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    OpenPayerNPI Medicare & MedicaidVinit Pande
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    Vinit Pande — Billing Profile & Reimbursement Data

    NPI 1508859091 · Wilkes Barre, PA · Physical Medicine & Rehabilitation Physician

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    Vinit Pande is a physical medicine & rehabilitation physician provider located in Wilkes Barre, Pennsylvania. This profile covers 19 Medicare and 10 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
    OrganizationVinit Pande
    Address150 Mundy St
    CityWilkes Barre
    StatePA
    ZIP18702
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedAugust 30, 2005

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

    Payer SourceTotal Paid
    Medicare$210.9K
    Medicaid$60.2K

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…1,150$40$43.7K
    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…420$100$42.3K
    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…380$90$33.8K
    99232The 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…450$60$27.6K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…150$70$11.2K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…60$160$9K
    99223The 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$130$7.5K
    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…50$120$6.1K
    99238The 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…90$60$5.4K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…50$100$4.8K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,94723,230100$80$14.5K
    9923278310,87080$60$9.6K
    992232,3047,02040$130$7.8K
    9921313,66122,37070$60$7.7K
    958868232090$60$7.4K
    9930525060040$100$6.8K
    206101,3631,98060$50$6.7K
    959112617030$140$5.4K
    992042,78110,29030$110$5K
    99222157,85030$100$4.3K

    Showing 1–10 of 19

    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.

    10 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…1,270$50$57K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…10$110$1.5K
    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…30$40$980
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…40$10$590
    G8482Influenza immunization administered or previously received80$0$0
    G8483Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or…540$0$0
    G8752Most recent systolic blood pressure < 140 mmhg750$0$0
    G8754Most recent diastolic blood pressure < 90 mmhg790$0$0
    G9902Patient screened for tobacco use and identified as a tobacco user90$0$0
    G9903Patient screened for tobacco use and identified as a tobacco non-user330$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,4698,160210$60$68.4K
    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…7,3908,870240$40$56.1K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…136150150$70$25.9K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…16524090$20$16.8K
    G8754Most recent diastolic blood pressure < 90 mmhg1260150$1$400
    G8752Most recent systolic blood pressure < 140 mmhg1250150$1$370
    G8483Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or…83090$1$30
    G8482Influenza immunization administered or previously received367080$1$10
    G9902Patient screened for tobacco use and identified as a tobacco user154040$0$0
    G9903Patient screened for tobacco use and identified as a tobacco non-user2211050$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Geisinger ClinicPASurgery Physician$0$74.6M
    Jefferson University PhysiciansPAGeneral Practice Physician$0$30.8M
    Geisinger Pharmacy LLCPAPharmacy$0$26.7M
    The Milton S. Hershey Medical Center Physicians GroupPASports Medicine (Neuromusculoskeletal Medicine) Physician$0$26.6M
    Geisinger Clinic - Outpatient PsychPACounselor$0$19.6M
    Geisinger ClinicPADiagnostic Radiology Physician$0$14.9M
    Geisinger ClinicPAFamily Medicine Physician$0$13.4M
    Geisinger Bloomsburg HospitalPAGeneral Acute Care Hospital$0$7.2M
    Geisinger Wyoming Valley Medical CenterPAGeneral Acute Care Hospital$0$7M
    Geisinger ClinicPAAddiction (Substance Use Disorder) Psychologist$0$5.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.PAHome Health Agency$0$47.6M
    Step By Step Inc.PAVoluntary or Charitable Agency$0$35.3M
    Children's Service Center Of Wyoming Valley IncPACommunity/Behavioral Health Agency$0$26M
    Children's Service Center Of Wyoming Valley IncPAAdolescent and Children Mental Health Clinic/Center$0$18.7M
    Cleanslate Medical Group Of Pennsylvania LLCPAMulti-Specialty Clinic/Center$0$18.6M
    Children's Service Center Of Wyoming Valley, IncPACounselor$0$17.8M
    Caring Community Health CenterPAFederally Qualified Health Center (FQHC)$0$17.4M
    Golden Care Of Northeast PA, Inc.PAHome Health Agency$0$7.7M
    Wilkes Barre Hospital Company LLCPAGeneral Acute Care Hospital$0$7.4M
    Gnanesh PatelPARheumatology Physician$3.2M$0

    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. Pennsylvania Distribution
    Vinit Pande — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Vinit Pande — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania