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

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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.

Apurva Dalal (NPI 1639370257)

Field	Value
Entity Type	Individual
Organization	Apurva Dalal
Address	7656 Poplar Pike
City	Germantown
State	TN
ZIP	38138
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	May 30, 2007

Payer Source	Total Paid
Medicare	$144.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	500	$60	$30.2K
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…	220	$80	$18.5K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	100	$170	$16.4K
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…	260	$60	$16.3K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	70	$130	$9.1K
J7324	Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	80	$100	$8.1K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	270	$30	$7.6K
J7323	Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	70	$100	$7.2K
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…	70	$100	$6.5K
J7329	Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	780	$10	$5.4K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Apurva Dalal — 3 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,672	11,370	120	$80	$16.6K
J7323	63	100	90	$100	$12.6K
J7329	26	30	1,460	$10	$11.6K
J7324	18	30	90	$100	$11.3K
99215	2,385	2,710	40	$110	$8.3K
99213	1,826	11,030	80	$50	$8K
20611	4	210	50	$70	$6.3K
99204	1,359	5,490	30	$100	$5.3K
93925	29	300	20	$100	$5.2K
93970	105	490	30	$60	$3.5K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-state Orthopaedics, LLC	TN	Orthopaedic Surgery Physician	$0	$6.9M

Apurva Dalal — Billing Profile & Reimbursement Data

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Apurva Dalal — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References