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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Saraswathy Manickavasagam (NPI 1427252097)

Field	Value
Entity Type	Individual
Organization	Saraswathy Manickavasagam
Address	3000 32nd Ave S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Clinical Cardiac Electrophysiology Physician
NPI Enumerated	June 14, 2007

Payer Source	Total Paid
Medicare	$226.8K
Medicaid	$0

Key Findings

This provider is effectively single-payer in the public programs: reported lifetime Medicare revenue is $226.8K and there is no Medicaid billing on file, so Medicare represents the entirety of their public-payor footprint in the dataset. That concentration means analyses focused on Medicare activity will capture almost all of this provider’s government-reimbursed services.

Revenue is concentrated in a small set of services: the precomputed top‑3 Medicare codes account for 34.7% of total Medicare revenue, led by 93656 ($30.2K, 13.5%), 99223 ($27.3K, 12.2%), and 93294 ($19.9K, 8.9%). This concentration points to a reliance on a handful of high-value procedures and E/M encounters for a large share of billed Medicare dollars.

The code mix identifies a Clinical Cardiac Electrophysiology practice that blends complex procedures, device implantation, and extensive device follow-up and remote monitoring. High-revenue procedural codes such as 93656 (PVI ablation, $30.2K) and implant codes like 33208 ($19.7K) sit alongside very large volumes of remote-monitoring and device-adjustment services (for example, 93294 $19.9K; 93298 $14.1K; 93280 $9.5K), indicating ongoing chronic-device management is a material part of operations.

Several device-management and remote-monitoring codes are national outliers in volume: 93294 ranks #195 of 7466 providers nationally (97th percentile; notably above typical national volume), 93298 ranks #188 of 4699 (96th percentile; notably above typical), and 93280 ranks #180 of 8070 (98th percentile; notably above typical). These high percentiles suggest the provider has above-typical national scale for remote device surveillance and in-person device optimization relative to peers.

The provider also shows above-typical national volume for both device implantation and hospital initial E/M care: 33208 ranks #170 of 3026 (94th percentile; notably above typical national volume) and 99223 ranks #7834 of 139583 (94th percentile; notably above typical national volume). This combination implies capability both for inpatient evaluations and procedural implant work — a clinical profile that supports acute care consults plus device procedures.

Not all service lines are unusually large: electrophysiologic ablation 93656 ranks #513 of 2048 (74th percentile; typical, unremarkable volume) and several common E/M codes (for example 99214 and 99204) sit in mid- to upper-mid percentiles but are described as typical or unremarkable in national volume. In practice this means the provider’s standout differentiation is in device-related follow-up and monitoring rather than universally higher volumes across every electrophysiology procedure.

The provider has a long-established NPI (enumerated 2007-06-14, ~19 years ago), which supports interpretation of the current activity as coming from an experienced electrophysiology clinician rather than a newly active entrant. Given the duration of enumeration and the skew toward device management and inpatient E/M activity, the pattern is consistent with an established practice managing chronic device patients over time.

The absence of any Medicaid billing on file creates a concentrated payer exposure to Medicare; this reduces diversification and could affect negotiation leverage and local network strategy in North Dakota. For payer and provider analysts, this should prompt consideration of how reliant the practice is on senior populations and Medicare-benefit flows rather than on Medicaid-covered patients in the state.

Medicare: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93656	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…	40	$690	$30.2K
99223	The 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…	210	$130	$27.3K
93294	The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…	1,000	$20	$19.9K
33208	The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.	50	$370	$19.7K
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…	300	$60	$18.1K
93298	The provider, who is a physician or other qualified healthcare professional, evaluates the data from a previously implanted subcutaneous cardiac rhythm monitor system via telemetric communication for…	830	$20	$14.1K
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…	160	$70	$10.9K
33249	The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by…	20	$670	$10.1K
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	380	$30	$9.5K
93653	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider induces, or attempts to induce, arrhythmia. The…	20	$610	$9.2K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Saraswathy Manickavasagam — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93656	1	10	30	$700	$22.3K
33208	2	10	30	$370	$13.2K
99233	179	290	60	$90	$11.9K
99214	460	1,470	90	$60	$10.4K
93653	2	10	20	$610	$10.3K
33249	2	10	20	$680	$10.3K
99232	95	560	70	$60	$10K
99223	20	330	40	$130	$8.9K
93294	3	20	160	$20	$8.1K
93298	2	10	220	$20	$7.3K

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Sanford Medical Center Fargo	ND	General Acute Care Hospital	$0	$50.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
St Mary's Regional Health Center	MN	Rural Health Clinic/Center	$0	$21.5M
St. Marys Regional Health Center	MN	Rural Acute Care Hospital	$0	$18.7M
Essentia Health Virginia, LLC	MN	General Acute Care Hospital	$0	$12.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Living Services, Inc	ND	Community/Behavioral Health Agency	$0	$104.6M
Villa Nazareth	ND	Community/Behavioral Health Agency	$0	$84.2M
Psj Acquisition LLC	ND	Psychiatric Hospital	$0	$32.3M
Vocational Training Center, Inc.	ND	Community/Behavioral Health Agency	$0	$28.5M
Fm Ambulance Service, Inc	ND	Land Ambulance	$2M	$23.8M
Fraser, Ltd.	ND	Community/Behavioral Health Agency	$0	$13.9M
Community Medical Services Montana Private LLC	ND	Methadone Clinic	$214.7K	$8.9M
Southeast Behavioral Health Clinic	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.8M
Village Family Service Center	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M
Doyle's Yellow Checker Cab, Inc	ND	Taxi	$0	$7.8M

Saraswathy Manickavasagam — Billing Profile & Reimbursement Data

Sign up for Saraswathy Manickavasagam — Billing Profile & Reimbursement Data policy alerts

Saraswathy Manickavasagam — Billing Profile & Reimbursement Data

Sign up for Saraswathy Manickavasagam — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References