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

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

Arati Pandya (NPI 1497724447)

Field	Value
Entity Type	Individual
Organization	Arati Pandya
Address	1309 Milstead Rd
City	Conyers
State	GA
ZIP	30012
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 14, 2006

Payer Source	Total Paid
Medicare	$155.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
65778	The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.	90	$1,050	$97.7K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	260	$70	$17.8K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	70	$190	$12.7K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	60	$160	$10.2K
67840	In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.	40	$220	$9.7K
99213	The 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…	40	$70	$2.5K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	40	$50	$1.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$40	$1.1K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	40	$30	$900
92020	The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and…	40	$20	$700

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Arati Pandya — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
65778	2	10	30	$980	$51.1K
92012	86	380	90	$60	$10.5K
99213	9,724	13,360	80	$60	$9.2K
65855	15	80	40	$140	$6.9K
68761	19	60	40	$90	$6.1K
67840	7	20	20	$180	$5.7K
92083	384	610	60	$40	$4K
92250	374	620	50	$20	$2.8K
92133	528	620	60	$20	$2.5K
99212	1,502	2,720	30	$40	$2.1K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Excellent Home Care Givers, Inc	FL	Home Health Agency	$0	$7.2M
Yogin Patel	GA	Ophthalmology Physician	$1.8M	$0
Rockdale County Public Schools	GA	Local Education Agency (LEA)	$0	$1.1M
Ratna Sajja	GA	Radiation Oncology Physician	$389K	$0
Georgia Interventional Pain - K, LLC	GA	Ambulatory Surgical Clinic/Center	$231.5K	$0
Philip Newman	GA	Ophthalmology Physician	$179.1K	$0
Veronica Garrett	GA	Obstetrics & Gynecology Physician	$0	$158.4K
Aaron Leifer	GA	Anatomic Pathology & Clinical Pathology Physician	$150.6K	$0
Allen Futral	GA	Urology Physician	$119.3K	$0
Bert Chen	GA	Urology Physician	$104.1K	$0

Arati Pandya — Billing Profile & Reimbursement Data

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Arati Pandya — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References