Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidVijay Arora
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Vijay Arora — Billing Profile & Reimbursement Data

    NPI 1417045113 · Apple Valley, CA · Obstetrics & Gynecology Physician

    Customize your policy alerts

    Sign up for Vijay Arora — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Vijay Arora is a obstetrics & gynecology physician provider located in Apple Valley, California. This profile covers 7 Medicare and 16 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)

    FieldValue
    Entity TypeIndividual
    OrganizationVijay Arora
    Address16167 Siskiyou Rd
    CityApple Valley
    StateCA
    ZIP92307
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedOctober 10, 2006

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

    Payer SourceTotal Paid
    Medicaid$664.8K
    Medicare$130.3K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,050$60$65.3K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.370$90$31.6K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…250$90$21.7K
    99203The provider sees a new 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 provider…80$70$5.6K
    76856A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…40$70$2.8K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.30$80$2K
    58558The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…10$110$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    58558425020$1,020$20.4K
    9921395634,66080$70$13.2K
    7664131647050$80$7.3K
    76700881,82040$70$5.5K
    992032,52712,74030$80$4.6K
    768563191,13030$70$3.9K
    76830599020$80$2.6K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    59400In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…110$1,330$146.5K
    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…5,850$30$146.3K
    88141The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by…1,610$50$80.7K
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…420$160$65.7K
    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…420$120$52.3K
    99203The provider sees a new 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 provider…660$60$38.7K
    58662The provider destroys or excises lesions, tumors, or cysts found on the ovary, around the bladder, uterus, rectum, or on the peritoneum through a laparoscope.90$240$21K
    58740In this procedure, the provider removes adhesions from around the fallopian tubes and or the ovaries. The provider performs the procedure through an abdominal incision.30$680$19.7K
    59510In this global service, the provider provides all of the antepartum care, admission to the hospital for delivery, delivery of the fetus and placenta via an abdominal incision, and inpatient and…10$1,380$17.9K
    76801In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…230$80$17.6K

    Showing 1–10 of 16

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    16 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…148290500$110$275.6K
    59400In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…166040$970$187.7K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.8731,270450$20$183.5K
    59425This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…7751,040660$60$147.7K
    59510In this global service, the provider provides all of the antepartum care, admission to the hospital for delivery, delivery of the fetus and placenta via an abdominal incision, and inpatient and…71040$1,420$139.4K
    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…1,5704,230210$110$135K
    58662The provider destroys or excises lesions, tumors, or cysts found on the ovary, around the bladder, uterus, rectum, or on the peritoneum through a laparoscope.310280$210$127.6K
    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…2,83114,520760$10$122.8K
    58740In this procedure, the provider removes adhesions from around the fallopian tubes and or the ovaries. The provider performs the procedure through an abdominal incision.81040$440$80.2K
    76801In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…384660370$60$63.2K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harbinder BrarCAMaternal & Fetal Medicine Physician$0$31.3M
    Ravindra GautamCAInternal Medicine Physician$13M$0
    Hosea BrownCAAllergy Physician$71.7K$6.6M
    Kevin O'reillyCAPodiatrist$513.7K$4.7M
    Homayoun TabandehCAOphthalmology Physician$5.1M$6.8K
    Matthew AllenCARadiation Oncology Physician$2.9M$0
    Clement ChanCARetina Specialist (Ophthalmology) Physician$2.9M$0
    Artour TorossianCARadiation Oncology Physician$2.8M$0
    Srikanth NaramalaCARheumatology Physician$2.8M$0
    Daniel EsmailiCAOphthalmology Physician$2.7M$2.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Mary Medical CenterCAGeneral Acute Care Hospital$0$52.3M
    High Desert Limb Salvage Institute Podiatrist CorpCAPodiatric Clinic/Center$0$39.8M
    Mukeshchandra PatelCASpecialist$946.1K$1.6M
    Rizwan NuraniCARadiation Oncology Physician$2.4M$0
    Thomas HoffmannCAMOHS-Micrographic Surgery Physician$1M$0
    Diraj KarnaniCARheumatology Physician$680.6K$0
    Rama PathiCASports Medicine (Orthopaedic Surgery) Physician$151.3K$514.6K
    Shahid LatifCARadiation Oncology Physician$624.7K$0
    Pedram IlbeigiCAUrology Physician$545.9K$0
    Kathleen JonesCAOtolaryngology Physician$61.2K$432.6K

    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. California Distribution
    Vijay Arora — 3 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Vijay Arora — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California