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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Nishil Dalsania (NPI 1568754042)

Field	Value
Entity Type	Individual
Organization	Nishil Dalsania
Address	2500 English Creek Ave
City	Egg Harbor Township
State	NJ
ZIP	08234
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	May 3, 2011

Payer Source	Total Paid
Medicare	$8.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31652	The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…	10	$170	$1.9K
31628	The provider uses a rigid or flexible bronchoscope to obtain one or more transbronchial biopsies from a single lobe of the lung. The provider may use fluoroscopic guidance.	20	$90	$1.8K
99204	The 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…	20	$110	$1.7K
31654	In this add–on procedure, the provider uses ultrasound guidance in the throat (trachea) and/or the major air passages to the lungs (bronchi) in addition to passing a rigid or flexible scope into the…	20	$50	$970
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	10	$70	$830
99231	The 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…	20	$40	$780
31624	In this procedure, the provider uses a rigid or flexible bronchoscope for bronchial alveolar lavage, a procedure using saline solution to wash the cells from alveoli, the air sacs at the end of the…	10	$20	$290

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Nishil Dalsania — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99204	5,985	7,160	40	$130	$6.5K
99231	1,340	1,610	40	$40	$3.8K
31652	17	20	20	$160	$3K
99221	645	750	20	$70	$2.3K
31628	8	10	20	$70	$1.5K
31654	7	10	20	$60	$1.2K
31624	25	40	20	$50	$1.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of Atlantic County, Inc.	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$87.5M
Atlanticare Physician Group PA	NJ	Clinic/Center	$0	$27.1M
Bayada Home Health Care, Inc.	NJ	Home Health Agency	$0	$18.3M
Behavioral Crossroads Recovery LLC	NJ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.9M
Atlanticare Behavioral Health, Inc	NJ	Community/Behavioral Health Agency	$0	$16.6M
Community Quest	NJ	Community/Behavioral Health Agency	$0	$15.2M
Behavioral Crossroads, LLC	NJ	Community/Behavioral Health Agency	$0	$14.1M
A Better Home Care LLC	NJ	Home Health Agency	$0	$13.5M
Atlanticare Behavioral Health, Inc.	NJ	Community/Behavioral Health Agency	$0	$10.9M
Egg Harbor Family Dental, PA	NJ	Dentist	$0	$10.9M

Nishil Dalsania — Billing Profile & Reimbursement Data

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Nishil Dalsania — 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