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NPI 1437240256 · El Paso, TX · Family Medicine Physician
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Ajai Agarwal is a family medicine physician provider located in El Paso, Texas. This profile covers 40 Medicare and 5 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 | Ajai Agarwal |
| Address | 3022 Trawood Dr |
| City | El Paso |
| State | TX |
| ZIP | 79936 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | September 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $245.3K |
| Medicaid | $2.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
40 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 850 | $80 | $67K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 740 | $90 | $66.2K |
| 99213 | The 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… | 400 | $50 | $21.7K |
| 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… | 190 | $110 | $21.2K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 120 | $120 | $14.4K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 260 | $40 | $11.2K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 310 | $10 | $4.1K |
| 93923 | Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.… | 40 | $90 | $3.8K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 360 | $10 | $3.6K |
| 96125 | In this procedure, the provider performs standardized cognitive performance testing, which is a functional assessment test for a person with memory loss. | 40 | $70 | $2.9K |
Showing 1–10 of 40
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
40 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 95165 | 368 | 390 | 940 | $10 | $18.9K |
| 99233 | 382 | 9,320 | 100 | $90 | $17.9K |
| 99214 | 1,202 | 32,500 | 110 | $80 | $17.6K |
| 80061 | 299 | 1,790 | 90 | $10 | $11.6K |
| G0439 | 1,711 | 7,110 | 60 | $120 | $10.6K |
| 80053 | 666 | 2,650 | 130 | $10 | $10.6K |
| 99223 | 783 | 9,990 | 40 | $130 | $9.5K |
| 99213 | 2,347 | 29,790 | 70 | $60 | $8.4K |
| 85025 | 737 | 2,910 | 110 | $10 | $6.6K |
| 87635 | 163 | 420 | 30 | $50 | $5.4K |
Showing 1–10 of 40
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 50 | $50 | $2.6K |
| 2000F | No Summary found for this code | 50 | $0 | $0 |
| 3008F | No Summary found for this code | 50 | $0 | $0 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 20 | $0 | $0 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
5 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… | 4,818 | 5,810 | 540 | $50 | $155.5K |
| 3008F | No Summary found for this code | 406 | 490 | 480 | $1 | $20 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 207 | 230 | 150 | $1 | $1 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 232 | 270 | 160 | $1 | $1 |
| 2000F | No Summary found for this code | 83 | 100 | 450 | $0 | $0 |
Other providers in the same ZIP code as Ajai Agarwal, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Holistic Care Home Health Agency, Inc. | TX | Personal Care Attendant | $0 | $15.3M |
| Socorro Independent School District | TX | Local Education Agency (LEA) | $0 | $14.5M |
| Caprock Home Health Services, Inc. | TX | Home Health Agency | $0 | $13.7M |
| Caprock Home Health Services, Inc. | TX | Home Health Agency | $0 | $13.5M |
| Care Divine Of Guardian Angel, LLC | TX | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | $0 | $11.7M |
| Q Med Laboratory, LLC | TX | Clinical Medical Laboratory | $642.7K | $442.5K |
| Vista Surgery Center LLC | TX | Ambulatory Surgical Clinic/Center | $817.6K | $93.9K |
| Exova Diagnostics LLC | TX | Clinical Medical Laboratory | $501.3K | $39.3K |
| James Cole | TX | Ophthalmology Physician | $402.6K | $0 |
| Asad Omar | TX | Pulmonary Disease Physician | $397.8K | $0 |
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