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

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

Vikas Batra (NPI 1508804907)

Field	Value
Entity Type	Individual
Organization	Vikas Batra
Address	34381 Carpenter's Way
City	Lewes
State	DE
ZIP	19958
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	June 4, 2006

Payer Source	Total Paid
Medicare	$656.4K
Medicaid	$0

Key Findings

Business/service-line profile: The provider’s Medicare billing pattern is consistent with a pulmonary specialty that combines high-volume office-based chronic care management, biologic injections, sleep medicine and comprehensive pulmonary function testing. High-revenue codes include administration of omalizumab (J2357), frequent established-patient E/M visits (99214), in-lab polysomnography (95811/95810) and multiple spirometry/PFT procedures (94060, 94729, 94726), indicating an integrated outpatient pulmonary practice that delivers both therapeutics and diagnostic testing on-site.

Revenue concentration: Revenue is heavily concentrated in a small set of services — the precomputed top three Medicare codes account for 63.4% of this provider’s total Medicare revenue, with J2357 contributing $219.6K (33.7%) and 99214 contributing $149.5K (22.9%). This concentration signals strong dependence on omalizumab administration and higher-level established-patient evaluation and management for the majority of Medicare receipts.

Payer mix and scale: This provider reports Total Medicare revenue of $656.4K and has no Medicaid billing on file, so the practice is effectively single-payer in the public-program data available and Medicare is the dominant—indeed only—public payer represented in the dataset. The absence of Medicaid activity constrains comparisons across payers and suggests any payer-strategy or access analysis should focus on Medicare performance and commercial or self-pay channels outside this dataset.

Competitive standing — office visits: 99214 appears as an outlier nationally for this provider: 1.6K claims producing $149.5K and ranked #3149 of 479517 providers nationally (99th percentile; extreme outlier). That ranking indicates this clinician is a major national outlier in volume for higher-complexity established outpatient visits, reflecting either a large Medicare panel, high visit frequency per beneficiary, or both compared with typical peers.

Competitive standing — therapeutics vs diagnostics: The J2357 profile ($219.6K, 7.3K claims; ranks #169 of 581 nationally, 71th percentile; typical, unremarkable volume) shows that while omalizumab administration is the single largest revenue source, the provider’s national standing on this biologic is ordinary rather than dominant. By contrast, diagnostic testing and PFTs (94060 ranked #55 of 9054, 99th percentile; 94729 ranked #226 of 8928, 97th percentile; 94726 ranked #147 of 6652, 98th percentile) are areas where the provider reports notably above-typical or extreme volumes, indicating stronger competitive positioning on pulmonary diagnostic services than on omalizumab administration.

Service mix — sleep and remote monitoring: Sleep study codes 95811 ($44.4K, 88 claims) and 95810 ($33.7K, 69 claims) together with home-sleep G0399 and remote physiologic monitoring codes 99454/99457 suggest the practice delivers both in-lab and ambulatory sleep services plus RPM capabilities. 95811’s ranking (#570 of 3427, 83th percentile; typical, unremarkable volume) and 95800 (#59 of 1313, 96th percentile; typical, unremarkable volume) show meaningful sleep-workload but mixed national standing across specific sleep modalities.

Operational and payer leverage implications: Given that top E/M and diagnostic codes drive the bulk of Medicare revenue and Medicaid activity is absent, the practice’s reimbursement sensitivity will be concentrated on Medicare payment policy for office visits, sleep studies and PFTs; contracting or population-health initiatives that target Medicaid will have no baseline claims leverage in this dataset. Investment or capacity decisions that expand high-volume diagnostic lines (spirometry/PFT and sleep testing) are likely to affect revenue materially because those procedure codes already represent above-typical volumes.

Tenure and credentialing: The provider’s NPI was enumerated on 2006-06-04 (~20 years ago), indicating long-standing enrollment in Medicare. This tenure supports continuity of care and a potentially mature referral network that aligns with the high volumes reported for established-patient visits and office-based pulmonary diagnostics.

Medicare: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2357	Injection, omalizumab, 5 mg	7,320	$30	$219.6K
99214	The 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…	1,570	$100	$149.5K
95811	During 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.	90	$510	$44.4K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	70	$490	$33.7K
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…	420	$60	$26.7K
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	240	$100	$24.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	140	$170	$22.7K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	630	$30	$17.6K
94729	In 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.	430	$40	$17.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	120	$140	$16K

Showing 1–10 of 36

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Vikas Batra — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

36 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2357	3	10	7,320	$30	$180.8K
99214	37	1,830	150	$80	$25.5K
99458	17	20	170	$30	$19.4K
95810	7	20	50	$330	$18.3K
99457	16	20	170	$40	$18.1K
95811	3	20	40	$370	$16.8K
99233	165	500	80	$90	$15.4K
99232	509	730	120	$60	$14.2K
99213	257	1,810	120	$60	$13.6K
99454	17	20	180	$40	$12.7K

Showing 1–10 of 36

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Choice Home Medical Equipment, LLC	DE	Durable Medical Equipment & Medical Supplies	$0	$16.9M
Delaware Sleep Disorder Centers, LLC	DE	Sleep Disorder Diagnostic Clinic/Center	$0	$960.4K
Reetu Singh	DE	Endocrinology, Diabetes & Metabolism Physician	$267.2K	$0
Ercilia Arias	DE	Pulmonary Disease Physician	$263.8K	$0
John Coll	DE	Sleep Medicine (Internal Medicine) Physician	$234.9K	$0
Anthony Vasile	DE	Sleep Medicine (Internal Medicine) Physician	$163.4K	$68.2K
Sussex Pulmonary And Endocrine Consultants, PA	DE	Pulmonary Disease Physician	$0	$179.7K
Naveed Hasan	DE	Pulmonary Disease Physician	$153.6K	$0
Zouhair Harb	DE	Internal Medicine Physician	$132.6K	$0
Premier Medical Associates	DE	Family Nurse Practitioner	$0	$130.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beebe Medical Center, Inc.	DE	General Acute Care Hospital	$0	$29.2M
Beebe Physician Network Inc.	DE	Internal Medicine Physician	$0	$19.7M
Juliano Senior Care, Inc.	DE	In Home Supportive Care Agency	$0	$5.9M
Sussex Emergency Associates LLC	DE	Emergency Medicine Physician	$0	$4.3M
Lourdes Aponte	DE	Rheumatology Physician	$3.6M	$0
Jose Pando	DE	Rheumatology Physician	$3.2M	$0
Delaware Psychological Services LLC	DE	Mental Health Counselor	$0	$3M
The Pediatric & Adolescent Center	DE	Specialist	$0	$2.9M
Sea Haven Home Care, LLC	DE	In Home Supportive Care Agency	$0	$2.3M
Southern Delaware Imaging Assoc	DE	Diagnostic Radiology Physician	$0	$2.3M

Vikas Batra — Billing Profile & Reimbursement Data

Sign up for Vikas Batra — Billing Profile & Reimbursement Data policy alerts

Vikas Batra — Billing Profile & Reimbursement Data

Sign up for Vikas Batra — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References