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NPI 1407838188 · Holden, MA · Family Medicine Physician
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Sunita Godiwala is a family medicine physician provider located in Holden, Massachusetts. This profile covers 9 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Sunita Godiwala |
| Address | 11 Mayo Dr |
| City | Holden |
| State | MA |
| ZIP | 01520 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | November 17, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $146.4K |
| Medicaid | $95.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 600 | $130 | $76.1K |
| 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… | 720 | $60 | $43.4K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 110 | $130 | $14.4K |
| 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… | 50 | $80 | $4.1K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 50 | $60 | $3.1K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 10 | $170 | $1.8K |
| G0008 | Administration of influenza virus vaccine | 50 | $30 | $1.8K |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 50 | $20 | $1K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an… | 100 | $10 | $970 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 960 | $90 | $88.3K |
| 99310 | The 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… | 220 | $30 | $5.6K |
| 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… | 10 | $70 | $910 |
| 1036F | N/A | 550 | $0 | $0 |
| 3017F | Colorectal cancer screening includes radiologic, endoscopic, and laboratory tests to assess the colon, or lower part of the large intestine, and the rectum for cancer in individuals at age 50 or… | 30 | $0 | $0 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 680 | $0 | $0 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 40 | $0 | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 1,450 | $0 | $0 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 70 | $0 | $0 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 900 | $0 | $0 |
Showing 1–10 of 14
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
14 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 4,557 | 5,040 | 200 | $70 | $209.5K |
| 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… | 123 | 670 | 120 | $100 | $169.2K |
| 99310 | The 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… | 60 | 100 | 310 | $30 | $40.2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 10 | 60 | 200 | $1 | $140 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 17 | 40 | 230 | $1 | $120 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 19 | 20 | 440 | $1 | $70 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 53 | 220 | 400 | $1 | $60 |
| 1036F | N/A | 31 | 120 | 150 | $1 | $60 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 30 | 50 | 170 | $1 | $50 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 13 | 20 | 70 | $1 | $40 |
Showing 1–10 of 14
Other providers in the same ZIP code as Sunita Godiwala, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Maria Pappas | MA | Physical Therapist | $120.5K | $0 |
| Stephen Smith | MA | Family Medicine Physician | $88K | $0 |
| Robert Cooke | MA | Physician Assistant | $61.5K | $500 |
| Karen-whitley Bishop | MA | Physician Assistant | $57.2K | $0 |
| William O'callahan | MA | Emergency Medicine Physician | $55.8K | $0 |
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