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    OpenPayerNPI Medicare & MedicaidLalita Pandit
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    Lalita Pandit — Billing Profile & Reimbursement Data

    NPI 1578521266 · Fountain Valley, CA · Hematology & Oncology Physician

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    Lalita Pandit is a hematology & oncology physician provider located in Fountain Valley, California. This profile covers 38 Medicare and 25 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
    OrganizationLalita Pandit
    Address11180 Warner Ave
    CityFountain Valley
    StateCA
    ZIP92708
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMay 2, 2006

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

    Payer SourceTotal Paid
    Medicaid$720.8K
    Medicare$542.4K

    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.

    38 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…1,430$100$145.7K
    J0897Injection, denosumab, 1 mg4,740$20$85.3K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg660$90$58.7K
    Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units7,170$10$43K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…280$120$33.7K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg140$130$18.6K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…150$100$15K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.220$60$12.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,490$10$11.9K
    99215The 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…70$150$11.1K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08973521,0303,060$20$91.4K
    Q5122310550$90$72.5K
    96413182620170$120$26.9K
    992335,03711,530120$100$26.2K
    Q510610703,230$10$23.7K
    9921469737,970120$90$23.2K
    J9217149320130$130$22.1K
    850251711,210150$10$17.2K
    992155,80315,36050$130$14.4K
    9921328,46334,66080$70$13.2K

    Showing 1–10 of 38

    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.

    25 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…9,060$30$280.9K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…1,670$40$64.9K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…2,190$20$50.4K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.3,820$10$49.7K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…1,590$30$41.4K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…2,690$10$32.3K
    96417In this add–on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report administration of a different chemotherapy…650$40$23.4K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…600$40$23.2K
    96360The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.570$40$23K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.460$50$22.7K

    Showing 1–10 of 25

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    25 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…3115003,580$40$230.4K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.3575201,470$70$193.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…1,2902,670540$40$183.4K
    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…1,42613,300640$40$169.6K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…89320610$60$162.5K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.3064502,790$30$142.5K
    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…7,61514,520760$10$122.8K
    96360The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.2514001,130$50$100.6K
    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…1,9512,730190$90$100.3K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…6992,1001,130$1$83.5K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of California IrvineCAGeneral Acute Care Hospital$0$153.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    University Of California IrvineCAFederally Qualified Health Center (FQHC)$0$40M
    Healthcare Partners Affiliates Medical GroupCAInternal Medicine Physician$0$37.7M
    Richard ParkCAInternal Medicine Physician$31.7M$0
    University Of California IrvineCAFederally Qualified Health Center (FQHC)$0$27M
    Jack AzadCAGeneral Practice Physician$17.2M$0
    John SaitoCAPediatric Pulmonology Physician$468.7K$6.5M
    Geoffrey TrenkleCAFacial Plastic Surgery Physician$517.4K$6.5M
    David BoyerCAOphthalmology Physician$5.6M$3.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lab Genomics, LLCCAClinical Medical Laboratory$292.5K$11M
    Chih-tao HouCAFamily Nurse Practitioner$3.8M$0
    Chiwai ChanCAInterventional Pain Medicine Physician$857.1K$2.3M
    Orange County Diagnostic Radiology, Inc.CASpecialist$1.2M$1.6M
    Tien NguyenCADermatology Physician$447.5K$2.2M
    Abdulkareem SharafCACardiovascular Disease Physician$1.2M$1.2M
    Son DuongCAVascular Surgery Physician$1.2M$1.1M
    Steven LeCACardiovascular Disease Physician$1.2M$584.3K
    Medizen Advanced Imaging IncCADiagnostic Ultrasound Physician$465.2K$1.3M
    Harpreet SinghCASpecialist$903.2K$728.8K

    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. California Distribution
    Lalita Pandit — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Lalita Pandit — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California