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 Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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.

Sanjay Misra (NPI 1427035377)

Sanjay Misra is a diagnostic radiology physician provider located in Rochester, Minnesota. This profile covers 10 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Sanjay Misra
Address	200 1st St Sw
City	Rochester
State	MN
ZIP	55905
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	December 30, 2005

Payer Source	Total Paid
Medicare	$14.1K
Medicaid	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36558	The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,…	30	$190	$4.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	40	$40	$1.8K
75984	In this procedure, the provider performs imaging supervision and interpretation for the replacement of a previously placed percutaneous tube or catheter that is damaged.	50	$30	$1.5K
50688	In this procedure, the provider removes a ureterostomy tube already in place or she removes an externally accessible ureteral stent via an ileal conduit and exchanges the tube or stent for a new one.	30	$50	$1.3K
49423	In this procedure the provider removes an already existing catheter that a provider is using to drain an abdominal cyst or an abscess, and replaces it with a new drainage catheter.	20	$50	$1.2K
49424	In this procedure, the provider injects a contrast material into an existing drainage catheter. He performs this procedure to more clearly visualize and assess the size, type, and location of the…	40	$30	$1.1K
76080	The provider performs supervision and interpretation of an abscess, fistula, or sinus tract imaging study.	40	$20	$820
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	60	$10	$570
76937	The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.	40	$10	$470
77001	Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the…	30	$10	$460

Sanjay Misra — Billing Profile & Reimbursement Data

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Sanjay Misra — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36558	18	50	20	$210	$5.1K
50688	3	10	30	$50	$1.2K
99212	370	1,670	20	$30	$1.2K
75984	3	30	40	$30	$1.1K
49423	4	20	20	$50	$1.1K
49424	5	20	30	$20	$810
76080	5	20	30	$20	$640
77001	51	100	30	$20	$590
99152	174	480	40	$10	$570
76937	98	260	30	$10	$460