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NPI 1588927578 · Philadelphia, PA · Internal Medicine Physician
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Aloknath Pandya is a internal medicine physician provider located in Philadelphia, Pennsylvania. This profile covers 23 Medicare and 2 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Aloknath Pandya |
| Address | 1931 Kimball St |
| City | Philadelphia |
| State | PA |
| ZIP | 19146 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | June 24, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $250.8K |
| Medicaid | $2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 630 | $100 | $61.7K |
| 99232 | The 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… | 800 | $60 | $50.9K |
| 99223 | The 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… | 210 | $140 | $29.1K |
| 99222 | The 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… | 150 | $110 | $16.2K |
| 99233 | The 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… | 160 | $100 | $15.7K |
| 99205 | The provider sees a new 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 provider… | 70 | $180 | $12.9K |
| 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… | 90 | $120 | $11.5K |
| 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… | 70 | $140 | $9.5K |
| 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… | 100 | $70 | $7.3K |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 380 | $20 | $6.5K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 1,044 | 23,230 | 100 | $80 | $14.5K |
| 99233 | 1,583 | 6,630 | 70 | $90 | $12K |
| 99291 | 2,264 | 3,800 | 40 | $170 | $11.7K |
| 99306 | 703 | 760 | 50 | $140 | $11.4K |
| 99232 | 226 | 10,870 | 80 | $60 | $9.6K |
| 99215 | 2,222 | 7,170 | 40 | $120 | $8.6K |
| 99223 | 237 | 7,020 | 40 | $130 | $7.8K |
| 99213 | 8,172 | 22,370 | 70 | $60 | $7.7K |
| 99204 | 1,043 | 10,290 | 30 | $110 | $5K |
| 99205 | 214 | 3,090 | 20 | $150 | $4.9K |
Showing 1–10 of 23
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 120 | $20 | $1.7K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 30 | $10 | $180 |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 577 | 950 | 200 | $20 | $24K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 694 | 810 | 140 | $10 | $10.7K |
Other providers in the same ZIP code as Aloknath Pandya, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Greater Philadelphia Health Action Inc. | PA | Federally Qualified Health Center (FQHC) | $0 | $22M |
| Citizen's Acting Together Can Help, Inc. | PA | Adult Mental Health Clinic/Center | $0 | $20.4M |
| Gaudenzia, Inc. | PA | Community/Behavioral Health Agency | $0 | $12.1M |
| Bethanna | PA | Community/Behavioral Health Agency | $0 | $8.1M |
| Thomas Jefferson University | PA | Public Health or Welfare Agency | $0 | $7.5M |
| Vincent Lam | PA | Ophthalmology Physician | $170.3K | $23.8K |
| Christopher Masiello | PA | Physical Therapist | $127.1K | $0 |
| Shelby Rapp | PA | Occupational Therapist | $86K | $0 |
| City Of Philadelphia | PA | Clinical Medical Laboratory | $40.4K | $4.3K |
| Morgan Ettlinger | PA | Speech-Language Pathologist | $38.4K | $0 |
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