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    OpenPayerNPI Medicare & MedicaidDavid Rahni
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    David Rahni — Billing Profile & Reimbursement Data

    NPI 1447571096 · West Orange, NJ · Gastroenterology Physician

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    David Rahni is a gastroenterology physician provider located in West Orange, New Jersey. This profile covers 21 Medicare and 1 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
    OrganizationDavid Rahni
    Address101 Old Short Hills Rd Ste 217
    CityWest Orange
    StateNJ
    ZIP07052
    TaxonomyGastroenterology Physician
    NPI EnumeratedJune 17, 2010

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

    Payer SourceTotal Paid
    Medicare$186.1K
    Medicaid$640

    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.

    21 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…500$70$36.2K
    99232The 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…460$70$31.2K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…140$220$30.3K
    99233The 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…180$100$18K
    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…100$90$9K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.130$70$8.6K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…80$90$7.3K
    43238The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he carries out an ultrasound–guided, intramural or transmural fine needle…40$190$7.1K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk30$180$5.5K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…20$230$5.4K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453856656050$320$25.4K
    9921411,65413,640130$90$23.6K
    992331,6174,270110$100$22.5K
    4538021459060$230$21.3K
    4323914861080$160$18.5K
    992321,1086,220120$70$18.4K
    G010521228030$320$13.9K
    992131,33814,090100$70$13.1K
    G01219229020$330$11.4K
    4323872040$200$8K

    Showing 1–10 of 21

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The 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…40$20$630

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Jersey median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99232The 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…9111,020550$30$105.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Barnabas Health Medical Group PCNJSpecialist$0$40M
    Barnabas Health Medical Group, PCNJSpecialist$0$39.6M
    Bruce SchainkerNJCytopathology Physician$898.7K$910
    Peter FarrugiaNJCardiovascular Disease Physician$848.3K$0
    Anshu GargNJCardiovascular Disease Physician$759.9K$0
    Isaac TawfikNJInterventional Cardiology Physician$714.3K$0
    Horace TangNYHematology & Oncology Physician$136.5K$543.7K
    Megdad ZaatrehNJNeurology Physician$582.2K$3.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anchor Behavioral Solutions LLCNJCommunity/Behavioral Health Agency$0$27.2M
    Vna Health Group Of New Jersey, LLCNJCommunity Based Hospice Care Agency$0$24.5M
    Premie Home Health Care Services, Inc.NJHome Health Agency$0$12.5M
    Mental Health Assn Of Essex And MorrisNJCase Management Agency$0$10.6M
    Vna Health Group Of New Jersey, LLCNJHome Health Agency$0$10.6M
    Kessler Institute For Rehabilitation IncNJRehabilitation Hospital$0$10.2M
    Rwjbh Primary Care ServicesNJInternal Medicine Physician$0$8.6M
    West Orange Board Of EducationNJLocal Education Agency (LEA)$0$8.2M
    Maxim Healthcare Services, Inc.NJHome Health Agency$0$8.1M
    Easter Seals New JerseyNJMental Illness Community Based Residential Treatment Facility$0$8M

    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. New Jersey Distribution
    David Rahni — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    David Rahni — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey