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    OpenPayerNPI Medicare & MedicaidSanjay Mehta
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    Sanjay Mehta — Billing Profile & Reimbursement Data

    NPI 1477572022 · Urbana, IL · Interventional Cardiology Physician

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    Sanjay Mehta is a interventional cardiology physician provider located in Urbana, Illinois. This profile covers 20 Medicare and 2 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
    OrganizationSanjay Mehta
    Address611 W Park St
    CityUrbana
    StateIL
    ZIP61801
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedJuly 18, 2006

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

    Payer SourceTotal Paid
    Medicare$110.4K
    Medicaid$60.5K

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…40$580$21K
    33418In this procedure, the provider repairs a narrowed and stiff mitral valve using a percutaneous (through the skin) approach. The mitral valve controls the passage of blood from the left atrium of the…20$1,200$19.2K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…40$470$17.9K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…60$180$10K
    93460The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…30$250$8.1K
    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…110$70$7.5K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.910$10$5.5K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$100$4.3K
    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…40$100$4.3K
    93459In this procedure, the provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into the…20$200$2.9K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    333613712030$640$21.9K
    3341871020$1,150$21.8K
    992149,58518,540110$80$17.1K
    929285822030$450$15.4K
    7845252757070$140$13.2K
    992155,0286,24040$120$10.1K
    9345810032040$210$9.8K
    992043,1738,58030$110$5.6K
    9346088020$280$5.6K
    992222,0775,73030$100$5.3K

    Showing 1–10 of 20

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.7,030$10$63.2K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…70$10$440

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1101,710750$10$18.2K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…9323050$10$980

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hoopeston Community Memorial HospitalILRural Health Clinic/Center$0$21.2M
    Hoopeston Community Memorial HospitalILRural Health Clinic/Center$0$7.5M
    Pediatric Partners Of The SouthwestCOPediatrics Physician$0$5.8M
    Richland Memorial Hospital, IncILRural Health Clinic/Center$0$4.9M
    Valley View Hospital AssociationCOGeneral Acute Care Hospital$0$4.5M
    Hoopeston Community Memorial HospitalILRural Health Clinic/Center$0$4.2M
    Sarah Bush Lincoln Health CenterILGeneral Acute Care Hospital$0$3.3M
    Kirby Medical CenterILRural Health Clinic/Center$0$2.8M
    Samir SayeghILOphthalmology Physician$1.6M$1M
    Dana AltenburgerILAnatomic Pathology & Clinical Pathology Physician$44.2K$2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carle Foundation HospitalILGeneral Acute Care Hospital$0$8.3M
    Osf Healthcare SystemILLand Ambulance$0$5.2M
    Aashish GandhiILOphthalmology Physician$1.7M$54.1K
    Yujie ZhaoILHematology & Oncology Physician$1.1M$13.7K
    Sami SibaiILDiagnostic Radiology Physician$184.8K$846.8K
    Jeremy YouseILMOHS-Micrographic Surgery Physician$993.9K$15.1K
    Abdel-moneim AttiaILNephrology Physician$297.4K$582.1K
    Leanne LabriolaILOphthalmology Physician$726.1K$108.2K
    Vikas PatelILDermatology Physician$705.9K$0
    Yongsoo KwonILSurgery Physician$591.8K$28.1K

    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. Illinois Distribution
    Sanjay Mehta — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Sanjay Mehta — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois