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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNeeti Pokharel
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    Neeti Pokharel — Billing Profile & Reimbursement Data

    NPI 1467723544 · Presque Isle, ME · Internal Medicine Physician

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    Neeti Pokharel is a internal medicine physician provider located in Presque Isle, Maine. This profile covers 8 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
    OrganizationNeeti Pokharel
    Address140 Academy St
    CityPresque Isle
    StateME
    ZIP04769
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 20, 2012

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

    Payer SourceTotal Paid
    Medicare$47.5K
    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.

    8 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…250$80$19.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit120$120$15.3K
    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…100$50$5.6K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…50$70$3.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.270$10$2.2K
    G0008Administration of influenza virus vaccine50$30$1.3K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…20$10$220
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…20$10$180

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142462,50070$70$7.2K
    906627223030$70$4.6K
    G04397465050$70$4.3K
    992136012,35050$50$4.3K
    G000815134050$30$2.5K
    364154025090$10$2.2K
    71046152170130$10$1.5K
    8303619623040$10$690

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gautam PatankarTXCardiovascular Disease Physician$936.3K$0
    John O'connorTXRadiation Oncology Physician$671K$0
    Charles LeeTXRadiation Oncology Physician$564K$0
    Michael CarleyTXUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$521.8K$0
    Revathi AngitapalliTXHematology & Oncology Physician$350.8K$0
    Fayez RazaTXCardiovascular Disease Physician$323.5K$0
    Muriel BorehamTXUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$310.7K$0
    David ScheidTXInternal Medicine Physician$176.6K$0
    Poorya FazelOKInterventional Cardiology Physician$158.2K$0
    Shayzreen RoshanravanTXUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$151.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aroostook Mental Health Services, Inc.MEMental Health Clinic/Center (Including Community Mental Health Center)$0$53.2M
    The Aroostook Medical CenterMEGeneral Acute Care Hospital$0$38.5M
    Central Aroostook AssociationMELocal Education Agency (LEA)$0$36.5M
    Personal Services Of AroostookMEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$10.7M
    Life By Design, PAMEClinical Social Worker$0$9.9M
    Aroostook Agency On AgingMEIn Home Supportive Care Agency$0$7.9M
    Discovery House Wc, Inc.MEMethadone Clinic$0$4M
    Pines Health ServicesMEFederally Qualified Health Center (FQHC)$0$3.7M
    Northern Maine Oral & Facial Surgery PAMEOral and Maxillofacial Surgery (Dentist)$0$3.5M
    Dunrovin Enterprises, Inc.MEIn Home Supportive Care Agency$0$3.1M

    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. Maine Distribution
    Neeti Pokharel — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine