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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSanjay Pandya
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    Sanjay Pandya — Billing Profile & Reimbursement Data

    NPI 1639277353 · Harker Heights, TX · Interventional Cardiology Physician

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    Sanjay Pandya is a interventional cardiology physician provider located in Harker Heights, Texas. This profile covers 40 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSanjay Pandya
    Address800 W Central Texas Expy
    CityHarker Heights
    StateTX
    ZIP76548
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedSeptember 20, 2006

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

    Payer SourceTotal Paid
    Medicare$274.4K
    Medicaid$0

    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.

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…50$890$46.1K
    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…450$90$39.8K
    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…390$60$23.7K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…50$380$17.9K
    33340The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…30$570$17.7K
    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…240$60$14.2K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…70$160$11K
    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…80$130$10.8K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…220$50$10.5K
    92933The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They use atherectomy, which is removal of plaque from the artery wall, followed by…20$470$9.8K

    Showing 1–10 of 40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    40 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7849212617060$940$89.8K
    364756214050$830$64.4K
    933069061,900210$90$23.1K
    992338,6599,320100$90$17.9K
    784528091,18050$220$17.9K
    992144,15132,500110$80$17.6K
    333404013020$560$16.7K
    992323,37411,790100$60$15.8K
    929286842020$430$13.3K
    9345811780030$250$10.3K

    Showing 1–10 of 40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vinh NguyenTXCardiovascular Disease Physician$522.7K$0
    Kevin GallagherTXCardiovascular Disease Physician$493.2K$0
    Robert CanbyTXClinical Cardiac Electrophysiology Physician$479.3K$0
    Paul CoffeenTXClinical Cardiac Electrophysiology Physician$462K$0
    David TschoppTXClinical Cardiac Electrophysiology Physician$446.3K$0
    Jason ZagrodzkyTXClinical Cardiac Electrophysiology Physician$431.3K$0
    Jeffrey WhitehillTXClinical Cardiac Electrophysiology Physician$412.7K$0
    David KesslerTXClinical Cardiac Electrophysiology Physician$365.9K$0
    Paul TuckerTXInterventional Cardiology Physician$365.1K$0
    Matthew JepsonTXInternal Medicine Physician$361.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Heights Support Services, Inc.TXDevelopmentally Disabled Services Day Training Agency$0$28.3M
    Joshua MckayTXInterventional Cardiology Physician$213.6K$0
    Bernard MorrisTXUrology Physician$104.4K$0
    Cecilia RomanTXFamily Nurse Practitioner$96.8K$0
    Marguerite FieldsTXNurse Practitioner$1.6K$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. Texas Distribution
    Sanjay Pandya — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas