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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRajnish Dhawan
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    Rajnish Dhawan — Billing Profile & Reimbursement Data

    NPI 1467478727 · Suffolk, VA · Pulmonary Disease Physician

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    Rajnish Dhawan is a pulmonary disease physician provider located in Suffolk, Virginia. This profile covers 16 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRajnish Dhawan
    Address1500 Breezeport Way Ste 600
    CitySuffolk
    StateVA
    ZIP23435
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJuly 13, 2006

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

    Payer SourceTotal Paid
    Medicare$208.5K
    Medicaid$0

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…1,340$90$119.5K
    99204The provider sees a new 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 provider…260$120$30.2K
    G0398Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation90$120$10K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.250$30$8K
    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…70$90$6.5K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…210$30$6.3K
    94660The provider initiates continuous positive airway pressure ventilation, or CPAP, typically for a patient with sleep apnea, or periodic cessation of breathing while asleep. He trains the patient on…130$50$6K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.60$90$5.1K
    99223The 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…40$140$4.7K
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…230$20$4.1K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921416412,890140$80$21K
    958107812050$290$16.2K
    958113711040$300$15.7K
    992331,7713,29080$90$13.7K
    G039811090$120$10K
    992231,9483,66040$130$9.2K
    99204686,85040$110$5.9K
    9466011090$50$4.1K
    947293025080$30$3.6K
    94727367040$30$3.5K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Sentara Medical GroupVAFamily Medicine Physician$0$48.7M
    Chesapeake Hospital AuthorityVAGeneral Acute Care Hospital$0$45.6M
    Bayview Physician Services, PCVAFamily Medicine Physician$0$24.1M
    Sentara Reference Lab Solutions, LLCVAClinical Medical Laboratory$12.9M$4.7M
    Rmh Medical Group LLCVAGeneral Practice Physician$0$9.8M
    Jonathan WiesenVAInternal Medicine Physician$2.4M$0
    Deepak DeshmukhVAVascular Surgery Physician$1.4M$0
    Kambiz ShamlouFLDiagnostic Radiology Physician$1.4M$0
    Thomas YuschokFLDiagnostic Radiology Physician$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Western Tidewater Community MentalVAMental Health Clinic/Center (Including Community Mental Health Center)$0$84.4M
    Aa&g Group Home,llc.VADevelopmentally Disabled Services Day Training Agency$0$10.8M
    5 Star Residential CareVACommunity/Behavioral Health Agency$0$10.6M
    Bon Secours Surgery Center At Harbour View, LLCVAAmbulatory Surgical Clinic/Center$3.2M$226.1K
    Snehal DamleVAHematology & Oncology Physician$1.5M$0
    John MansoorVARheumatology Physician$767.7K$0
    Megan EshbaughVARheumatology Physician$697.6K$0
    Julianne OrlowskiVARheumatology Physician$687.7K$0
    Roshan MorbiaVAPlastic Surgery Physician$421.2K$0
    Raman UnnikrishnanVAUrology Physician$358.8K$0

    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. Virginia Distribution
    Rajnish Dhawan — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia