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 Unspecified Location for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Sarthak Soin (NPI 1477075893)

Field	Value
Entity Type	Individual
Organization	Sarthak Soin
Address	143 Manoranjan Park Saket Road
City	Meerut
State	XX (Unspecified Location)
ZIP	25000
Taxonomy	Geriatric Medicine (Internal Medicine) Physician
NPI Enumerated	July 7, 2017

Payer Source	Total Paid
Medicare	$47K
Medicaid	$0

Key Findings

This provider is effectively a single-payer Bill-to-Medicare practice: lifetime Medicare revenue is $47K and there is no Medicaid billing on file, so Medicaid is not a material part of the billing profile for SARTHAK SOIN. The absence of Medicaid billing suggests payers and network negotiations will be driven by Medicare patterns rather than dual-payer strategy.

Revenue is highly concentrated in a small set of inpatient E/M services: the precomputed top three Medicare codes (99233, 99232, 99239) account for 80.2% of the provider's total Medicare revenue. Individually those codes contributed $13.8K (29.4%), $13.4K (28.5%), and $10.4K (22.2%) respectively, indicating the bulk of dollars flow from a narrow procedural mix.

The specific code mix—dominance of 99233, 99232, and 99239—points to a hospital-based geriatric/internal-medicine practice model focused on subsequent inpatient/observation management and discharge-day management. Presence of 99223 ($7.4K, 15.8%) and other inpatient E/M codes reinforces that clinical activity is centered on inpatient evaluation/management rather than outpatient office visits.

Competitive standing on Medicare E/M codes is modest to typical rather than dominant. For 99233 the provider ranks #42415 of 128818 (67th percentile; typical, unremarkable volume), for 99232 #43472 of 177383 (75th percentile; typical, unremarkable volume), and for 99239 #15286 of 62398 (75th percentile; typical, unremarkable volume), indicating volumes are within peer norms rather than outlier levels.

Lower-volume and ancillary codes are a minor part of the mix: 99238 ($1K, 2.2%) ranks #25677 of 35692 (24th percentile; typical, unremarkable volume) and 99497 ($840, 1.8%) ranks #24068 of 27157 (8th percentile; typical, unremarkable volume). The relatively low use of 99497 suggests limited billed time spent on billed advance care planning compared with national peers.

Operational and payer-risk implications follow from the concentrated inpatient mix: with roughly four inpatient/observation codes (99233, 99232, 99239, 99223) making up the majority of billing, fluctuations in hospital admissions, inpatient census, or observation-case mix could materially change revenue. Payers and analysts should monitor admission volumes and discharge-day billing patterns when assessing this provider's short-term revenue sensitivity.

Tenure on file shows the NPI was enumerated 2017-07-07 (~9 years ago), indicating an established presence long enough to have a settled billing pattern; recent year-over-year shifts would therefore be more notable if observed. This duration supports interpreting the current code mix as a stable operational footprint rather than an early-startup billing profile.

From a contracting and network-placement perspective, this profile reads as a focused inpatient/observation geriatric medicine contributor with typical national volumes for its top codes; the profile is better characterized as a modest participant in Medicare E/M services rather than a regional or national high-volume outlier. Analysts should therefore benchmark against inpatient E/M peers when evaluating performance or negotiating rates.

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	150	$90	$13.8K
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…	220	$60	$13.4K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	120	$90	$10.4K
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…	60	$140	$7.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	20	$60	$1K
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…	10	$60	$840

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Sarthak Soin — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99497	2	10	230	$50	$12.5K
99232	2	10	110	$60	$6.9K
99223	3	10	10	$140	$1.6K
99233	1	0	N/A	$N/A	$N/A
99238	2	0	N/A	$N/A	$N/A
99239	1	0	N/A	$N/A	$N/A

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Usacs Integrated Acute Care Services Of Nevada Bagnoli P C	NV	Hospitalist Physician	$0	$2.6M
Manbir Goraya	NV	Family Nurse Practitioner	$313.7K	$0
Jenny Singh	OK	Physician Assistant	$284.6K	$0
Joseph Heflin	NV	Internal Medicine Physician	$229K	$2.1K
Angela Miller	NV	Nurse Practitioner	$220K	$0
Timothy Reagan	NV	Family Nurse Practitioner	$194.5K	$0
Craig Rau	NV	Internal Medicine Physician	$192.7K	$0
Eugene Shin	NV	Family Medicine Physician	$147.3K	$0
Aleli Rojas	NV	Internal Medicine Physician	$136.9K	$0
Maria Jacobson	NV	Family Nurse Practitioner	$76.8K	$0

Sarthak Soin — Billing Profile & Reimbursement Data

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Sarthak Soin — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References