1396968038 · York, PA · Internal Medicine Physician

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    Pawan Arora is a internal medicine physician provider located in York, Pennsylvania. This profile covers 22 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
    OrganizationPawan Arora
    Address310 Pine Grove Commons
    CityYork
    StatePA
    ZIP17403
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 11, 2007

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

    Payer SourceTotal Paid
    Medicare$370.9K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The 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…1,120$80$87.4K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…1,420$50$73.6K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…310$140$44K
    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…330$90$30.6K
    99308The 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…550$50$29.1K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.200$100$20.2K
    99232The 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…270$60$16.6K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…100$110$11.1K
    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…70$140$9.8K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…100$70$7.1K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993091041,660170$80$27.4K
    9921415,66023,230100$80$14.5K
    993081891,480110$50$14.3K
    993498470070$90$13.8K
    9931026978060$110$13.8K
    9935025830050$120$12.5K
    992333,6706,63070$90$12K
    993062676050$140$11.4K
    992321,75910,87080$60$9.6K
    992231,7427,02040$130$7.8K

    Showing 1–10 of 22

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    York HospitalPAGeneral Acute Care Hospital$0$40.7M
    Wellspan Medical GroupPAPediatrics Physician$0$9.9M
    Family First Health CorporationPAFederally Qualified Health Center (FQHC)$0$6.4M
    York HospitalPAFamily Medicine Physician$0$6.2M
    Haiyun WangPAHematology & Oncology Physician$2M$0
    Joyce HuangPAHematology & Oncology Physician$1.7M$0
    Joseph KannarkattPAHematology & Oncology Physician$1.7M$0
    Chanh HuynhPAHematology & Oncology Physician$1.4M$430
    Dan SotirescuPAHematology & Oncology Physician$1.4M$0
    Apple Hill Surgical Center PartnersPAAmbulatory Surgical Clinic/Center$996.2K$283.1K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Pawan Arora — 4 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania